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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 380505800
Report Date: 03/11/2020
Date Signed: 03/11/2020 11:38:17 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:SFUSD-BRYANT EARLY EDUCATION SCHOOLFACILITY NUMBER:
380505800
ADMINISTRATOR:VELASCO, CHRISTINAFACILITY TYPE:
850
ADDRESS:2641- 25TH STREETTELEPHONE:
(415) 695-5838
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94110
CAPACITY:69CENSUS: 28DATE:
03/11/2020
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Principal, Laura JuarezTIME COMPLETED:
11:50 AM
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Licensing Program Analyst (LPA), Luis J. Gomez, conducted a Case Management inspection and met with site principal, Laura Juarez. Purpose of the inspection was explained. Present during the inspection is the principal, vice principal and four staff supervising 28 Preschool children. At 8:40am on March 11, 2020 LPA inspected facility with vice principal, for health and safety hazards.

During today's inspection, LPA interviewed administrator, staff, children and reviewed facilities files.

LPA and site principal discussed an incident which occurred on January 17, 2020, involving a day-care child, C1, and a staff member. C1 stating to have been inappropriately pushed in the back of the head, by a staff member on-site, during the program nap time. S1 immediately comforted the child and notified administration of the incident. Site principal conducted observations and contacted C1’s guardian for a follow-up meeting.

Based on interviews performed and a facility file review, LPA is unable to determine if a staff member caused an injury to a day-care child.

No deficiencies were cited against the facility under CCR,Title 22, Div. 12, Ch. 1.

>This report and rights to comment and appeal were discussed with Director. This report must be available in the facility for public review. Notice of site inspection was posted. Director was advised any additional questions to call Office, M-F, 8am-5pm, 650-266-8800 or 1-844-538-8766. Website: www.ccld.ca.gov
SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis GomezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
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