380505800-4-26-2023-05-CC-LGOZ-CR9VT6-20230426164238

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 380505800
Report Date: 04/26/2023
Date Signed: 04/26/2023 04:42:47 PM

Document Has Been Signed on 04/26/2023 04:42 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME:	SFUSD-BRYANT EARLY EDUCATION SCHOOL		FACILITY NUMBER:	380505800
ADMINISTRATOR:	VELASCO, CHRISTINA		FACILITY TYPE:	850
ADDRESS:	2641- 25TH STREET		TELEPHONE:	(415) 695-5838
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94110
CAPACITY:	69	CENSUS: 34	DATE:	04/26/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:25 PM
MET WITH:	Laura Codicetti		TIME COMPLETED:	04:45 PM

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25

On 4/26/2023 at 12:25PM., Licensing Program Analyst (LPA), Luis J. Gomez met with Administrator, Patricia Santana. Purpose of inspection was explained and was for an Unannounced, Annual Random inspection. Facility is licensed to operate preschool-age, at Bryant Elementary. Present was principal and 6 staff supervising 34 children. Children present had been properly signed in. Classroom personnel receive criminal record clearances though school district. Preschool program utilizes three classrooms: Room #1, #2, and #3 and one, shared, Garden Area and Outdoor Play Yard (Potrero del Sol Park). Outdoor space waiver was observed posted. Principal, Laura Codicetti arrived during inspection. Program operates year around. LPA inspected facility, indoors and outdoors, for health and safety hazards.

At 12:35PM., LPA observed the following: Classrooms were clean, orderly, with age-appropriate playthings available for the children. Ground surfaces were free of any obstructions or potential hazards. Classrooms were equipped with labelled cubbies for storage of children's belongings. Furniture, art supplies, and puzzles inspected were free of sharp corners or splinters. Classrooms have child- sized tables and chairs for snack and seated activities. Children’s bathrooms, located in classroom and hallway (Shared) were maintained clean. Changing table is located in classroom #2. Fixtures tested were in operating condition. Staff bathroom is located separate. For napping services, LPA observed stackable cots stored in each classroom. Cots inspected were made of cleanable material. Per director, sheets are washed weekly. Classrooms had acceptable ventilation and lighting. The disinfectants and poisons have been stored inaccessible to children. Outlets and trash bins have been covered. Classrooms have functioning smoke/ carbon monoxide combination detector, telephone service, and fully charged fire extinguishers: 3A:40BC located in hallway. First aid kit was reviewed and is fully stocked.

At 1:10PM, LPA inspected the shared garden and outdoor play area. Garden was completely enclosed with tall fencing. Shading resting area is available. LPA reminded principal to ensure all debris, hazardous plants and broken items are removed from outdoor play area. Advisory Note: Technical Violation (LIC9102TV) was issued.

At 1:15PM., Based on observation and interview, LPA confirmed outdoor structure (Potrero del Sol park) is under construction. Per Principal, it will not be used by preschool program for a couple of weeks. Advisory Note: Technical Violation (LIC9102TV) was issued.

LPA inspected kitchen/ food storage area during inspection. Area was clean, free of any trash or rubbish.
(REFER TO 809C FOR CONT.)

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 04/26/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 5

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: SFUSD-BRYANT EARLY EDUCATION SCHOOL	FACILITY NUMBER: 380505800
	VISIT DATE: 04/26/2023

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

(Page 2)
At 1:35PM, LPA reviewed facility records including five children’s files and five personnel files. Staff’s files contained the: Notice of Employee Rights (LIC9052); Education Verification; Required Proof of Immunization; and Personnel Record (LIC501).

Children’s files contained the: Consent for Emergency Medical Treatment (LIC627); Identification and Emergency Information (LIC700); Personal Rights (LIC613A); and Notification of Parent’s Rights (LIC995).

Staff member had their current ‘Cardiopulmonary Resuscitation and First Aid’ certification, which expires on: 10/15/2024.

Emergency disaster drill are conducted on-site, with the last drill completed on, 4/20/2023, and properly logged.

LPA observed required posting outside classrooms, including the: Facility License; Notification of Parent’s Rights (PUB394); Emergency Disaster Plan (LIC610); and Outdoor Space Waiver.

LPA reminded facility to post Seat Belt Safety Laws, and Current Lunch Menu.

LPA reviewed children’s medication. ‘Incidental Medical Services’ (IMS) plans are stored in children’s files.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manuel – Regulations Interpretations and Procedures for Child Care Centers Section 101173 and 101226. When an IMS is provided, an updated Plan of Operations that includes IMS must be submitted to the Department. Following information regarding ADA was provided: US Department of Justice (USDOJ) toll- free ADA information line at (800) 514- 0382 (TTY) and link to publications: Commonly asked questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

(REFER TO 809C, FOR CONT.)

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 04/26/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2023

LIC809 (FAS) - (06/04)

Page: 3 of 5

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: SFUSD-BRYANT EARLY EDUCATION SCHOOL	FACILITY NUMBER: 380505800
	VISIT DATE: 04/26/2023

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

(Page 3)
Based on today's inspection, no deficiencies were observed in the areas evaluated according to the Title 22 Division 12 Chap. 1 Ca. Code of Regulations. Exit interview report was reviewed with Principal, Laura Codicetti and signature of this form acknowledges receipt of these documents.

This report must be made available in the facility for public review. Notice of site visit was provided and must remain posted for 30 days. 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: Ali Zebila	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 04/26/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2023

LIC809 (FAS) - (06/04)

Page: 4 of 5