380505801-5-24-2022-05-CC-CQUO-CEQPXD-20220524114208

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 380505801
Report Date: 05/24/2022
Date Signed: 05/24/2022 11:42:50 AM

Document Has Been Signed on 05/24/2022 11:42 AM - It Cannot Be Edited

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-CESAR CHAVEZ EARLY EDUCATION SCHOOL (PS)		FACILITY NUMBER:	380505801
ADMINISTRATOR:	CATALINA RICO		FACILITY TYPE:	850
ADDRESS:	825 SHOTWELL STREET		TELEPHONE:	(415) 695-5946
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94110
CAPACITY:	24	CENSUS: 12	DATE:	05/24/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Michelle Chinn		TIME COMPLETED:	12:00 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 May 24, 2022 at approximately 9:30am, Licensing Program Analyst (LPA) Catrina Quimbo conducted an unannounced, annual inspection at SFUSD-Cesar Chavez Early Education School (PS). LPA met with preschool program's head teacher, Michelle Chinn, and explained the purpose of the inspection. Present in the preschool program included head teacher, para-educator, and 12 enrolled children. Facility is operating within its capacity and is in compliance with staff/child ratio on this date. All individuals working at facility are fingerprint cleared through SFUSD. Preschool program operates at Cesar Chavez Elementary School and is licensed to operate out of classroom #2. Due to COVID, program is currently operating outdoors, in exclusive, licensed, outdoor area. Preschool program operates Monday, Tuesday, Thursday and Friday from 8:40am to 2:55pm; Wednesday 8:40am to 1:40pm. With head teacher, LPA inspected the preschool classroom and outdoor area for health and safety hazards. Classroom has a working telephone on site. Entire facility has installation of smoke and fire alarm system. LPA observed classroom to have a carbon monoxide detector. All cleaning solutions, poisons and other chemicals are stored inaccessible to children on facility's high shelves or locked behind closed cabinets. Classroom has age appropriate furniture and materials that are in good working condition. Storage for children's belongings are located in the classroom, labeled with children's individual names. There is one bathroom in the classroom, with two sinks and two toilets. Bathroom was observed to be in good working condition with appropriate sanitation products. There is an accessible sink located in the classroom, free of poisons or hazardous materials. Accessible sinks do not produce water that is warmer than 120 degrees Fahrenheit. (Continue on Page 2....)

SUPERVISOR'S NAME: Cindy Interiano	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Catrina Quimbo	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 05/24/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2022

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

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

FACILITY NAME: SFUSD-CESAR CHAVEZ EARLY EDUCATION SCHOOL (PS)	FACILITY NUMBER: 380505801
	VISIT DATE: 05/24/2022

NARRATIVE

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Preschool program is part of facility's food program. All food is stored and prepared in facility's kitchen to avoid contamination. Facility has sufficient amount of sleeping cots available. Drinking water is available to children, indoors and outdoors, with children's individual drinking bottles and accessible water fountains.

Preschool program has exclusive use of outdoor area that is separate from entire facility's outdoor area by gates. LPA observed outdoor area to have age appropriate materials that are in good working condition. Resilient padding is located under climbing structures.

LPA observed preschool program to use paper sign in/out system. At time of inspection, all children were properly signed in to program with parents' full signatures. Classroom has license and all other required documents posted and visible for the public. Classroom has an emergency drill log for the school year. Last emergency drill conducted was 05/06/2022.
LPA reviewed 10 children's files, head teacher's and para-educator's files. Children's and staff files were complete. Head teacher's CPR and First Aid certificate is current and will expire 09/2023.

Facility was informed that as of September 1, 2016, a person may not be employed or volunteer at a child care facility unless he or she has been immunized against influenza, pertussis, and measles or qualifies for an exemption pursuant to Health and Safety code 1596.7995 and 1597.662.

Head teacher was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Head teacher is aware that all staff hired are required to complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com. LPA observed the completion certificate on file. LPA encourages the head teacher to frequently visit our website at www.ccld.ca.gov for licensing regulations and new updates.

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SUPERVISOR'S NAME: Cindy Interiano	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Catrina Quimbo	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 05/24/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2022

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

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

FACILITY NAME: SFUSD-CESAR CHAVEZ EARLY EDUCATION SCHOOL (PS)	FACILITY NUMBER: 380505801
	VISIT DATE: 05/24/2022

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To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

No deficiencies were issued under CCR, Title 22, Division 12.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with head teacher, Michelle Chinn.

SUPERVISOR'S NAME: Cindy Interiano	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Catrina Quimbo	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 05/24/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2022

LIC809 (FAS) - (06/04)

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