380505926-8-27-2019-05-CC-WLYY-BFFNC3-20190827102005

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 380505926
Report Date: 08/27/2019
Date Signed: 08/27/2019 10:20:11 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-SANCHEZ EARLY EDUCATION SCHOOL (PS)		FACILITY NUMBER:	380505926
ADMINISTRATOR:	DE LOZA, MIGUEL		FACILITY TYPE:	850
ADDRESS:	325 SANCHEZ STREET		TELEPHONE:	(415) 241-6380
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94114
CAPACITY:	40	CENSUS: 11	DATE:	08/27/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Majory Pollock		TIME COMPLETED:	10:50 AM

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	Licensing Program Analyst (LPA) Winnie Ly met with Teacher Majory Pollock for an Unannounced Annual Random visit today. Purpose of the visit was explained. Per Teacher, there are 3 staff working for the Early Education Program. There was one teacher that is off today. There are 11 children and 2 staff present today. Facility meets teacher/child ratio today. Facility is only using room 4 at this time and 12 children are enrolled in the program. Indoor areas were inspected today for health and safety hazards. There is a bathroom inside the classroom with one toilet and one urinal. There is one sink in the bathroom and one sink in the classroom available for children's use. Separated staff bathrooms are available for staffs on site. Classroom is clean, safe, and are set up with age appropriate furniture, equipment, and materials. Ventilation, heating and lighting are adequate. School provides breakfast, lunch and snacks for children and are provided by Revolution Foods. Water is available to the children by water fountain and children bring their own water bottles. First aid supplies are available for children in each classroom at the center. Emergency supplies are available at the Facility. Sick children will be separated from the group and place in the nursing office while waiting for their parents to pick up. Outdoor space is shared with the Elementary School with a scheduled outdoor play time. Children only go outside when there is no other children outside. Facility has posted the required forms (ie License, menus, Notification of Parent's Rights, Notification of Personal Rights, Car Seat Law, and Emergency Disaster Plan). Fire and Earthquake drills are done about every month according to District Schedule and was properly logged. All parents have signed in today. At least one staff member has been trained for CPR and First Aid. Cont. Page 2....

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Winnie Ly	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 08/27/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2019

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-SANCHEZ EARLY EDUCATION SCHOOL (PS)	FACILITY NUMBER: 380505926
	VISIT DATE: 08/27/2019

NARRATIVE

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Facility has Incidental Medical Services on file. LPA and Teacher checked children's medication and its storage. 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

Facility was also 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. All staff have proof of Immunization.

LPA discussed Child Abuse Mandated Training AB1207 with the Director. As of January 1, 2018 all staff will be required to complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com.

Pesticide regulations were discussed with the Director. In accordance with the Healthy Schools Act, California law requires that anyone using any pesticide must be trained every year in integrated pest management and the safe use of pesticides around children. The director was advised that a free one hour online course is available on the Department of Pesticide Regulation's Web site: www.cdpr.ca.gov/schoolipm/training. For questions, email ccipmlist@cdpr.ca.gov.

Director was also advised to reach out to San Bruno Regional Office for concern or questions. Desk Duty is available M-F, 8a.m.-5p.m. (650) 266-8800. Website for forms and regulations updates: www.cdss.cs.gov/inforesources/Community-Care-Licensing

No deficiencies were observed today. A copy of this report was reviewed and provided to the licensee. Notice of Site Visit was observed to be posted and shall remain posted for 30 days.

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Winnie Ly	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 08/27/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2019

LIC809 (FAS) - (06/04)

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