380505926-8-17-2022-05-CC-BVAN-CHDRPZ-20220817131124

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 380505926
Report Date: 08/17/2022
Date Signed: 08/17/2022 01:12:32 PM

Document Has Been Signed on 08/17/2022 01:12 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
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: 6	DATE:	08/17/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Marjory Pollock		TIME COMPLETED:	01:15 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 August 17, 2022, Licensing Program Analyst (LPA) Van met with the Lead teacher, Marjory Pollock, for an unannounced annual random inspection. The purpose of the inspection was explained. Per the Lead teacher, the Director of the site is Ann Marin. LPA informed the lead teacher to have Ms. Marin submits the required Director qualification to Licensing Office. Currently, the Director on file is Miguel De Loza. Present today are six children supervised by a lead teacher and two Para. The facility complies with the staff-children ratios today. The Preschool program operates classrooms #3 and #4 inside the functioning school site, Sanchez Elementary School. The days and operations hours are Monday - Friday from 8:00 am to 3:00 pm. LPA toured and inspected the physical plant for any health and safety hazards. The facility has a record of sign-in/out of children, and all parents' signatures matched and accounted for the numbers of children present. The facility is in good repair and has proper temperature and ventilation. Classrooms have age-appropriate toys and learning materials. Furniture appears steady and in good repair. The facility has carbon monoxide detectors, a centralized smoke alarm, fully charged fire extinguishers, and working telephones. LPA observed that each child has their cubbies available with their name labeled. All emergency supplies are stored in locked storage. First aid supplies are fully stocked and available for children's usage. All cleaning solutions, poisons, and other dangerous chemicals are stored in an area inaccessible to children. Sleeping cots are appropriately stored. Continued on page 2...

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon Van	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 08/17/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2022

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-SANCHEZ EARLY EDUCATION SCHOOL (PS)	FACILITY NUMBER: 380505926
	VISIT DATE: 08/17/2022

NARRATIVE

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The Center currently has a bathroom waiver to share the use of the school-age bathrooms. LPA reminded the Lead teacher that staff is required to inspect the restrooms prior to each use by the preschool children, and staff escorts the children individually, as needed. Toilets and handwashing sinks are in good working condition with proper sanitation. LPA observed no bodies of water on the premises. The outdoor play area is completely fenced, clean, and in good repair. Climbing structures are securely anchored, and soft cushioning is underneath all play structures to absorb accidental falls. LPA observed one of the slides had yellow cautions tapes around and saw an approximately 6 inches gash opening on the slide. The staff at the yard mentioned the School district had put an order in for a new slide to be installed.

The facility had posted the required forms. (i.e., License, waivers, Notification of Parent's Rights, Notification of Personal Rights, Car Seat Law, Emergency Disaster Plan, and Daily activities). Per the Lead teacher, the SFSUD provides breakfast, lunch, and morning snacks to the preschool program. The menu is observed posted. The facility has a water dispenser readily available for children indoors and outdoors. All storage containers for solid waste within the Center have a proper tight-fitting cover.

All children's records and personnel records were reviewed during the inspection. Records review showed the facility has records of each child's authorized representative's names, addresses, and telephone numbers. In addition, each child's immunization record, medical assessment, and admission agreement can be located in each child's file. Staff records indicate that all staff or individuals who require caregiver background checks have received criminal records and child abuse index clearances or exemptions cleared by the School District. Multiple staff members have a record of valid CPR. All staff maintained immunization records and verified the mandated child abuse reporting training as compliant with AB1207. LPA reviewed the educational qualification of all staff, and all staff had the required ECE units or valid Child Development Teacher Permit. The Lead teacher stated that the Center conducts fire and earthquakes every other month, usually alongside the Sanchez Elementary school.
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SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon Van	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 08/17/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2022

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-SANCHEZ EARLY EDUCATION SCHOOL (PS)	FACILITY NUMBER: 380505926
	VISIT DATE: 08/17/2022

NARRATIVE

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The Lead 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.

The 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 the publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

The Lead teacher was informed about Mandated Reporter training. In addition to AB1207 training required to complete every two years by the Licensee and all staff hired, a one-time General Training is also required. Training can be taken online at www.mandaterreporterca.com. Also, the Lead teacher was reminded of Pesticides training. Information on the DPR website at: www.cdpr.ca.gov/shoolipm/childcare

LPA encouraged the Lead teacher to visit the Licensing website at www.ccld.ca.gov for licensing regulations and new updates. Staff can also email childcareadvocatesprogram@dss.ca.gov and ask for the updates to be added to the email list.

During the inspection, LPA requests an up-to-date Emergency Disaster Plan (LIC 610), Personnel Report (LIC 500), the Designation of Administrative Responsibility (LIC 308), Incidental Medical Services Plan (IMS), and Ann Marin Director qualification. All documents are to be submitted to Licensing Office by 8/31/22.
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SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon Van	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 08/17/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2022

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-SANCHEZ EARLY EDUCATION SCHOOL (PS)	FACILITY NUMBER: 380505926
	VISIT DATE: 08/17/2022

NARRATIVE

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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/process.

No deficiencies are cited today. An exit interview was conducted, and the report was reviewed with the Lead teacher, Marjory Pollock. Today's report, August 17, 2022, and notice of site visit were provided to the Lead teacher. LPA informed the Lead teacher that the site visit notice must be posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon Van	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 08/17/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2022

LIC809 (FAS) - (06/04)

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