380506146-10-11-2019-05-CC-LGOZ-BGUPZC-20191011114519

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 380506146
Report Date: 10/11/2019
Date Signed: 10/11/2019 11:45:25 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:	COMPANEROS DEL BARRIO, INC.		FACILITY NUMBER:	380506146
ADMINISTRATOR:	ALYSIA GONZALES		FACILITY TYPE:	850
ADDRESS:	474-478 VALENCIA STREET		TELEPHONE:	(415) 431-9925
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94103
CAPACITY:	44	CENSUS: 22	DATE:	10/11/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	11:15 AM
MET WITH:	Director, Christina Gutierrez		TIME COMPLETED:	12:00 PM

NARRATIVE

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Licensing Program Analyst’s, (LPA) Luis J. Gomez and Cindy Interiano met with Director, Christina Gutierrez. The purpose of the visit was explained and is for an unannounced annual inspection. This center is a preschool program. Program utilizes 1 classroom and an outdoor play area. Hours of operation are Monday- Friday 8:00am- 5:00pm. Program operates an AM session from 830a-12p and PM session from 1230p-4p. Present is the Director and 5 staff supervising 22 PreK children. Facility is within capacity limits of the license. All children present are properly signed-in. LPAs and Director inspected facility for health and safety hazards.

On October 11, 2019 LPAs inspected the classroom. LPAs observed classroom is clean, organized and have plenty of age appropriate toys and books for the children. Classroom has several child size tables and chairs. There has acceptable ventilation and natural lighting. Classrooms have a smoke detector, carbon monoxide detector and fully charged fire extinguisher (3A40BC) located in the hallway. First aid kit and an emergency disaster supplies are available. Program provides daily meals: Breakfast/Lunch/PM snack.

On October 11, 2019 LPAs inspected outdoor play for safety hazards and dangerous conditions. Facility has water available for the children indoors and outdoors. Outdoor play area is free of debris, hazards or dangerous conditions.

On October 11, 2019 LPA reviewed the facility roster. Staff CPR/ 1^st aid certification are up to date.

Emergency drills are done monthly, with the last drill conducted on, 10/01/19 and is properly logged. LPAs all required licensing information properly posted in facility lobby, including menus.

See Page 2. . .

SUPERVISOR'S NAME: Alma Malig	TELEPHONE: (650) 266-8832
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 393-9134
LICENSING EVALUATOR SIGNATURE:	DATE: 10/11/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2019

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: COMPANEROS DEL BARRIO, INC.	FACILITY NUMBER: 380506146
	VISIT DATE: 10/11/2019

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During the inspection,
*Incidental Medical Services (IMS) policy was discussed.
*Director was reminded about having all Staff and Volunteers provide proof of immunization against influenza, pertussis, and measles or qualifies for an exemption.
*Director was reminded of Pesticides training. Information on the DPR website at: www.cdpr.ca.gov/shoolipm/childcare.
*Director was reminded about Mandated Reporter Training available on CCLD website
(www.ccld.ca.gov or www.mandatedreporterca.com)
*Director was advised of the new Lead Bill (effective 01/01/19), requiring Facilities to distribute a two-page flyer to Guardians with information on lead poisoning facts
*Director was reminded about the Provider Information Notices (PINs) on CCLD website.

Based on today's inspection, no deficiencies were observed in the areas evaluated according to the Title 22 Division 12 Ca. Code of Regulations.

>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 Malig	TELEPHONE: (650) 266-8832
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 393-9134
LICENSING EVALUATOR SIGNATURE:	DATE: 10/11/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2019

LIC809 (FAS) - (06/04)

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