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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 380506367
Report Date: 02/18/2022
Date Signed: 02/18/2022 01:00:38 PM


Document Has Been Signed on 02/18/2022 01:00 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-THERESA S. MAHLER (EES) PRESCHOOLFACILITY NUMBER:
380506367
ADMINISTRATOR:UWAKAH, UGONMAFACILITY TYPE:
850
ADDRESS:990 CHURCH STREETTELEPHONE:
(415) 695-5871
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94114
CAPACITY:80CENSUS: 29DATE:
02/18/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Ugonma UwakahTIME COMPLETED:
01:15 PM
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On February 18, 2022, Licensing Program Analysts (LPAs) Van and Leong made an unannounced Annual Random inspection and met with Director Ugonma Uwakah. The purpose of the inspection was explained and granted entry to the facility by the Director. This facility is a title 5 program operating in the SFUSD Theresa Mahler Early Education School site. All staff at the facility have caregiver background checks through the San Francisco Unified School District. The Director and eight teachers are supervising 29 children at the Center. The staff to children ratio was met. The Hours of operation are Monday to Friday, 7:30 am to 5:30 pm.

LPAs and the Director inspected the facility for health and safety hazards. There are three classrooms used, classrooms #1, #2, and #3. All three classrooms are in good condition with proper temperature and ventilation and are free of hazards. All classrooms have age-appropriate toys, furniture, and learning materials. Furniture appears steady and in good repair. LPAs observed that each child has their cubbies available with their name labeled. There are six toilets, six sinks and two water fountains in rooms 1 & 2. In classroom #3, there are four sinks and a water fountain that is not operable, and there is a bathroom inside classroom #3 with two toilets. All toilets and sinks are in good working condition with proper sanitation. The staff has a separate bathroom. All cleaning solutions, poisons, and other dangerous chemicals have been stored in an area inaccessible to children. Outdoor play structures are age-appropriate and in good condition. There are soft rubberized cushioning underneath all play structures to absorb accidental falls. LPAs observed no bodies of water on the premises. The facility has multiple carbon monoxide detectors, a centralized smoke alarm, multiple fully charged fire extinguishers, and working telephones.
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon VanTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 02/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/18/2022
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-THERESA S. MAHLER (EES) PRESCHOOL
FACILITY NUMBER: 380506367
VISIT DATE: 02/18/2022
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LPAs observed that 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). According to the Director, children's foods are delivered from the school district, including breakfast, lunches, and snacks. LPAs observed, the kitchen preparation areas are clean, dairy products in the refrigerator are fresh, and have long expiration dates. Drinking water is available to children through water fountains, and children also have their own water bottles. LPAs reminded the Director to make sure children's water bottles were labeled. LPAs observed Napping equipment is stored properly. All storage containers for solid waste within the Center have a proper tight-fitting cover.

Ten random children's records and seven personnel records were reviewed during the inspection. LPAs observed that the facility has a sign-in/out log with parents' signatures. 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 can be located in each child's file. Staff records review showed multiple staff members have a record of valid CPR in file and immunization on their respective file. LPAs reviewed the educational qualification of all the teachers, all teachers had the required ECE units, and multiple teachers have valid Site Supervisor permits. The Director stated that the Center is conducting fire and earthquakes monthly.

The Director 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.

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
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon VanTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 02/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2022
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-THERESA S. MAHLER (EES) PRESCHOOL
FACILITY NUMBER: 380506367
VISIT DATE: 02/18/2022
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The Director was informed about Mandated Reporter training available on the CCLD website. 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 Director was reminded of Pesticides training. Information on the DPR website at: www.cdpr.ca.gov/shoolipm/childcare

LPAs encouraged the Director to frequently visit the Licensing website at www.ccld.ca.gov for licensing regulations and new updates. Licensee can also email at childcareadvocatesprogram@dss.ca.gov and ask to be added to the email list for the updates.

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 Director, Ugonma Uwakah. Today's report, February 18, 2022, and notice of site visit will be sent to the Director by email by the close of business on February 18, 2022. Confirmation of receipt is required. LPA informed the Director that the notice of site visit must be posted for 30 days.
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon VanTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 02/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2022
LIC809 (FAS) - (06/04)
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