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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 380506510
Report Date: 11/25/2024
Date Signed: 11/25/2024 01:01:43 PM

Document Has Been Signed on 11/25/2024 01:01 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
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:HELEN HAWK CHILDREN'S CTR-COMPASS FAM. SRVS.-SAFACILITY NUMBER:
380506510
ADMINISTRATOR/
DIRECTOR:
ELIZABETH PERLAFACILITY TYPE:
840
ADDRESS:111 PAGE STREETTELEPHONE:
(415) 644-0504
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94102
CAPACITY: 5TOTAL ENROLLED CHILDREN: 5CENSUS: 0DATE:
11/25/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:51 AM
MET WITH:Elizabeth PerlaTIME VISIT/
INSPECTION COMPLETED:
01:15 PM
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On November 25, 2024, Licensing Program Analyst (LPA) Zeynep Basak conducted an unannounced inspection, met with the director Elizabeth Perla, and explained the purpose of the inspection.
Present were the director and the After School Program Coordinator. Per the coordinator, their operation hours are Monday to Friday 4:00 pm to 6:00 pm. There was no child at the moment of the inspection.

With the director, LPA inspected the daycare room and observed the facility has a working smoke detector, carbon monoxide detector, fully charged fire extinguisher, and working telephone on site.

LPA observed all cleaning solutions, poisons, and other chemicals are properly stored and made inaccessible to the children.
The facility has age-appropriate furniture, play, and educational materials for children. The facility floor is in good repair and free of any hazards.

School-age children use the adult bathroom where there is an individual toilet and sink. LPA observed the bathroom is sanitary and in working condition.
LPA observed the play yard is in good condition and free of hazards. There is drinking water available in the yard as well as in the classroom.

Per the director, the facility is using paper sign-in / out.
See page 2.
Daniel J OquendoTELEPHONE: (650) 266-8800
Zeynep BasakTELEPHONE: (650) 266-8800
DATE: 11/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/25/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: HELEN HAWK CHILDREN'S CTR-COMPASS FAM. SRVS.-SA
FACILITY NUMBER: 380506510
VISIT DATE: 11/25/2024
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Page 2.
LPA observed the facility has a license, and all other required postings are posted and visible to the public.

LPA reviewed the facility records. LPA reviewed 3 children files and 1 staff file. LPA observed children's and the staff files are complete with all required documents.

Per the director, the facility provides snacks for children in addition to drinking water.

The site director was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

The director was informed that as of September 1, 2016, a person may not be employed or volunteer at a childcare 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.

Site supervisor is aware that all staff is required to complete Mandated Reporter Training every two years. LPA informed the director the training can be obtained online at www.mandatedreporterca.com.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care
Centers (CCCs) constructed before January 1, 2010, to test their water (used for
drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test.

See page 3.
SUPERVISOR'S NAME: Daniel J OquendoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Zeynep BasakTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 11/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/25/2024
LIC809 (FAS) - (06/04)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: HELEN HAWK CHILDREN'S CTR-COMPASS FAM. SRVS.-SA
FACILITY NUMBER: 380506510
VISIT DATE: 11/25/2024
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Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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) or (800) 514-0383 (TTY) and link to the publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/

The report was reviewed and signed by the director.
The Notice of Site Visit was provided to be posted for 30 days.
An exit interview was conducted with the director, Elizabeth Perla.
SUPERVISOR'S NAME: Daniel J OquendoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Zeynep BasakTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 11/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/25/2024
LIC809 (FAS) - (06/04)
Page: 3 of 3