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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384000199
Report Date: 08/13/2020
Date Signed: 08/13/2020 02:13:34 PM

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:CHILDREN'S DAY SCHOOL, INC.FACILITY NUMBER:
384000199
ADMINISTRATOR:GREENE, ANTONETTE B.FACILITY TYPE:
850
ADDRESS:333 DOLORES STREETTELEPHONE:
(415) 861-5432
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94110
CAPACITY:72CENSUS: 0DATE:
08/13/2020
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Director, Antonette GreeneTIME COMPLETED:
11:35 AM
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THE FOLLOWING INSPECTION WAS CONDUCTED VIA TELE INSPECTION DUE TO THE COVID-19 HEALTH EMERGENCY.

On 8/13/2020 at 10:45A.M., Licensing Program Analyst (LPA) Luis J. Gomez met with director, Antonette Greene. Purpose of the inspection explained and is an announced case management inspection to add three additional classrooms. Present is the director and no staff or children. Director stated facility is currently on summer break. Letter was received by CCL, requesting to add three classrooms to the preschool program. Program is requesting to add classrooms #109 and #112 and #113, located in the St. Joseph’s Hall Building. The preschool program currently occupies classroom #1 and #2 with a capacity of 72 preschool children. Days and hours of operation are: Monday- Friday, 7:30 A.M to 6:00P.M. No changes have been made to the indoor and outdoor day-care space. LPA inspected the facility with the director for health and safety hazards.

LPA observed the following: Classroom #109, #112 and #113 are clean, orderly and equipped with a fire extinguisher (2A:10BC), smoke detector and carbon monoxide detector. Each classroom has a set of cubbies for the children's belongings and sufficient storage space. There is a variety of age appropriate books, crafts and manipulative for the children. There are several child size tables and chairs, that appear to be in good repair. Each of the classroom room have additional carpeting for added safety. LPA observed all trash cans and outlets are properly covered. Detergents and cleaning supplies are stored inaccessible to the day-care children, in a locked cabinet under the sink. There are child size stools available for assistance. There are napping mats in each the classrooms. The children’s bathrooms, located in the adjacent building, will remain the same.

(Continuation on page 809-C)

SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis GomezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 08/13/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2020
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 2
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: CHILDREN'S DAY SCHOOL, INC.
FACILITY NUMBER: 384000199
VISIT DATE: 08/13/2020
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(Page 2)

On 7/6/2020, Director submitted updated facility sketch (LIC 999) with the total classroom square footage. Classroom #109 has a total measurement of 785 sq. ft. Classroom #112 has a total measurement of 775 sq. ft. Classroom #113 has a total measurement of 895 sq. ft.

Director stated parents will provide all daily snacks and meals. Staff bathrooms are in the main building. Director stated drinking water is readily available indoors and outdoors.

Prior to adding additional classrooms: #109, #112 and #113 facility must:



- Submit Fire Clearance Approval to CCL
- Post the (PUB 393) Parents Rights Poster, (LIC 613) Personal Rights, (LIC 610) Emergency Disaster Plan in the classrooms

No deficiencies were cited against the facility under CCR, Title 22. 12 Ch. 1.

This report must be available in the facility for public review. Notice of site visit was observed being posted. Licensee was advised any additional questions to call Office, M-F, 8am-5pm, 650-266-8800 or 1-844-538-8766. Website: www.cdss.ca.gov

SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis GomezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 08/13/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2020
LIC809 (FAS) - (06/04)
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