384000345-1-28-2020-05-CC-WLYY-BL9LUM-20200128080406

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 384000345
Report Date: 01/27/2020
Date Signed: 01/28/2020 08:04:17 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:	CHILDREN'S AFTER SCHOOL ARTS		FACILITY NUMBER:	384000345
ADMINISTRATOR:	EINHORN, LESLIE		FACILITY TYPE:	840
ADDRESS:	443 BURNETT STREET		TELEPHONE:	(415) 643-2272
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94131
CAPACITY:	200	CENSUS: 140	DATE:	01/27/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:15 PM
MET WITH:	Johana Finetti & Leslie Einhorn		TIME COMPLETED:	03:45 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 January 27, 2020, at approximately 1:15pm, Licensing Program Analyst (LPA) Winnie Ly conducted an Unannounced Annual Inspection and met with site Director Johana Finetti and Executive Director, Leslie Einhorn. This is a School-age program (Kindergarten- 5th grade) located in the Rooftop Elementary School. The program's operating hours are Monday-Friday 1:50pm-6:00pm. Purpose of visit was explained. Present during visit were 28 staff and 140 children. LPA and Site Director inspected the school age classrooms for Health and Safety Hazards. The classrooms were clean and orderly. There are no bodies of water present at the school.Disinfectants, cleaning solutions and other potentially harmful items were inaccessible to the children. Medications are stored out of reach of the children. The furniture and equipment are in good condition, free of sharp, loose or pointed parts. Each classroom is equipped with a fully charge fire extinguisher, smoke detectors and carbon monoxide detectors. Females' restrooms and males’ restroom are separated from each other. All restrooms were in safe and sanitary operating condition. LPA and Site Director also toured the outdoor play area. LPA observed outdoor equipment is in good condition. The play structure appears to be age appropriate for children in care. Areas under slides and other play areas were adequately cushioned. Children were signed in electronically by the school staff using program's app. Parents sign children out using the same app with Ipad provided by the program when picking the children up. Last Emergency Drill was conducted on 11/22/2019 and is properly logged. A random sample of children's files were reviewed electronically and found to be complete. A random sample of staff's files were also reviewed and found to be complete. At least one staff have current Pediatric First Aid and CPR. CONTINUED>>>

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Winnie Ly	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 01/27/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/27/2020

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: CHILDREN'S AFTER SCHOOL ARTS	FACILITY NUMBER: 384000345
	VISIT DATE: 01/27/2020

NARRATIVE

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Facility provides Incidental Medical Services (IMS) to the children. A review of storage of medication, equipment and supplies are adequately stored and logged. 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 publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

Facility was also informed that as of September 1, 2016, a person may not be employed or volunteer at a child care 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.

LPA discussed Child Abuse Mandated Training AB1207 with the Director. As of January 1, 2018 all staff will be required to complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com.

Pesticide regulations were discussed with the Director. In accordance with the Healthy Schools Act, California law requires that anyone using any pesticide must be trained every year in integrated pest management and the safe use of pesticides around children. The director was advised that a free one hour online course is available on the Department of Pesticide Regulation's Web site: www.cdpr.ca.gov/schoolipm/training. For questions, email ccipmlist@cdpr.ca.gov.

Director was also advised to reach out to San Bruno Regional Office for concern or questions. Desk Duty is available M-F, 8a.m.-5p.m. (650) 266-8800. Website for forms and regulations updates: www.cdss.cs.gov/inforesources/Community-Care-Licensing

No deficiencies were observed today. A copy of this report was reviewed and left with Executive Director whose signature on this form confirm receipt of these reports. Notice of Site Visit shall remain posted for 30 days.

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Winnie Ly	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 01/27/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/27/2020

LIC809 (FAS) - (06/04)

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