384000345-11-30-2022-05-CC-CQUO-CLP3AM-20221130170456

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 384000345
Report Date: 11/30/2022
Date Signed: 11/30/2022 05:05:27 PM

Document Has Been Signed on 11/30/2022 05:05 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:	CHILDREN'S AFTER SCHOOL ARTS		FACILITY NUMBER:	384000345
ADMINISTRATOR:	EINHORN, LESLIE		FACILITY TYPE:	840
ADDRESS:	443 BURNETT STREET		TELEPHONE:	(415) 493-8897
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94131
CAPACITY:	200	CENSUS: 155	DATE:	11/30/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Leslie Einhorn		TIME COMPLETED:	05:10 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 November 30, 2022 at approximately 2:00pm, Licensing Program Analyst (LPA) Catrina Quimbo conducted an unannounced, annual inspection. LPA met with executive director, Leslie Einhorn, and explained the purpose of the inspection. Program is an after school program that operates at Rooftop Elementary School. Children enrolled in program attend elementary school. Present during inspection included 155 school age children and 27 staff members (including executive director). Facility is operating within capacity limits and ratio during LPA's visit. Hours of operation are Monday through Friday 3:45pm to 6:30pm and Wednesdays 2:30pm to 6:30pm. Program is currently operating in multi-purpose room, school yard, Room #001, 005, 101, 107, all Bungalows except B16. With executive director, LPA inspected day care areas currently being used for health and safety hazards. Entire facility has a smoke alarm system installed and implemented through school district. LPA observed each classroom and Bungalow to be equipped with fully charged fire extinguishers and smoke alarm system. Main CASA Bungalow is equipped with a working carbon monoxide detector. Children are separated into separate classroom by grade and are assisted with at least 2 staff members at a time. LPA observed classrooms to be well ventilated and to have age appropriate equipment and furniture. Storage for children's belongings are located outside each classroom and each Bungalow. LPA observed staff to be consistently communicating with each other on whereabouts of each child enrolled. All restrooms were observed to be in proper working order with appropriate sanitation products. Restrooms available to children allow for individual privacy. Staff sign children in and out of program via an application. Parents sign children out through CASA Ipad. (Continue Report on Page 2...)

SUPERVISOR'S NAME: Cindy Interiano	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Catrina Quimbo	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 11/30/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2022

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: CHILDREN'S AFTER SCHOOL ARTS	FACILITY NUMBER: 384000345
	VISIT DATE: 11/30/2022

NARRATIVE

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School yard playground consists of a climbing structure that was observed to have resilient padding underneath. Program provides afternoon snacks that are stored in main CASA Bungalow. Individual drinking bottles and accessible water fountains are available throughout facility.

Program offers activities that provide children time to complete homework, have outside play, arts and crafts and indoor play time. All required licensing documents are properly posted in main CASA Bungalow. Last emergency drill was conducted 10/12/2022. Emergency drills are properly documented.

LPA reviewed facility records which included 10 random children's files and 10 staff member's files (whom were present during inspection) which were complete. Children's files have record of emergency information identification available for review. Staff files provide proof of required immunizations. At least one staff member on site has a valid CPR and First Aid certificate that will expire 09/2023.

Facility was 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.

Executive director is aware that all staff is required to complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com. LPA observed the completion certificate on file. LPA encourages the executive director to frequently visit our website at www.ccld.ca.gov for licensing regulations and new updates.

Executive 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.

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/inspection-process.

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SUPERVISOR'S NAME: Cindy Interiano	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Catrina Quimbo	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 11/30/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2022

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: CHILDREN'S AFTER SCHOOL ARTS	FACILITY NUMBER: 384000345
	VISIT DATE: 11/30/2022

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This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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

No deficiencies were issued under CCR, Title 22, Division 12.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with executive director, Leslie Einhorn.

SUPERVISOR'S NAME: Cindy Interiano	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Catrina Quimbo	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 11/30/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2022

LIC809 (FAS) - (06/04)

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