384000468-2-9-2022-05-CC-BVAN-CBGSSG-20220209130754

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 384000468
Report Date: 02/09/2022
Date Signed: 02/09/2022 01:08:46 PM

Document Has Been Signed on 02/09/2022 01:08 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:	VILK, MARGARITA		FACILITY NUMBER:	384000468
ADMINISTRATOR:	VILK, MARGARITA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(415) 681-9069
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94116
CAPACITY:	14	CENSUS: 12	DATE:	02/09/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Margarita Vilk		TIME COMPLETED:	01:00 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 February 9, 2022, Licensing Program Analyst (LPA), Van, conducted an unannounced annual inspection and met with Licensee Margarita Vilk. The purpose of the inspection was explained and granted entry to the home by the Licensee. There are 12 preschoolers children in care with the Licensee and three helpers. All adults living or working in the home have a criminal background clearance on file. The Licensee lives in a single-family home. Daycare Areas are on the ground level, including a playroom, two nap rooms, a kitchen/dining area, and the backyard. Off limit areas are the garage and the whole second-floor level. Days and operation hours are 8:00 am – 6:00 pm, Monday - Friday. Per Licensee, when a child shows signs of illness, the Licensee will separate and have the child waiting in the nap room while contacting the parent to pick up. LPA and Licensee inspected the daycare areas for health and safety hazards during the inspection. LPA observed the following; The daycare area is clean, orderly, and equipped with safe, age-appropriate toys and equipment. Each child has their own individual cubbies for their belongings. All sleeping cots are stored appropriately. The home has adequate lighting ventilation and is free from defects or conditions that endanger children in care. The daycare has a working smoke alarm, carbon monoxide detector, and a fully charged fire extinguisher. First aid supplies are available for children. Poisons, detergents, cleaning compounds are inaccessible to children. The backyard is observed to be fenced, clean, and has age-appropriate toys and outdoor equipment are in good condition. The Licensee had posted all the required forms, such as facility License, Notification of Parent's Rights, Earthquake Preparedness checklist, and Notification of Personal Rights. Per Licensee, there are no firearms, weapons, or pets. The Licensee states she provides breakfast, lunch, morning and afternoon snacks to children. The Licensee has a water pitcher and paper cups available for children. LPA observed no pools, spas, or other bodies of water on the premises. Licensee states Fire and Earthquake drills are conducted monthly, and the last drill was conducted on 2/7/2022.

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon Van	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 02/09/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2022

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: VILK, MARGARITA	FACILITY NUMBER: 384000468
	VISIT DATE: 02/09/2022

NARRATIVE

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During the inspection, LPA reviewed ten records of children and all staff present. LPA observed each child has a complete emergency information card with the child's full name, telephone number, and location of a parent or other responsible adult to be contacted in an emergency. The name and telephone number of the child's physician and the parent's authorization for the Licensee or registrant to consent to emergency medical care. During staff records review, LPA observed multiple helpers have valid Pediatric FirstAid & CPR and Mandated reporter training certification. The Licensee states she will sign up for the CPR class and renew it. Licensee CPR is going to expire at the end of February.

Licensee was reminded that all adults 18 and over living or working in the home, 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 licensed Family Child Care Home. 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.

LPA discussed the safe sleep regulations with Licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed the Licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

The Licensee was reminded about the Provider Information Notices (PINs) on the CCLD website. Licensee 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. LPA reviewed AB 1207 with the Licensee. As of January 1, 2018, all staff must complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com.

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon Van	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 02/09/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2022

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: VILK, MARGARITA	FACILITY NUMBER: 384000468
	VISIT DATE: 02/09/2022

NARRATIVE

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LPA encouraged the Licensee to frequently visit our website at www.ccld.ca.gov for licensing regulations and new updates. The 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.

The report was reviewed and signed by the Licensee, Margarita Vilk. No deficiencies were observed in today's inspection. Today's report, 2/9/2022, and notice of site visit will be sent to the Licensee email by the close of business on 2/9/2022. Confirmation of receipt is required, and a notice of site visit must remain posted for 30 days.

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon Van	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 02/09/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2022

LIC809 (FAS) - (06/04)

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