384000669-2-21-2020-05-CC-BVAN-BLZQBD-20200221110121

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 384000669
Report Date: 02/21/2020
Date Signed: 02/21/2020 11:01:26 AM

COMPREHENSIVE INSPECTION

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:	SFUSD-DOLORES HUERTA ELEMENTARY SCHOOL (EES)		FACILITY NUMBER:	384000669
ADMINISTRATOR:	RODRIGUEZ, LUIS		FACILITY TYPE:	850
ADDRESS:	65 CHENERY STREET		TELEPHONE:	(415) 695-5669
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94131
CAPACITY:	24	CENSUS: 15	DATE:	02/21/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Reina Cortez		TIME COMPLETED:	11:15 AM

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	Licensing Program Analyst (LPA) Van conducted a collaboration case management with an annual random inspection today, and met with the paraprofessional, Reina Cortez. The purpose of the inspection was explained and granted entry to the facility by the staff. This facility is a preschool program that operates in the SFUSD Dolores Huerta Elementary School in room C205. Days and hours operations are Monday - Friday 8:30 am-2:50 pm. Present today are 3 teachers supervising 15 children. Staff to children ratio are met. LPA, along with the Paraprofessional, inspected the facility for health and safety hazards. The facility is in good repair and free of any hazards with proper temperature and ventilation. A variety of age-appropriate toys and learning materials for children are available in the classroom. There are no pools, spas, or other bodies of water at the facility. The facility has a smoke detector, fully charged fire extinguishers, and a working telephone at the facility. LPA observed all cleaning solutions, poisons, and other chemicals that are dangerous to children stored in a locked cabinet. Per the Para, the center provides breakfast and lunch for children. All the bathrooms, toilets, and sinks are clean and well sanitized. There is a total of 2 toilets, 2 sinks in the facility. There is a separate bathroom available to staff. The facility has a water filter pitcher available for children to use outdoor and indoor. The children also brought their own water bottles from home. The outside play area is completely fenced, clean, and in good repair. The playground is free of hazardous materials, and the play equipment is age-appropriate and safe. Climbing structures are securely anchored, free of any loose parts, and have sufficient amounts of cushioning floor to prevent any fall injuries. Per the Para, the sandbox is inspected daily. LPA did not observe any bodies of water in the outdoor area.

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon Van	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 02/21/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2020

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: SFUSD-DOLORES HUERTA ELEMENTARY SCHOOL (EES)	FACILITY NUMBER: 384000669
	VISIT DATE: 02/21/2020

NARRATIVE

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In today’s inspection, LPA reviewed the staff and children's records, Care and Supervision of the Children, Medication Policies, Isolation of Sick Children, and Reporting Requirements. LPA observed that the facility has a sign-in/out record for the parent or authorized representative. A review of staff records during today’s visit indicates that all staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances from the Unified School District. All staff have a record of valid Pediatric FirstAid/CPR card in file. Also, all staff have the required immunization and verification of the mandated child abuse reporting training as compliant with AB1207. LPA also observed that the facility had posted the required forms. (i.e., License, waivers, Notification of Parent's Rights, Notification of Personal Rights, and Emergency Disaster Plan). The Para stated that Fire and Earthquake drills are done each month, and the last fire drill was conducted on January 27, 2020.

LPA reminded the Para 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.

LPA reviewed AB 1207 with the Para. As of January 1, 2018, all staff is required to complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com.

ADA information was provided; US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to the publication. Pesticides training was also discussed (Information on the DPR website at www.cdpr.ca.gov/shoolipm/childcare). Incidental Medical Services (IMS) Plan was also discussed with the Para.

LPA also went over the Child Care Center checklist and provided a copy to the Para during the inspection for reference in the future inspection.

No deficiencies are cited today. The copy of this report is reviewed and provided to the Para. Notice of site visit is posted and shall remain posted for the next 30 days.

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon Van	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 02/21/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2020

LIC809 (FAS) - (06/04)

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