384000740-3-24-2022-05-CC-CQUO-CCTQEV-20220324120659

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 384000740
Report Date: 03/24/2022
Date Signed: 03/24/2022 12:07:47 PM

Document Has Been Signed on 03/24/2022 12:07 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:	GLEN PARK MONTESSORI		FACILITY NUMBER:	384000740
ADMINISTRATOR:	ROSEMARY RAE		FACILITY TYPE:	850
ADDRESS:	647 CHENERY STREET		TELEPHONE:	(415) 585-7701
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94131
CAPACITY:	36	CENSUS: 17	DATE:	03/24/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Ana Padilla & Rosemary Rae		TIME COMPLETED:	12:15 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 March 24, 2022 at 9:15am, Licensing Program Analyst (LPA) Catrina Quimbo conducted an unannounced, annual, required inspection. LPA met with site director, Ana Padilla, and explained the purpose of the inspection. Facility is a Montessori program with 2 classrooms (first floor and second floor) in the building. Program is currently operating on the first floor of the building only. Hours of operation are Monday to Friday 8:00am to 5:00pm. At the start of the inspection, site director, teacher (T1), and 17 enrolled children were present. Facility is operating within teacher to child ration on this date. With site director, LPA inspected day care areas currently being used for health and safety hazards. Classroom is designed as a Montessori program with sections separated into sensorial, language, and mathematic areas. Classroom is equipped with a variety of age appropriate toys and materials. Facility contains stairs that are barricaded. At approximately 9:30am, additional teacher (T2) arrived to facility during inspection. LPA observed storage for children's belongings to be located outside the classroom, labeled with each child's individual names. LPA observed facility has an installation of a fire alarm system as well as smoke and carbon monoxide detector, and fully charged fire extinguishers. All poisons, cleaning solutions and hazardous materials are stored inaccessible to children. At approximately 9:50am, licensee arrived to facility during inspection. Outdoor area is separated into sections for gross motor play and quiet play. LPA observed facility to maintain outdoor waiver. LPA did not observe any pools, spas or bodies of water in outdoor area. There were a variety of outdoor equipment that are in good working condition. Children are signed in and out of facility by parents' written signatures. Facility has license documentation and information properly posted and available for review. (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: 03/24/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2022

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: GLEN PARK MONTESSORI	FACILITY NUMBER: 384000740
	VISIT DATE: 03/24/2022

NARRATIVE

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Drinking water is available to children, indoors and outdoors, with their individual, labeled, drinking cups/ bottles.

LPA reviewed facility records that included 10 children's records and 3 staff (site director, T1, and T2) records. LPA observed children's and staff's records to be complete. Director, T1 and T2 have current CPR and First Aid certificates. Director's CPR and First Aid certificate is current and will expire December 2023.

At approximately 11:00am, licensee left facility during inspection. Licensee granted LPA permission to continue annual inspection with site director. Last emergency drill was conducted 02/23/2022. Emergency drills are conducted monthly and are properly logged and documented. During inspection, LPA observed a small dog (pug) in classroom. LPA reminded director children are not to have access used and/or touched by animals or pets in facility.

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.

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 director to frequently visit our website at www.ccld.ca.gov for licensing regulations and new 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/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: 03/24/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2022

LIC809 (FAS) - (06/04)

Page: 2 of 3

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: GLEN PARK MONTESSORI	FACILITY NUMBER: 384000740
	VISIT DATE: 03/24/2022

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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.

LPA discussed the safe sleep regulations with director 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 director 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.

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

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

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with site director, Ana Padilla.

SUPERVISOR'S NAME: Cindy Interiano	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Catrina Quimbo	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 03/24/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2022

LIC809 (FAS) - (06/04)

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