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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384000892
Report Date: 01/27/2020
Date Signed: 01/27/2020 12:11:43 PM

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-TENDERLOIN COMMUNITY EARLY EDUCATION SCHOOLFACILITY NUMBER:
384000892
ADMINISTRATOR:BERMAN, BARBARAFACILITY TYPE:
850
ADDRESS:627 TURK STREETTELEPHONE:
(415) 614-3000
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94102
CAPACITY:30CENSUS: DATE:
01/27/2020
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Barbara BermanTIME COMPLETED:
12:20 PM
NARRATIVE
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On January 27, 2020, at approximately 11:00am, Licensing Program Analyst (LPA) Winnie Ly conducted an Unannounced Case Management visit. Facility self reported an unusual incident that occurred on January 08, 2020 regarding a grandparent witnessed a teacher handling the children roughly. LPA met with Principal Barbara Berman. Purpose of visit was explained. Present during the visit were Principal and 3 staff caring for 21 children.

During this visit, LPA interviewed the Principal. Per Principal, this incident was also reported to Child Protective Services, San Francisco Unified School District Human Resources Department and San Francisco Unified School District Manger. On this day, LPA collected statements from the grandparent who witnessed the incident and had a meeting with the School Principal following what observed. LPA also collected notes taken during the meeting between the Principal and the involved teacher. Per Principal, the San Francisco Unified School District Human Resources Department is conducting an internal investigation regarding this incident and have not reached their findings.

Follow up visit will be conducted.

Notice of Site Visit was posted. Notice to remain posted for 30 days. A copy of this report was left with the Principal whose signature on this form confirm receipt of the report. For updates on Licensing information, go to CCL website: www.ccld.ca.gov. For Provider Information Notice: ccld.ca.gov/PG5098.htm
SUPERVISOR'S NAME: Ali ZebilaTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Winnie LyTELEPHONE: (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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