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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384000892
Report Date: 06/04/2021
Date Signed: 06/04/2021 12:08:10 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:
06/04/2021
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Kristy OuyangTIME COMPLETED:
12:00 PM
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On 6/4/21 at 10:00 AM, Licensing Program Analyst (LPA) Cowan met with Kristy Ouyang, Compliance Manager for the facility. Due to Covid-19, State of Emergency, this announced inspection was conducted via Facetime. This case management inspection is in response to a capacity increase and room addition application submitted 4/9/21. Capacity will increase from 30 to 54 and facility will be adding Room 132 to the license. The facility is currently licensed for 30 children in Room 165 and will add Room 132 to house 24 Preschool children.

LPA inspected room and yard. There are no children present this day. LPA observed that room has adequate lighting and ventilation. Room is equipped with age appropriate tables and chairs. Room has two toilets and three sinks. Room 132 measures 880.83 square feet which allows for 25 children. This will increase the facility's capacity to 54.

LPA inspects yard with Manager. Yard has age appropriate structures for outside play. Play structures are in good condition. LPA uses previous measurements for yard measuring 2,531.75 square feet and allowing for 33 children. LPA discussed a waiver for play ground.

Capacity increase to 54 children and room addition will only be approved once fire clearance inspection has been granted by fire inspector and waiver submitted.

This report is emailed to facility with a request for reply demonstrating receipt.
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: April CowanTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2021
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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