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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384000981
Report Date: 03/28/2022
Date Signed: 03/28/2022 02:52:19 PM


Document Has Been Signed on 03/28/2022 02:52 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:SFUSD-ARGONNE EARLY EDUCATION SCHOOL (PRESCHOOL)FACILITY NUMBER:
384000981
ADMINISTRATOR:NWANKWO, NKECHIFACILITY TYPE:
850
ADDRESS:750-16TH AVE., RMS:1,2,3,&4TELEPHONE:
(415) 750-8617
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94118
CAPACITY:66CENSUS: 29DATE:
03/28/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:50 AM
MET WITH:Nkechi NwankwoTIME COMPLETED:
03:20 PM
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Licensing Program Analyst (LPA) Mok conducted an unannounced case management inspection today. LPA met with the Site Director, Nkechi Nwankwo. The purpose of the inspection was explained to her. There were 29 children with 5 staff present. The facility submitted an unusual incident report to CCL on 3/14/2022. The incident related to a child who fell and hit his/her head on the edge and resulting in a cut on the left side of the child's forehead. The child was taken to the hospital and got a couple of stitches. The child came back to school the next day. The child is fine now. The incident was an accident. The child is in the special Ed's program. According to the documents, the child has the Occupational Therapist and Physical Therapist work on the child's Motor Development. LPA obtained the relevant documents from the Site Director during the inspection.


* No deficiency was issued during the inspection.*











This report and notice of site visit were discussed with the licensee and must be made available to the public upon request. For quarterly update on Licensing information, go to CCL website: www.ccld.ca.gov. For Provider Information Notice: ccld.ca.gov/PG5098.htm.
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Cindy MokTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 03/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/28/2022
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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