384001017-2-20-2020-05-CC-LGOZ-BLYTFY-20200220134219

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 384001017
Report Date: 02/20/2020
Date Signed: 02/20/2020 01:42:25 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:	MISSION HEAD START-BERNAL DWELLINGS CHILDCARE CTR.		FACILITY NUMBER:	384001017
ADMINISTRATOR:	SHALEK L. CHAPPILL		FACILITY TYPE:	850
ADDRESS:	3125 - 3141 26TH STREET		TELEPHONE:	(415) 826-1653
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94110
CAPACITY:	40	CENSUS: 37	DATE:	02/20/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:20 AM
MET WITH:	Director, Maria Villalobos		TIME COMPLETED:	01:55 PM

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Licensing Program Analyst, Luis J. Gomez met with director, Maria Villalobos.The purpose of the inspection was explained and is for an unannounced annual inspection. This is a preschool program with a toddler option on site. Preschool program utilizes three classrooms: Quetzal Classroom (three- five years old), Estrellitas Classroom (1.5- 3 years old), Mariposas Classroom (1.5- 3 years old), Outdoor Play Area #1, #2. Off-limit Area: Facility Kitchen. Hours of operation are Monday- Friday 8:00am- 5:30pm. The preschool program is a year around program. Present is the Director and 8 staff supervising 37 children. All children present are properly signed in. Facility is operating within capacity limits of the license. LPA Gomez inspected facility with director for health and safety hazards.

At 11:25pm on February 20, 2020, LPA inspected the following classrooms: Quetzal, Estrellas and Mariposas. Classrooms are kept clean, organized and have age appropriate toys, art supplies and books for the children. Each child has an Individual cubby for their belongings. Classrooms have several child size tables and chairs for meals and activities. Classrooms are equipped with sinks and cabinets for extra storage. Stackable napping cots are available for children. Per director, blankets are washed weekly at the center. The facility has two children’s bathrooms, located in Quetzal classroom and another, that is shared between the Estrellas and Mariposa classrooms. LPA observed children’s bathrooms is maintained clean with adequate supplies. Facility is equipped with two diaper changing tables, located in the Estrella and Mariposa classrooms. Staff uses separate a restroom located next to the kitchen. LPA observed all trash cans and outlets in the classrooms are properly covered. There is acceptable ventilation and natural lighting. During today's inspection, LPA reviewed children’s medication, stored the locked emergency backpacks. LPA observed children’s medication inspected is current. Classrooms have a smoke detector/ carbon monoxide detector combo and a fully charged fire extinguishers (2A:10BC) located in classrooms. First aid kits and emergency disaster supplies are available next to the door.

At 11:50am on February 20, 2020, LPA inspected outdoor play area #1, outdoor play area #2 and facility kitchen. LPA observed, outdoor play area #1 and #2 are completely enclosed. Facility has installed a soft, rubber padding on the floors and pillars for added safety. Children's play structure, located in the outdoor play area #2, is securely anchored. (Continuation, 809- C)

SUPERVISOR'S NAME: Alma Malig	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 02/20/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2020

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: MISSION HEAD START-BERNAL DWELLINGS CHILDCARE CTR.	FACILITY NUMBER: 384001017
	VISIT DATE: 02/20/2020

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(Continuation, Page 2)

Sensory tables and materials inspected are in good repair. There is sufficient shade available for the children. The locked storage shed, located in outdoor play area #1, is used to rotate the children’s toys. Per director, fresh water is readily available with use of water pitchers and cups that is changed daily. Facility kitchen is made inaccessible with use of children safe gates. Facility kitchen is maintained clean, with all freezers and refrigerator units within proper temperature. LPA observed, the refrigerator logs are current. Director stated, the facility only stores the children’s milk. Per director, daily snacks and meals are delivered daily by food vendor: Better4you.

During today’s inspection, four children files and four staff files were reviewed. Staff CPR/ first aid certification is current expiring: 11/2021. Emergency drills are conducted at the facility, with the last drill done on: 2/11/2020, properly logged. LPA Gomez observed all required licensing information and current menu's are properly posted in each of the classrooms.

Incidental Medical Services (IMS) was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding Americans with Disabilities Act (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: www.ada.gov/childqanda.htm.

During inspection,

· Director was reminded, as of September 1, 2016, all Staff and Volunteers must provide proof of immunization against pertussis, measles, and influenza, or qualifies for an exemption, pursuant to Health and Safety code 1596.7995 and 1597.662.
· Director was reminded about Mandated Reporter training available on CCLD website. Training must be completed every 2 years. Training can be taken online at www.mandatedreporterca.com
· Director was reminded about the Provider Information Notices (PINs) on CCLD website.
Licensee was advised for any additional questions to contact CCLD office, Monday to Friday, 8:00 am - 5:00 pm, (650) 266-8800 or 1 (844) 538-8766. Website: www.cdss.ca.gov

(Continuation page 3)

SUPERVISOR'S NAME: Alma Malig	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 02/20/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2020

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: MISSION HEAD START-BERNAL DWELLINGS CHILDCARE CTR.	FACILITY NUMBER: 384001017
	VISIT DATE: 02/20/2020

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(Continuation, Page 3)
Based on today's inspection, no deficiencies were observed in the areas evaluated according to the Title 22 Division 12 Ca. Code of Regulations. Exit interview was conducted with, Maria Villalobos, and her signature of this form acknowledges receipt of these documents.

>This report and rights to comment and appeal were discussed with Director. This report must be available in the facility for public review. Notice of site inspection was posted. Director was advised any additional questions to call Office, M-F, 8am-5pm, 650-266-8800 or 1-844-538-8766. Website: www.ccld.ca.gov

SUPERVISOR'S NAME: Alma Malig	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 02/20/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2020

LIC809 (FAS) - (06/04)

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