384001291-8-9-2019-05-CC-FBTQ-BEW2DD-20190809171811

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 384001291
Report Date: 08/09/2019
Date Signed: 08/09/2019 05:18:20 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:	KAI MING HEAD START-GEARY CENTER		FACILITY NUMBER:	384001291
ADMINISTRATOR:	CHA, JEE YOUNG		FACILITY TYPE:	850
ADDRESS:	6221 GEARY BLVD.		TELEPHONE:	(415) 387-3133
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94121
CAPACITY:	58	CENSUS: 0	DATE:	08/09/2019
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME BEGAN:	03:30 PM
MET WITH:	Easter Calvit and Fatima Sequeira		TIME COMPLETED:	05:30 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	Licensing Program Analyst (LPA) Farhan Bashir-Tariq met with Program Director, Easter Calvit and Executive Assistant, Fatima Sequeira on 8/09/19 for a Case Management Inspection for the Toddler option to be added on to the preschool license. The facility has applied for the capacity of 24 Preschool children and 16 Toddlers with the total capacity of 40. The purpose of the inspection was explained. There were no children present today. LPA inspected the facility for Health and Safety Hazards and measured the rooms on preschool and toddler side. There are no pools, spas or other bodies of water at the facility. Facility has multiple smoke detectors, carbon monoxide detectors, a fully charged fire extinguisher and a working telephone at the site. All the cleaning solutions, poisons and other chemicals that are dangerous to the children are stored inaccessible to the children. Furniture is steady and in good repair. All toilets, hand washing facilities are in working condition with proper sanitation in place. All storage containers for solid waste have proper tight fitted lid on top. Facility has drinking water available for children. Play yard is free of hazards. All the play structures are steady, in good repair and free of any loose parts. There is sufficient amount of soft cushioning under the play structures to prevent any fall injuries. LPA measured the facility indoor and outdoor space. Room FD1 will be used for the preschool children with the total area of 1072SQft. Based on sqft, facility will be approved to use the room FD1 for 24 preschool children. Room 2A and 2B will be used for the toddlers, with 8 toddlers in each room. The total area for Room 2A is 355 sqft and Room 2B is 460 Sqft. Based on the measurements , facility will be approved to use the each room for 8 toddlers. Outdoor space is 1354 sqft, which allows the capacity of 18 children at a time. Facility can apply for a waiver for the outdoor space to be used by all the children in care. Continuation on next page...

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8867
LICENSING EVALUATOR NAME: Farhan Bashir-Tariq	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 08/09/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2019

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: KAI MING HEAD START-GEARY CENTER	FACILITY NUMBER: 384001291
	VISIT DATE: 08/09/2019

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Facility have two sinks and two toilets to be used in the preschool room and one sink and one toilet in each of the toddler room. Facility also have two separate adult bathrooms to be used the staff.

Based on the measurements today, facility will be recommended for a provisional Licensee at this point for the capacity of 40, (24 preschoolers and 16 toddlers).

Regular Licensee will be approved and issued upon receiving the hard copy of Fire Clearance Form STD 850 from SF Fire Department.

Copy of this report was reviewed and provided to Easter Calvit and Fatima Sequeira . Notice of site visit was issued and shall be posted for 30 days.

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8867
LICENSING EVALUATOR NAME: Farhan Bashir-Tariq	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 08/09/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2019

LIC809 (FAS) - (06/04)

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