384001291-10-16-2023-05-CC-CMOK-CWNSWM-20231016141435

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 384001291
Report Date: 10/16/2023
Date Signed: 10/16/2023 02:15:27 PM

Document Has Been Signed on 10/16/2023 02:15 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
SAN BRUNO CHILD CARE, 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:	49	CENSUS: 35	DATE:	10/16/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:05 AM
MET WITH:	Ellen Peterson-Allen and Sarah Fong		TIME COMPLETED:	02:40 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) Mok conducted an unannounced annual inspection today. LPA met with an interim Site Director, Sarah Fong, and Regional Manager, Ellen Peterson-Allen, and explained the purpose of the inspection to them. There were 19 preschoolers with 4 staff and 16 toddlers with 7 staff present during the inspection. The interim Site Director stated the total enrollment for both programs was 36. The Facility met the teacher/child ratio today. Indoor and outdoor areas were inspected today for health and safety hazards. No apparent hazards were observed. Per the interim Site Director, the outdoor play yard will be renovated starting this week until December. The facility will take the preschoolers to the Fulton Playground (27th Avenue & Fulton), and toddlers to the Rochambeau Playground (25th Ave. & California) until the renovation is completed in December. The facility has two big classrooms for 2 separate programs (Preschool and toddler). One of the classrooms was used for preschool. It's called "FD1". Another classroom was used for the Toddler program, it was separated into 2 sections (FD2A & FD2B) by the shelves, partition, and a gate. LPA inspected the facility for health and safety hazards. The lighting and temperature were adequate. The center was clean and in order. The facility made the toxins and harmful objects inaccessible to the children. There were plenty of age-appropriate toys, books, learning materials & equipment, sand tables, and children's furniture that were in good condition and repair in each classroom. Each classroom had an adjacent bathroom with 2 toilets and 2 sinks available in each classroom. Children's toilets and sinks were appropriate in size and height for children. All electrical outlets were covered. Separated staff bathrooms were available for staff on site. Each child had a cubby to store their belongings. The facility provided breakfast, Lunch, and PM snacks from Chefables daily. A monthly menu was posted in each classroom. The food preparation area was inspected All food waste bins had the tide lids. Milk was kept in the refrigerator and inspected during the inspection. Drinking water was served in water pitchers with cups in each classroom. First aid supplies were available for children in each classroom. Cots were available for napping with a cover to protect their bedding in each classroom. Parents took blankets home to wash every other Friday. Sick children will be separated from the group and placed in the teacher's lounge while waiting for their parents to pick up. The facility had its outdoor play yard in the back of the property. The yard was completely fenced. The play yard was shared by 2 separate programs with schedules. CCL granted an Outdoor Rotation waiver to the facility. All play structures in the play area had rubberized cushioning underneath. There were plenty of age-appropriate outdoor toys, a see-saw, a playhouse, water tables, and a sandbox available for children. Fire and Earthquake drills have been done every month and were properly logged. This facility provides Incidental Medical Services – IMS. LPA reviewed the storage of medication and equipment/supplies and reviewed children’s, personnel, and administrative records. LPA reviewed Children and staff records and obtained a copy of the children's roster during the inspection. LPA inspected Sign/Out documents during the inspection. At least one staff had current CPR/First Aid training in the center. Continue on LIC 809C\

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Cindy Mok	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 10/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2023

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
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: KAI MING HEAD START-GEARY CENTER	FACILITY NUMBER: 384001291
	VISIT DATE: 10/16/2023

NARRATIVE

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Criminal Record Clearance - licensee was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Lead Testing – CHILD CARE CENTERS COMPLETED TESTING AND NO LEAD EXCEEDANCES: Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1CCP). LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP. PIN 22-05-CCP Page Four For the following scenarios use the below un-bolded language: • CCC COMPLETED TESTING AND IS IN THE PROCESS OF REMEDIATING LEAD EXCEEDANCES, or • CCC COMPLETED SAMPLING BUT THE TEST RESULTS ARE NOT YET AVAILABLE, or • CCC DID NOT COMPLETE TESTING PRIOR TO THEIR DEADLINE, or • CCC TESTING DEADLINE HAS NOT PAST LPA referred licensee [or facility representative] to the Department website for lead: Lead Toxicity Prevention and Water Testing Information.

Safe Sleep - LPA discussed the safe sleep regulations with licensee [or facility representative] and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed licensee [or facility representative] of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Cindy Mok	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 10/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2023

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
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: KAI MING HEAD START-GEARY CENTER	FACILITY NUMBER: 384001291
	VISIT DATE: 10/16/2023

NARRATIVE

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Incidental Medical Services (IMS) - This facility provides Incidental Medical Services – IMS. LPA reviewed storage of “medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication. Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-carecenters/.

MyChildCarePlan.org – Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Notice of Site Visit - A notice of site visit was given and must remain posted for 30 days.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Cindy Mok	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 10/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2023

LIC809 (FAS) - (06/04)

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