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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384001418
Report Date: 01/22/2020
Date Signed: 01/22/2020 11:48:36 AM

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:SCANDINAVIAN SCHOOL IN SAN FRANCISCO, THEFACILITY NUMBER:
384001418
ADMINISTRATOR:MIMMI SKOGLUNDFACILITY TYPE:
850
ADDRESS:20 WOODSIDE AVENUETELEPHONE:
(415) 665-3276
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94127
CAPACITY:57CENSUS: DATE:
01/22/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Pia ErikssonTIME COMPLETED:
12:00 PM
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Licensing Program Analyst (LPA) Marie Rodriguez conducted an unannounced Annual Random inspection. LPA met with Office Manager Pia Eriksson and explained purpose of inspection. Director Mimmi Skoglund was not present at center due to being out sick. Present in the center were the Office Manager, 11 staff, and 48 children. Center is operating within capacity requirements and in compliance with child to staff ratio. Hours of operation are Monday to Friday from 8:00am to 5:30pm.

LPA inspected center with Office Manager. There are no bodies of water, firearms, or weapons on the premises. The center is in good repair with proper temperature and ventilation and is free of any hazards. All furniture is in good condition. Each room has age appropriate toys and equipment. Napping equipment is in good condition and properly stored when not in use. All cleaning products and toxins are inaccessible to children. Outdoor play area is fenced for supervision. The outdoor toys and equipment are age appropriate and in good condition. Play structure is age appropriate and in good repair. There is adequate cushioning underneath the play structure.

All required postings and waiver are properly posted next to the entrance of the center. Menu is posted for the whole month. Center provides breakfast, morning, afternoon, and late afternoon snacks, and lunch through a catering service that cooks each meal and snack in-house at the center. Kitchen is clean and free of any toxins or contamination. All food is properly stored to avoid contamination. All storage containers for solid waste have a proper lid. Main bathroom has three toilets, three sinks, and a changing area for children who are not potty trained yet. There is a second bathroom with two more toilets and sinks. Bathroom areas appear to be clean, in good repair, and free of any hazards. There is a separate bathroom for staff usage on the premises.

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SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Marie RodriguezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 01/22/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 3
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: SCANDINAVIAN SCHOOL IN SAN FRANCISCO, THE
FACILITY NUMBER: 384001418
VISIT DATE: 01/22/2020
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Last emergency drill was conducted in September 2019. Emergency drills are conducted quarterly and are properly logged. Sign-in/out sheets are done electronically. The center has a complete electronic record of sign-in/out sheets by authorized pickup person. There are multiple fire and carbon monoxide detectors throughout the center, four fully charged fire extinguishers, and a working telephone is available on-site.

Ten children records reviewed were complete. All children have a record of emergency identification information on file. Incidental Medical Services (IMS) was discussed. Center currently has two children who need services this school year. Medication is stored and logged inaccessible to children in care. Six staff records were reviewed. All staff members have a criminal record clearance on file. The Director and staff have a current Pediatric First Aid/CPR certificate which expires September 2020.

During inspection,
  • Office Manager was given information regarding Safe Sleep Practices, Technical Support Program (TSP), Required Lead Testing for Drinking Water in Child Care Centers, and Lead Poisoning Facts Flyer.
  • Office Manager 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 1597.622.
  • Office Manager was reminded about Mandated Reporter training available on CCLD website. Training must be completed every 2 years by all staff hired. Training can be taken online at www.mandatedreporterca.com. If training is not available in native language, a statement can be written stating exemption until the translation is available and filed in staff record.
  • Office Manager was reminded about the Provider Information Notices (PINs) on CCLD website.
  • Office Manager 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.

No deficiencies cited today.

This report was reviewed and discussed with Office Manager Pia Eriksson. A copy of report was provided.
Notice of site visit was observed being posted and shall remain posted for 30 days.

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SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Marie RodriguezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 01/22/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2020
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: SCANDINAVIAN SCHOOL IN SAN FRANCISCO, THE
FACILITY NUMBER: 384001418
VISIT DATE: 01/22/2020
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The following forms are to be updated and submitted to CCLD by February 7, 2020:
LIC 308 – Designation of Administrative Responsibility
LIC 309 – Administrative Organization
LIC 500 - Personnel Report
LIC 610 – Emergency Disaster Plan
SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Marie RodriguezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 01/22/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2020
LIC809 (FAS) - (06/04)
Page: 3 of 3