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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384001418
Report Date: 09/28/2022
Date Signed: 09/28/2022 01:29:43 PM


Document Has Been Signed on 09/28/2022 01:29 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: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: 30DATE:
09/28/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:05 PM
MET WITH:Mimmi SkoglundTIME COMPLETED:
01:45 PM
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On September 28, 2022 at approximately 01:00pm, Licensing Program Analyst (LPA) Nathan Garcia conducted an unannounced, case management inspection for the Action Level Exceedance (ALE) of Lead in Child Care Center's water. LPA met with the Site Director, Mimmi Skoglund. The purpose of the inspection was explained.

Present in facility are 30 children, present with 5 staff members during nap time.

LPA discussed the new Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018 requires the Lead Testing of water in the Child Care Center with the site director during the inspection. All Child Care Centers that are located in buildings constructed before January 1, 2010, must have their water tested and post the results by January 1, 2023, and every 5 years after the date of the first testing.

The facility received the ALE report from the Vendor on 8/16/2022. Test results for this facility that exceeded a higher level of parts per billion (ppb) allowed, 5.5 ppb. The facility was proactive in getting facility faucets tested and putting signs indicating that the water fountain/kitchen fixture is not for drinking and or currently out of order. The facility took action to contact the facility's management to repair and replace the fixture. Per director, she contacted the contracted plumber, they have been able to respond and send an image of the new faucet and replace the necessary parts in the bathroom fixture. Per director, there are no intentions of using the bathroom faucets affected with high level of lead for water ingestion or food preparation. The facility provides the children with filtered pitchers of water and cups. The bottles are replenished by using the filtered water or store bought bottled water, as needed.

LPA obtained the copies of the External Water Sampler Self-Certification Form (LIC9275), Child Care Center Sampling Checklist (LIC9276), Facility Sketch (LIC999), in an email to the LPA.

A copy of this report, and the “Notice of Site Visit,” were given to the director.

A “Notice of Site Visit” must remain posted for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

An exit interview was conducted, and the report was reviewed with the Director, Mimmi Skoglund.
SUPERVISOR'S NAME: Daniel J OquendoTELEPHONE: (650) 379-9023
LICENSING EVALUATOR NAME: Nathan GarciaTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 09/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/28/2022
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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