384001418-2-2-2023-05-CC-MROZ-CNP3AK-20230202170452

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 384001418
Report Date: 02/02/2023
Date Signed: 02/02/2023 05:04:58 PM

Document Has Been Signed on 02/02/2023 05:04 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
PENINSULA CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME:	SCANDINAVIAN SCHOOL IN SAN FRANCISCO, THE		FACILITY NUMBER:	384001418
ADMINISTRATOR:	MIMMI SKOGLUND		FACILITY TYPE:	850
ADDRESS:	20 WOODSIDE AVENUE		TELEPHONE:	(415) 665-3276
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94127
CAPACITY:	57	CENSUS: 37	DATE:	02/02/2023
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Mimmi Skoglund		TIME COMPLETED:	05:15 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) Marie Rodriguez conducted an unannounced case management inspection in-conjunction with an annual inspection. Licensee has bought the residential property next door to the facility at 511 Laguna Honda Blvd and has requested to add an additional room and outdoor space as part of the facility. LPA met with Director Mimmi Skoglund and Administrative Director Pia Eriksson and explained purpose of inspection. Capacity of facility will remain at 45 children. Present at the center were the Director, 10 staff, and 37 children. LPA inspected the classroom located at the lower level of the building for health and safety hazards. Total indoor space of classroom is 462.15 sq ft divided by 35 sq ft for a total of 13 children. Classroom has a bathroom with two toilets and two sinks accessible to children. Classroom will be used as an extension of school for cooking classes and other activities for children. Classroom is in good repair with proper temperature and ventilation and is free of any hazards. All furniture is in good condition. Classroom has age appropriate toys and equipment. LPA also inspected outdoor play area next to classroom. Total outdoor space of the area is 637.82 sq ft divided by 75 sq ft equal a total of 8 children can be in the outdoor space at any given time. The fence between the properties was removed to give the area a more open space. Outdoor space has age appropriate toys and equipment that are good condition. There is an enclosed chicken coop. Children interact with the chickens while under supervision. LPA will approve additional classroom and outdoor space once fire clearance inspection has been completed by fire inspector.

SUPERVISOR'S NAME: Daniel J Oquendo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Marie Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 02/02/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/02/2023

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

FACILITY NAME: SCANDINAVIAN SCHOOL IN SAN FRANCISCO, THE	FACILITY NUMBER: 384001418
	VISIT DATE: 02/02/2023

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LPA requests the following documents:

Updated copy of LIC 309 Administrative Organization
Board resolution approving additional room and outdoor space
Copy of grant deed or property tax statement to show control of property
Copy of personnel handbook, parent handbook, and admission agreement if there have been any recent updates.

No deficiencies cited today under California Code of Regulations, Title 22, Division 12.

Exit interview was conducted and report was reviewed with Director Mimmi Skoglund.

SUPERVISOR'S NAME: Daniel J Oquendo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Marie Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 02/02/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/02/2023

LIC809 (FAS) - (06/04)

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