384001473-7-10-2019-05-CC-FBTQ-BDXPJK-20190710112140

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 384001473
Report Date: 07/10/2019
Date Signed: 07/10/2019 11:21:49 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:	ROOM TO GROW PRESCHOOL, THE		FACILITY NUMBER:	384001473
ADMINISTRATOR:	KRIS TAYLOR		FACILITY TYPE:	850
ADDRESS:	3786 MISSION STREET		TELEPHONE:	(415) 826-9598
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94110
CAPACITY:	26	CENSUS: 18	DATE:	07/10/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Oscar W. Harper		TIME COMPLETED:	11:55 AM

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 the Lead Teacher, Oscar Harper (S1) to conduct an Annual Inspection on 7/10/19. Purpose of the inspection was explained. Present, there are 18 preschool children with 4 teachers. Facility is operating within the capacity and ratio limits as of today 7/10/19. Facility operates day care from Monday to Friday between 7:30 AM to 6 PM. Facility provides 2 snacks. Menu for the snacks is posted. LPA inspected the day care areas with S1. There are no pools, spas or other bodies of water at the facility. Facility has a smoke detector, a carbon monoxide detector, a fully charged fire extinguisher and a working telephone at the site. All of the cleaning solutions, poisons and other chemicals that are dangerous to the children are stored inaccessible to the children in the cabinet below the kitchen area sink. Facility has age appropriate furniture. Furniture is steady and in good repair. All toilets, hand washing facilities are in working condition with proper sanitation in place. All the materials and surface accessible to the children is clean and toxic free. Play yard is free of hazards. All of the play structures are steady, in good repair and free of any loose parts. There is sufficient amount of wood chunks under the play structures to prevent any fall injuries. Outdoor space is completely fenced off. Cubbies are used to store children's belongings. LPA reviewed the facility records. LPA reviewed 8 random children's and all present staff's files. LPA observed facility has record of names, addresses and telephone numbers of each child's authorized representative. Each child's record contains the record immunization. Multiple staff members have record of valid CPR card in file. LPA reviewed the educational qualification of all the teachers. Facility has log for emergency drills being conducted. Per log, last emergency drill was conducted on November 1, 2018.

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8867
LICENSING EVALUATOR NAME: Farhan Bashir-Tariq	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 07/10/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2019

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: ROOM TO GROW PRESCHOOL, THE	FACILITY NUMBER: 384001473
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/10/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 07/24/2019 Section Cited CCR 101174(d)	1 2 3 4 5 6 7	101174 (d)...Disaster and Mass Casualty Plan. Disaster drills shall be conducted at least every six months. This requirement is not met as evidenced by reviewing facility's emergency disaster drill log.	1 2 3 4 5 6 7	Facility must conduct the disaster drill once every six months and log the drill. This log shall be available at the facility to be reviewed by the Department during the inspection. Facility should conduct a drill by 7/24/19 and email the copy of the log to LPA.
	8 9 10 11 12 13 14	Per facility's log, last drill was conducted on 11/1/18. This poses a potential health and safety risk to the children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8867
LICENSING EVALUATOR NAME: Farhan Bashir-Tariq	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 07/10/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2019

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: ROOM TO GROW PRESCHOOL, THE	FACILITY NUMBER: 384001473
	VISIT DATE: 07/10/2019

NARRATIVE

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Incidental Medical Services (IMS) policy was discussed, For IMS information, see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. A Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

LPA reminds the facility that As of January 1, 2018, all staff is required to complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com. Facility staff have completed the training. LPA observed the completion certificates in the facility records.

LPA encourages the facility to frequently visit our website at www.ccld.ca.gov for licensing regulations and new updates. Facility can also email at childcareadvocatesprogram@dss.ca.gov and ask to be added to the email list for the updates.

>Type B deficiency was cited today under Title 22 Division 12 of the California Code of Regulations.

This report and rights to comment and appeal were discussed with Licensee. This report must be available in the facility for public review. Notice of site visit shall be posted for 30 days from today's visit.
Licensee was advised for any additional questions to call Office, M-F, 8AM-5PM at 650-266-8800 . For Rules and Regulations, visit the Website: www.cdss.ca.gov

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8867
LICENSING EVALUATOR NAME: Farhan Bashir-Tariq	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 07/10/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2019

LIC809 (FAS) - (06/04)

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