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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384001621
Report Date: 08/30/2022
Date Signed: 08/30/2022 01:34:12 PM

Document Has Been Signed on 08/30/2022 01:34 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:COW HOLLOW SCHOOLFACILITY NUMBER:
384001621
ADMINISTRATOR:DARCY CAMPBELLFACILITY TYPE:
850
ADDRESS:65 FUNSTON AVETELEPHONE:
(415) 921-2328
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94129
CAPACITY: 60TOTAL ENROLLED CHILDREN: 0CENSUS: 43DATE:
08/30/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:Darcy Campbell & Leslie NorrisTIME COMPLETED:
02:00 PM
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Licensing Program Analyst (LPA) Mok conducted an unannounced annual inspection today. LPA met with the Site Director, Darcy Campbell and Admission Director, Leslie Norris. The purpose of the inspection was explained to her. There were 43 children with 10 staff present in the facility. Per Darcy, there were 2 groups of children with 4 staff walking in the forest during the inspection. The operation hours were Monday to Friday from 8:00 AM to 4:30 PM. The facility has provided AM and whole day sessions for the preschool program. The preschool program was run in 4 classrooms. ,There were two classrooms with younger children on the second floor; two classrooms with older children on the first floor. The facility also had a light room and a music room on the 2nd floor; an Art Gallery on the 1st floor. LPA inspected the facility for health and safety hazards. The facility was clean and in order. Temperature and lighting were adequate. All toxins and harmful objects were made inaccessible to the children. The facility had right amount of cubbies and hooks available for the children to store their personal belongings by the classrooms. There were plenty of age-appropriate toys, books, learning materials and equipment, and children furniture that were in good condition and repairs. The facility had first aid supplies available in the facility. All electrical outlets were covered. All wall heaters were covered. Mats were used for napping. The parents have taken the bedding home for washing every Friday and brought it back the following school day. Per Leslie, the facility has provided AM/PM snacks to the daycare children only. The children brought their own meal and water bottles to school daily. There were two children's bathrooms with total of 6 toilets and 2 big sink with 4 faucets. The children's bathroom were clean and in order. Toxins and harmful objects were made inaccessible to the children. The outdoor playground was completely fenced. The playground was clean and in order. There were some outdoor toys available for the children. Per Lesle, there were couple of children on special medication. LPA inspected the medication and documents during the inspection. All the required postings were posted. LPA reviewed the staff and children files during the inspection. LPA also obtained a copy of the current children's roster from the facility during the inspection. At least one staff had current CPR/First Aid Training available for review during the inspection. Staff had updated Child Abuse Mandated Reporter Training (AB1207). LPA inspected the Sign in/out sheets during the inspection. The facility has conducted the emergency drill 2 times a year and logged.

4 classes, two classes with younger children are in the second floor, two classes with older children are in the first floor. 2nd floor has a light room and a music room. 1st floor has an art room.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Cindy Mok
LICENSING EVALUATOR SIGNATURE: DATE: 08/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/30/2022
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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