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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384001721
Report Date: 02/11/2020
Date Signed: 02/11/2020 03:46:47 PM

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:SFCCD-MISSION COMMUNITY COLLEGE CENTERFACILITY NUMBER:
384001721
ADMINISTRATOR:MARIA VILLASANAFACILITY TYPE:
850
ADDRESS:1125 VALENCIA STREETTELEPHONE:
(415) 920-6200
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94110
CAPACITY:40CENSUS: 19DATE:
02/11/2020
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:50 PM
MET WITH:Director, Norma VillazanaTIME COMPLETED:
03:45 PM
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Licensing Program Analyst, Luis J. Gomez met with director, Norma Villazana- Price. The purpose of the inspection was explained and is for an unannounced annual inspection. This is a preschool program which operated at the City College of San Francisco: Mission Center. Preschool program utilizes three classrooms: (Red Classroom, Rainbow Classroom, Blue Classroom)Lunchroom, Napping Room and an Outdoor Play Area. Hours of operation are Monday- Friday 8:00am- 4:00pm. The preschool program is a 10- month program. Present is the Director and 5 staff supervising 19 children. All children present are properly signed in. Facility is operating within capacity limits of the license on this day. LPA Gomez inspected facility with director for health and safety hazards.

At 12:55pm on February 11, 2020, LPA inspected the Lunchroom, Red Classroom, Rainbow Classroom, Blue classroom and Outdoor Play Area. Classrooms are clean, organized and have age appropriate toys, art supplies and books for the children. Children’s cubbies are in the facility hallway. Classrooms have several child size tables and chairs for snack and activities. Classrooms are equipped with sinks, water fountains and cabinets for extra storage. Napping cots are available for children and located in the napping room. Per Director, blankets are taken home by the families to be washed weekly. The children’s bathrooms, located in each classroom, is maintained clean with adequate supplies for the children. Staff uses separate restroom located in the facility lobby. LPA observed all trash cans and outlets in the classrooms are properly covered. There is acceptable ventilation and natural lighting. During today's inspection, LPA reviewed children’s medication. LPA observed children’s medication inspected is current. LPA inspected outdoor play area for hazards and dangerous conditions. Facility's outdoor play yard is completely enclosed. Facility has installed a rubber padding for added safety. Outdoor play yard is kept clean and free of debris. Children's play structure, located in the outdoor play yard, is securely anchored. All equipment inspected is in good repair and there is sufficient shade available. Sandbox is free of all hazardous foreign materials. Per director, fresh water is readily available with use of water pitchers and cups. Classrooms have a smoke detector/ carbon monoxide detector combo and a fully charged fire extinguishers (2A:10BC) located in the hallway. First aid kits and emergency disaster supplies are available.

(Continuation on 809-C)

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

DATE: 02/11/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2020
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: SFCCD-MISSION COMMUNITY COLLEGE CENTER
FACILITY NUMBER: 384001721
VISIT DATE: 02/11/2020
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(Page 2)
At 1:30pm on February 11, 2020, LPA inspected the facility kitchen. Facility kitchen is maintained clean, with all freezers and refrigerator units within proper temperature. All refrigerator logs are current. During today’s inspection six children files and three staff files were reviewed. Staff CPR/ 1st aid certification is current expiring: 12/2021. Emergency drills are conducted at the facility, with the last drill done on: 1/28/2020, properly logged. LPA Gomez observed required licensing information and outdoor space waiver properly posted in facility lobby. Program serves all daily snack and meals for children in care.

Incidental Medical Services (IMS) was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding Americans with Disabilities Act (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: www.ada.gov/childqanda.htm.

During inspection,


· Director 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 1597.662.
· Director was reminded about Mandated Reporter training available on CCLD website. Training must be completed every 2 years. Training can be taken online at www.mandatedreporterca.com
· Director was reminded about the Provider Information Notices (PINs) on CCLD website.
Licensee 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

(Continuation page 3)

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

DATE: 02/11/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2020
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: SFCCD-MISSION COMMUNITY COLLEGE CENTER
FACILITY NUMBER: 384001721
VISIT DATE: 02/11/2020
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Based on today's inspection, no deficiency were observed in the areas evaluated according to the Title 22 Division 12 Ca. Code of Regulations. Exit interview was conducted with Norma Villazana- Price, and her signature of this form acknowledges receipt of these documents.

>This report and rights to comment and appeal were discussed with Director. This report must be available in the facility for public review. Notice of site inspection was posted.
Director was advised any additional questions to call Office, M-F, 8am-5pm, 650-266-8800 or 1-844-538-8766. Website: www.ccld.ca.gov
SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis GomezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2020
LIC809 (FAS) - (06/04)
Page: 3 of 3