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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384001829
Report Date: 08/21/2019
Date Signed: 08/21/2019 12:07:21 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:ST. THOMAS MORE PRESCHOOLFACILITY NUMBER:
384001829
ADMINISTRATOR:FRANTZ, RACHELLE HFACILITY TYPE:
850
ADDRESS:2 THOMAS MORE WAYTELEPHONE:
(415) 337-0100
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94132
CAPACITY:34CENSUS: 30DATE:
08/21/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Rachelle H. FrantzTIME COMPLETED:
12:30 PM
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3, Licensing Program Analysts, LPAs Yee, and Cowan conducted an annual random inspection today. The purpose of the inspection was explained. There are 30 children and 6 staff members present today. The facility personnel summary report was reviewed with the site director and she said it's current. LPAs inspected indoor and outdoor areas with the site director for health and safety hazards. The facility is equipped with a smoke detector, carbon monoxide detector, and a fire extinguisher. Day-care areas: Utopia preschool room, and outside the yard. The children toys, equipment appear to be safe and in good condition. The facility provides breakfast, morning snacks, afternoon snacks and children bring their own lunches. The staff has current CPR & 1st aid certificate which expires 3/20/21. The emergency drill was conducted monthly. Staff immunization is on files. The staff has Child Abuse Mandated Reporter Training, AB1207 certificate on file. Children nap equipment are stored separately. Activities scheduled are posted in the classroom. This facility provides Incidental Medical Services - IMS. 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 the publication: Commonly Asked Questions about Child Care Centers and the ADA, Available at http://www.ada.gov/childqanda.htm. A written IMS policy is on file. Staff and children files were reviewed.

website: www.ccld.ca.gov. Title 22, Div 12, chp 1
SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Jennifer YeeTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 08/21/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/21/2019
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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