384001829-8-5-2022-05-CC-MROZ-CGZQW5-20220805123123

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 384001829
Report Date: 08/05/2022
Date Signed: 08/05/2022 12:31:31 PM

Document Has Been Signed on 08/05/2022 12:31 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:	ST. THOMAS MORE PRESCHOOL		FACILITY NUMBER:	384001829
ADMINISTRATOR:	FRANTZ, RACHELLE H		FACILITY TYPE:	850
ADDRESS:	2 THOMAS MORE WAY		TELEPHONE:	(415) 337-0100
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94132
CAPACITY:	34	CENSUS: 0	DATE:	08/05/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:00 AM
MET WITH:	Stephanie Vorrises		TIME COMPLETED:	01:00 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 annual inspection in-conjunction with a case management inspection to decrease the capacity of the school. LPA met with Director Stephanie Vorrises and explained purpose of inspection. Preschool is located inside St. Thomas More Catholic School. Present at the school is the Director and six teachers. There are no children in care at this time due to school being closed for summer break. School will reopen on August 17, 2022. Hours of operation will be Monday to Friday from 7:00am to 4:30pm. LPA inspected classroom and outdoor play area with Director. There are no bodies of water, firearms, or weapons on the premises. 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. Napping equipment is in good condition and properly stored in storage closet when not in use. A first aid kit is available inside the classroom. All cleaning products and toxins are inaccessible to children. The outdoor play area is fenced for supervision. Outdoor toys and equipment are age appropriate and in good condition. All required postings are properly posted on the bulletin board in the classroom. School provides breakfast and morning and afternoon snacks. Children bring their own lunch. Kitchen area is inaccessible to children. All food is properly stored to avoid contamination. All storage containers for solid waste have a proper lid. Classroom has a bathroom area with one sink and three toilets. Two additional sinks are available for children's use right outside of the bathroom. Bathroom area appears to be clean, in good repair, and free of any hazards. There is a separate bathroom for staff usage on the premises. (Continued on next page)

SUPERVISOR'S NAME: Daniel J Oquendo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Marie Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 08/05/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2022

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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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: ST. THOMAS MORE PRESCHOOL	FACILITY NUMBER: 384001829
	VISIT DATE: 08/05/2022

NARRATIVE

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Last emergency drill was conducted in May 2022. Emergency drills are conducted at least once every six months and are properly logged. Sign-in/out sheets are done by paper. The school keeps a complete record of all sign-in/out sheets by authorized pickup person. There is a working fire alarm system throughout the school. There is a carbon monoxide and smoke detector and a fully charged fire extinguisher in the classroom and a working telephone is available on-site.

Three children records reviewed were complete. All children have a record of emergency identification information on file. Six staff records reviewed were complete. All staff have a criminal record clearance on file. Staff have a current pediatric first aid/CPR certificate that expires on August 2023 on file.

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

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. The following information regarding ADA was provided: US Department of Justice (US DOJ) 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.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

Facility Representative was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

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SUPERVISOR'S NAME: Daniel J Oquendo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Marie Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 08/05/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2022

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: ST. THOMAS MORE PRESCHOOL	FACILITY NUMBER: 384001829
	VISIT DATE: 08/05/2022

NARRATIVE

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LPA discussed the safe sleep regulations with Facility Representative and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed Facility Representative of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview was conducted and report was reviewed with Facility Representative Stephanie Vorrises.

SUPERVISOR'S NAME: Daniel J Oquendo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Marie Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 08/05/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2022

LIC809 (FAS) - (06/04)

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