384001884-1-21-2022-05-CC-MROZ-CAVSWA-20220121131400

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 384001884
Report Date: 01/21/2022
Date Signed: 01/21/2022 01:14:08 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:	SFSU - CHILDREN'S CAMPUS (PRESCHOOL)		FACILITY NUMBER:	384001884
ADMINISTRATOR:	GUERRA, ALLISON		FACILITY TYPE:	850
ADDRESS:	N. STATE DR.&LAKE MERCED BLVD.		TELEPHONE:	(415) 405-4011
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94132
CAPACITY:	42	CENSUS: 17	DATE:	01/21/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Allison Guerra		TIME COMPLETED:	01:30 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 Random inspection. LPA met with Director Allison Guerra and explained purpose of inspection. The center is a combination center with an infant/toddler program and a preschool program. Both programs operate under a separate license. SFSU - Children's Campus (Infant) has license #384001885. Present in the Preschool center were the Director, 4 staff, and 17 children. Center is operating within capacity requirements and in compliance with child to staff ratio. Hours of operation are Monday to Friday from 8:00am to 5:00pm. LPA inspected preschool rooms Hawk (Room 112) and Owl (Room 114) and their shared outdoor play area with Director. There are no bodies of water, firearms, or weapons on the premises. The center is in good repair with proper temperature and ventilation and is free of any hazards. All furniture is in good condition. Each room has age appropriate toys and equipment. Napping equipment in each classroom is in good condition and is properly stored when not in use. A first aid kit is available in each classroom. All cleaning products and toxins are inaccessible to children. Both preschool classrooms share one large outdoor play area. The outdoor play area is fenced for supervision. The outdoor toys and equipment are age appropriate and in good condition. Play structure is age appropriate and in good repair. There is adequate cushioning underneath the play structure. All required postings and waiver are properly posted in the bulletin board in the hallway. Menu is posted for the whole month. Center provides morning and afternoon snacks. Lunch is provided by parents each day. Each classroom has a kitchen area which is inaccessible to children. Kitchen is clean and free of any toxins or contamination. All food is properly stored to avoid contamination. All storage containers for solid waste have a proper lid. Each classroom has two toilets and sinks. Bathroom areas appear 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) 266-6880
LICENSING EVALUATOR NAME: Marie Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 01/21/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2022

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: SFSU - CHILDREN'S CAMPUS (PRESCHOOL)	FACILITY NUMBER: 384001884
	VISIT DATE: 01/21/2022

NARRATIVE

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Last emergency drill was conducted on December 9, 2021. Emergency drills are conducted monthly and are properly logged. Sign-in/out sheets are done electronically in each classroom. The center has a complete electronic record of sign-in/out sheets by authorized pickup person. There is a working fire alarm system throughout the center. A carbon monoxide detector and a fully charged fire extinguisher are in each classroom and a working telephone is available on-site.

Nine children records reviewed were complete. All children have a record of emergency identification information on file. Four staff records were reviewed. All staff members have a criminal record clearance on file. Director has a current Pediatric First Aid/CPR certificate which expires December 2023. Multiple other staff also have current Pediatric First Aid/CPR certificates which expire in December 2023.

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 Child Care Centers Sections 101173 and 101226. 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) 266-6880
LICENSING EVALUATOR NAME: Marie Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 01/21/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2022

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: SFSU - CHILDREN'S CAMPUS (PRESCHOOL)	FACILITY NUMBER: 384001884
	VISIT DATE: 01/21/2022

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 conducted and report was reviewed with Facility Representative Allison Guerra.

SUPERVISOR'S NAME: Daniel J Oquendo	TELEPHONE: (650) 266-6880
LICENSING EVALUATOR NAME: Marie Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 01/21/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2022

LIC809 (FAS) - (06/04)

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