384002131-7-9-2021-05-CC-ACON-C4RRCG-20210709125419

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 384002131
Report Date: 07/09/2021
Date Signed: 07/09/2021 12:54:34 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:	PRESIDIO KNOLLS SCHOOL		FACILITY NUMBER:	384002131
ADMINISTRATOR:	CHONGO, GABRIELA S.		FACILITY TYPE:	850
ADDRESS:	250 10TH STREET		TELEPHONE:	(415) 202-0770
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94103
CAPACITY:	180	CENSUS: 40	DATE:	07/09/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Gretchen Stanerson		TIME COMPLETED:	02:10 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	On July 9, 2021 at 09:00 AM, Licensing Program Analysts (LPAs) Cowan and Quimbo met with Summer Director Gretchen Stanerson, for a random annual inspection. Purpose of the inspection was explained. Present, in the facility are director, 7 staff, and 40 children in care. Facility is operating within the capacity and is in compliance with staff / child ratio on this day. The facility is operating its summer program. Facility operates day care Monday to Friday from 09:00 AM to 06:00 PM. Facility is using classes 123, 5, and 7 for the Summer Program. With director, LPAs inspected the day care rooms and play yard. Smoke detector and carbon monoxide detectors were last professionally tested on 8-3-20 and is due for another testing on 8-16-21. LPA obtained documentation of testing. All cleaning solutions, poisons and other chemicals dangerous to the children are stored inaccessible to the children. Facility has age appropriate furniture. Facility floor is in good repair and free of any hazards. There are first aid supplies available in the classrooms. All bathrooms are in working condition. At 9:40, LPAs and director observed that water in the bathroom of classroom 5 felt too hot. The temperature measured 125 degrees. All storage containers for solid waste have fitted lids. Facility has a sufficient amount of sleeping matts available. Mats are sanitized daily and bedding is washed by parents over the week ends. Each child's bedding is stored properly. Each child brings their own food, and food is stored adequately. Play yard is free of hazards. There is a sufficient amount of cushion material in the play yard to help absorb the impact of falls. There is water available in the yard as well as in the classroom. Report continues on next page……….

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: April Cowan	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 07/09/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2021

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: PRESIDIO KNOLLS SCHOOL	FACILITY NUMBER: 384002131
	VISIT DATE: 07/09/2021

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LPA observed that facility is using electronic sign in / out. LPA collected a print-out of sign in/out. Facility has license and all other required documents posted and visible for the public. Facility’s last emergency drill was conducted February 2, 2021 and is properly logged. At 10:15 AM, LPA reviewed the facility records. LPA reviewed 10 random children's files. LPA reviewed 5 random staff's files.

Director is aware that all staff is required to complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com. LPA observed the completion certificates on file. LPA encourages the director to frequently visit our website at www.ccld.ca.gov for licensing regulations and new updates.

Incidental Medical Services (IMS) policy was discussed. 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 (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: http://www.ada.gov/childqanda.html

See next page for citations

This report must be available in the facility for public review. Notice of site visit was observed being posted. Director was advised any additional questions to call Office, M-F, 8am-5pm, 650-266-8800 or 1-844-538-8766. Website: www.cdss.ca.gov

The copy of this report is reviewed and provided to the director. Notice of site visit is posted and shall remain posted for next 30 days.

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: April Cowan	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 07/09/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2021

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: PRESIDIO KNOLLS SCHOOL	FACILITY NUMBER: 384002131
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/09/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 07/16/2021 Section Cited	1 2 3 4 5 6 7	101239(e)(1) Fixtures, Furniture, Equipment and Supplies e) Faucets used by children for personal care shall deliver hot water. (1) Hot water temperature controls shall be maintained to automatically regulate temperature of hot water delivered to plumbing fixtures used by children to attain a hot water temperature of not less than 105 degrees F (40.5 degrees C) and not more than 120 degrees F (48.8 degrees This requirement was not met as evidenced by:
	8 9 10 11 12 13 14	Based on observation, facility did not insure water was an appropriate temperature. The water temperature measured 125 degrees in bathroom of room 5.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7
	1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: April Cowan	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 07/09/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2021

LIC809 (FAS) - (06/04)

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