<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384002156
Report Date: 11/20/2019
Date Signed: 11/20/2019 11:55:19 AM

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:LITTLE FOOTPRINTS PRESCHOOL, CORP.FACILITY NUMBER:
384002156
ADMINISTRATOR:TONG, ANNABELLAFACILITY TYPE:
850
ADDRESS:2201 VICENTE STREETTELEPHONE:
(415) 200-8607
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94116
CAPACITY:80CENSUS: 73DATE:
11/20/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Annabella TongTIME COMPLETED:
12:15 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 Analysts (LPAs) Faye Bremer and Winnie Ly conducted an unannounced Annual inspection. LPAs met with Helen Lao and explained purpose of inspection. LPAs observed children being dropped off, and observed morning activities being conducted upon LPAs arrival. There were 73 children with 15 staff present today. Licensee Annabella Tong arrived sometime later.

LPAs toured and inspected the physical plant for any health and safety hazards. LPAs observed multiple space heaters stored accessible to children in classrooms throughout the center . According to Site Supervisor Helen Lao, the space heaters are used during nap time, and placed on the classroom floor. LPAs explained that this is still within reach of children. LPAs observed multiple surge protectors, extension cords, and power strips were exposed and within reach of children in classrooms throughout center. A power strip was observed exposed and stored adjacent to a children's handwashing sink. LPAs observed multiple electrical cords were low hanging, and were within reach above children's bathroom sink. LPAs observed facility sketch did not match actual physical plant, as walls with plexiglass windows were built to separate the rooms. LPAs informed Licensee Annabella Tong that facility will need a new fire clearance inspection, and a new updated sketch should be submitted to CCL to reflect the actual physical plant. LPAs observed a temporary shelf wall was built and was observed to hold heavy items. The shelf was observed to be bending and the wood supports are splitting. Star classroom has a makeshift gate with hook and eye lock, and sliding lock.

There are total of five class rooms and two children's bathrooms on this site. Children's bathrooms have total of 9 toilets and 9 sinks at the facility available for children's use. There is separate staff bathrooms available. Facility provides all meals - breakfast and lunch, and morning and afternoon snack. All required forms are posted. Emergency drills are conducted every month, for each classroom, and are logged. Classrooms have aquariums for fish and turtles. Classrooms have sufficient age appropriate toys and equipment available to children. Outside play area is safe with sufficient toys and equipment available.

Continued on following page.
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Faye BremerTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 11/20/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2019
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 4
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: LITTLE FOOTPRINTS PRESCHOOL, CORP.
FACILITY NUMBER: 384002156
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/20/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/21/2019
Section Cited

1
2
3
4
5
6
7
Buildings and Grounds - All children shall be protected against hazards within the center through provision of the following: Protective devices.
This requirement is not met as evidenced by:
8
9
10
11
12
13
14
Based on observations, electrical cords, surge protectors, extension cords, and power strips were exposed and within reach of children in classrooms throughout center, and adjacent to water sources. Licensee failed to ensure children are protected against hazards within the center, which poses an immediate health and safety risk to children in care.
8
9
10
11
12
13
14
POC to be received in CCLD office BY 11/21/2019.

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 LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Faye BremerTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 11/20/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/20/2019
LIC809 (FAS) - (06/04)
Page: 3 of 4
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: LITTLE FOOTPRINTS PRESCHOOL, CORP.
FACILITY NUMBER: 384002156
VISIT DATE: 11/20/2019
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
26
27
28
29
30
31
32
Continued from previous page.

LPAs reviewed a sample of staff and children's records. Staff have all required documents on file. Children's records reviewed had all required documents, agreements, and forms in file.

Chaptered Legislation SB 1405 was discussed with the director. In accordance with the Healthy Schools Act, California law requires that anyone using any pesticide must be trained every year in integrated pest management and the safe use of pesticides around children. The director was advised that a free one hour online course is available on the Department of Pesticide Regulation's Web site: www.cdpr.ca.gov/schoolipm/training. If the director had questions she can email ccipmlist@cdpr.ca.gov. Director was also advised that bleach is considered to be a pesticide under the law.

Deficiencies cited today under California Code of Regulations, Title 22, Div 12, follows on LIC 809D.
Appeal Rights given.
Report reviewed and discussed with Annabella Tong
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Faye BremerTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 11/20/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2019
LIC809 (FAS) - (06/04)
Page: 2 of 4
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: LITTLE FOOTPRINTS PRESCHOOL, CORP.
FACILITY NUMBER: 384002156
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/20/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/27/2019
Section Cited

1
2
3
4
5
6
7
Buildings and Grounds - The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.
This requirement is not met as evidenced by:
8
9
10
11
12
13
14
Based on observations, temporary shelf wall holding heavy items in hallway was observed to be bending and the wood supports are splitting. Licensee failed to ensure center is in good repair at all times, which poses a potential health and safety risk.
8
9
10
11
12
13
14
POC to be received in CCLD office BY 11/27/2019.
Type B
11/27/2019
Section Cited

1
2
3
4
5
6
7
Fixtures, Furniture, Equipment and Supplies - Fireplaces and open-faced heaters shall be made inaccessible to children to ensure children's safety.
This requirement is not met as evidenced by:
8
9
10
11
12
13
14
Based on observations, space heaters were observed to be stored in classrooms within reach of children. Licensee failed to ensure heaters are made inaccessible to children, which poses a potential health and safety risk.
8
9
10
11
12
13
14
POC to be received in CCLD office BY 11/27/2019.
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 LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Faye BremerTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 11/20/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/20/2019
LIC809 (FAS) - (06/04)
Page: 4 of 4