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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384002156
Report Date: 06/14/2024
Date Signed: 06/14/2024 12:35:50 PM

Document Has Been Signed on 06/14/2024 12:35 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
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:LITTLE FOOTPRINTS PRESCHOOL, CORP.FACILITY NUMBER:
384002156
ADMINISTRATOR/
DIRECTOR:		TONG, ANNABELLAFACILITY TYPE:
850
ADDRESS:2201 VICENTE STREETTELEPHONE:
(415) 200-8607
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94116
CAPACITY: 80TOTAL ENROLLED CHILDREN: 80CENSUS: 60DATE:
06/14/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:25 AM
MET WITH:Helen Lao Tong and Wendy TongTIME VISIT/
INSPECTION COMPLETED:
12:30 PM
NARRATIVE
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On June 14, 2024, Licensing Program Analyst (LPA) Van conducted an unannounced case management meeting to discuss the incident reporting requirement. The purpose of this meeting was explained to the Assistant Director. During the inspection, the assistant Director briefly escorted her two school-age children to their school and returned promptly. Twelve regular teachers and two floaters supervised 60 preschool children, meeting the required teacher-to-child ratio. The Assistant Director mentioned that all teachers must have a minimum of 12 ECE units. Site manager Wendy Tong arrived during the visit.

The center submitted two incident reports, but one was sent two weeks after the incident occurred. The second report did not meet the proper reporting requirements. During the inspection, the LPA discussed the reporting requirements with the assistant director, emphasizing her crucial role in ensuring timely and accurate reporting. It was reiterated that a report must be made to the Department by telephone or fax during regular business hours on the next working day. Additionally, a written report with the necessary information must be submitted to the Department within seven days of the incident.

See LIC 809D for the deficiency cited today.

A notice of site visit was given to the assistant Director and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

An exit interview was conducted, and the report was reviewed with the assistant Director, Helen Lao Tong.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Brendon Van
LICENSING EVALUATOR SIGNATURE: DATE: 06/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/14/2024
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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Document Has Been Signed on 06/14/2024 12:35 PM - It Cannot Be Edited


Created By: Brendon Van On 06/14/2024 at 10:12 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 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: 06/14/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/14/2024
Section Cited
CCR
101212(d)(1)(B)

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101212 Reporting Requirements (d) Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report containing the information specified in (d)(2) below shall be submitted to the Department within seven days following the occurrence of such event.
(1) Events reported shall include the following: (B) Any injury to any child that requires medical treatment.

This requirement is not met as evidenced by:
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The center is expected to develop a written plan, which should involve reviewing the reporting requirements outlined in Title 22 regulations. The center must submit this plan by June 21, 2024.
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Based on the interview and record review, the center is not in compliance with the above regulation; the center did not properly report an incident that occurred in a timely manner. This violation potentially poses a health and safety risk to children in care.
Kindly ensure to keep the following information in mind.
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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
LICENSING EVALUATOR NAME:Brendon Van
LICENSING EVALUATOR SIGNATURE:
DATE: 06/14/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/14/2024


LIC809 (FAS) - (06/04)
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