384002156-4-12-2023-05-CC-BVAN-CQTSBB-20230412134341

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 384002156
Report Date: 04/12/2023
Date Signed: 04/12/2023 01:43:54 PM

Document Has Been Signed on 04/12/2023 01:43 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:	TONG, ANNABELLA		FACILITY TYPE:	850
ADDRESS:	2201 VICENTE STREET		TELEPHONE:	(415) 200-8607
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94116
CAPACITY:	80	CENSUS: 59	DATE:	04/12/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Helen Lao, Wendy Lao, and Annabella Tong		TIME COMPLETED:	01:45 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 April 12, 2023., Licensing Program Analyst (LPA) Van met with Helen Lao, and Wendy Tong for an unannounced annual random inspection. The purpose of the inspection was explained. Director Annabelle Tong arrived during the inspection. Today's 59 children are supervised by 13 teachers and a kung fu teacher. A group of children had a kung fu class upon LPA's arrival. The facility complies with the staff-children ratios today. The Center operates in five classrooms: Star, Moon, Earth, Sun, and Sky. The days and operations hours are Monday - Friday from 7:30 am to 6:00 pm. The facility complies with the staff-children ratios today. All staff members have criminal record clearances on file. LPA toured and inspected the physical plant for any health and safety hazards. The facility has an electronic sign-in /out for parents or authorized representatives in each classroom; sign-in/out codes are provided to the parents. The facility is in good repair and has proper temperature and ventilation. All classrooms/pods have age-appropriate toys and learning materials. The furniture appears steady and in good repair. The facility has a carbon monoxide detector, a centralized smoke alarm, fully charged fire extinguishers, and working telephones. LPA observed that each child has their cubbies available with their name labeled in each classroom. All emergency supplies are stored in locked storage. Medications are appropriately labeled and stored out of reach of children. First aid supplies are fully stocked and available for children's use. All cleaning solutions, poisons, and other dangerous chemicals are stored in an area inaccessible to children. Sleeping cots are appropriately stored. All children's toilets and handwashing sinks are in good working condition with proper sanitation. There is a separate bathroom for staff usage on the premises. LPA observed no bodies of water on the premises. Continued on page 2...

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon Van	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 04/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/12/2023

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
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: LITTLE FOOTPRINTS PRESCHOOL, CORP.	FACILITY NUMBER: 384002156
	VISIT DATE: 04/12/2023

NARRATIVE

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The facility presently has an outside waiver that allows 30 children to utilize the facility outdoors simultaneously, and a rotating schedule is necessary. The outdoor play area is maintained clean and free of debris. The outdoor play area is completely fenced, clean, and in good repair. Outdoor play structures are in good condition and free of loose parts. LPA reminded the Director that the staff must ensure the playground is cleared of debris or harmful material before use.
The facility had posted the required forms. (i.e., License, Notification of Parent's Rights, Personal Rights, Car Seat Law, Emergency Disaster Plan, and Daily activities). Morning and afternoon snacks and lunch are provided by the Center. Kitchen areas in each classroom are inaccessible to children. Kitchen areas are clean and free of any toxins or contamination. All food is stored correctly to avoid contamination. The facility has water fountains readily available for children indoors and outdoors. All storage containers for solid waste within the Center have a proper tight-fitting cover.
Random children's records and personnel records were reviewed during the inspection. Records review showed the facility has records of each child's authorized representative's names, addresses, and telephone numbers. In addition, each child's immunization record, medical assessment, and admission agreement can be located in each child's file. Staff records indicate that all staff or other individuals who require caregiver background checks have received criminal records and child abuse index clearances or exemptions. All staff members have a record of valid CPR and maintain proper immunization records. LPA reviewed the educational qualification of staff, and all staff had the required ECE units. The Director stated that the Center conducts fire and earthquake drills monthly; the last drills were conducted on April 5, 2023.
The Director 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: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon Van	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 04/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/12/2023

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
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: LITTLE FOOTPRINTS PRESCHOOL, CORP.	FACILITY NUMBER: 384002156
	VISIT DATE: 04/12/2023

NARRATIVE

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This facility provides Incidental Medical Services – IMS. LPA reviewed the 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 (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.htm
The Director was informed about Mandated Reporter training. In addition to AB1207 training required to complete every two years by the Licensee and all staff hired a one-time General Training is also required. Training can be taken online at www.mandaterreporterca.com. Also, the Director was reminded of Pesticide training. Information on the DPR website at: www.cdpr.ca.gov/shoolipm/childcare
During the inspection, LPA requested the following documents to be sent to Licensing office by April 14, 2023; Emergency Disaster Plan (LIC 610), Personnel Report (LIC 500), the Designation of Administrative Responsibility (LIC 308)
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/on-process.
No deficiencies were cited today. An exit interview was conducted, and the report was reviewed with the Director, Annabelle Tong. Today's report and site visit notice was provided to the Director. LPA informed the Director that the site visit notice must be posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon Van	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 04/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/12/2023

LIC809 (FAS) - (06/04)

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