384002200-10-29-2019-05-CC-AZEA-BK8PSW-20191226103501

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 384002200
Report Date: 10/29/2019
Date Signed: 10/29/2019 03:08:24 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/24/2019 and conducted by Evaluator Cindy Mok

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20191024154938

FACILITY NAME:	FACESSF - BAYVIEW SCHOOL AGE		FACILITY NUMBER:	384002200
ADMINISTRATOR:	BRUNER, DARLICIA		FACILITY TYPE:	840
ADDRESS:	100 WHITNEY YOUNG CIRCLE		TELEPHONE:	(415) 821-7550
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94124
CAPACITY:	90	CENSUS: 0	DATE:	10/29/2019
		UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Juan Pazmino		TIME COMPLETED:	03:35 PM

ALLEGATION(S):

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Lack of Supervision

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs) Mok and Singh conducted an unannounced inspection today. LPAs met with the Site Director, Juan Pazimo. The purpose of the inspection was explained to him. There were no children present. LPAs interviewed staff during the inspection. According to the information from the interviews, children walked out the classrooms without teacher permission to meet up their parents at the parking.

Based on LPAs interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 12 & Chapter 3), are being cited on the attached LIC 9099D.

An exit inspection was conducted with Site Director and appeal rights were explained. A printed copy of the report, as well as a printed copy of the appeal rights, were provided to the Licensee at the conclusion of the inspection. Notice of site visit was posted and must remain posted for 30 days for public review. A Type “A” violation (see continuation) was issued today. The center is informed to provide a copy of the Evaluation Report and the Type “A” Deficiency cited to the parents and guardians of children currently enrolled in care and to parents of newly enrolled children during the next 12 months. A signed and dated LIC 9224 shall be maintained in all Children's files. This report and appeal rights were provided and reviewed with the TVS. Notice of Site Visit shall remain posted for 30 days.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Alma Malig	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Cindy Mok	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 10/29/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2019

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 05-CC-20191024154938

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: FACESSF - BAYVIEW SCHOOL AGE	FACILITY NUMBER: 384002200
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/29/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 10/30/2019 Section Cited CCR 101229(a)(1)	1 2 3 4 5 6 7	101229 (a)(1) Responsibility for Providing Care and Supervision: No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.	1 2 3 4 5 6 7	Director ensure all staff providing care and supervision to the children at all time. Director stated the facility already conducted the training to current staff about effective care and supervision. Director will submitting the copy of the training material and attendence sheet for staff by 10/30/2019 .
	8 9 10 11 12 13 14	This requirement was not met as evidenced by based upon interviews, children walked out the classrooms without teacher permission to meet up their parents at the parking. This poses an immediate safety risk to children in care.	8 9 10 11 12 13 14	* Office meeting may be scheduled.
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	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: Alma Malig	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Cindy Mok	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 10/29/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2019

LIC9099 (FAS) - (06/04)

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