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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384002202
Report Date: 01/31/2022
Date Signed: 01/31/2022 12:46:18 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:FACESSF - HAYES VALLEY CDC (INFANT)FACILITY NUMBER:
384002202
ADMINISTRATOR:ESCALANTE, YANINAFACILITY TYPE:
830
ADDRESS:305 BUCHANAN STREETTELEPHONE:
(415) 552-1535
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94102
CAPACITY:18CENSUS: 0DATE:
01/31/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Yanina EscalanteTIME COMPLETED:
10:30 AM
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On January 31st, 2022 at 8:45am Licensing Program Analyst (LPA) Kaur conducted an announced Case Management inspection for a request to add a toddler option component (ages 18 to 36 months) to existing infant license. Licensee does not currently wish to increase capacity, capacity will remain the same, 18 children within facility. LPA met with Director Yanina Escalante and explained purpose of inspection. Present at the center were the director and 1 teacher no children. Director is requesting to designate Classroom #1 for infant and #2 for toddler as the toddler option classroom with a group size of 12.
The classroom used for the toddler program was observed to be clean and equipped with a fully charged fire extinguisher. Facility maintains a fire alarm system throughout building. All furnishing, toys and equipment was observed to be safe, age appropriate and in good condition. Sufficient storage space for children's personal belongings is located inside the classroom. Cots are to be utilized for napping children. Program will provide sheets that will be laundered weekly or as needed
Fire clearance has been received and granted. LPA inspected the room for health and safety hazards. The proposed toddler option classroom has an area for diapering with a sink. The toys and equipment in the room are age appropriate. Staff will use designated staff restroom. Facility will have 2 toilets and 2 sinks available to children in care. Infant room have their own diaper changing station. Licensee understands that the age range for the toddler option is 18 months to 36 months. Licensee understands that the children must be kept physically separate from the Infant program. Ratio and staffing for the toddler option were discussed. Facility have play area for toddlers and its fully barricaded.

Facility will be recommended for approval as of today, 1/31/2022

Report was reviewed and discussed with Director Yanina Escalante. Copy of emailed to YESCALANTE@FACESSF.ORG. As well as Notice of Site visit, which will be posted for 30 days.
SUPERVISOR'S NAME: Ali ZebilaTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Harsimran KaurTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 01/31/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2022
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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