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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384002445
Report Date: 02/11/2020
Date Signed: 02/11/2020 11:10:03 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:GAN NOE PRESCHOOLFACILITY NUMBER:
384002445
ADMINISTRATOR:POTASH, LEAHFACILITY TYPE:
850
ADDRESS:3781 CESAR CHAVEZ STREETTELEPHONE:
(415) 648-8000
CITY:SAN FRNCISCOSTATE: CAZIP CODE:
94110
CAPACITY:30CENSUS: 19DATE:
02/11/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Leah PotashTIME COMPLETED:
11:40 AM
NARRATIVE
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Licensing Program Analyst (LPA) Farhan Bashir-Tariq met with Director, Leah Potash for a case management inspection today. Purpose of the inspection was explained. Present, there were 19 children with 5 staff. Director was previously explained the requirement that she cannot be a FCCH licensee and a preschool director simultaneously. Director was given time to address the situation, but she failed to respond. Facility did not take any meaningful actions to resolve the issue. LPA was there to review that if any action were being taken or a plan was in place. Licensee does not have any plan in place to remedy the situation at present. LPA informed Licensee that further legal actions may be taken against her.


Ø Deficiency was cited today under Title 22 Division 12 of the California Code of Regulations. See LIC 809D.

This report and rights to comment and appeal were discussed with Director. This report must be available in the facility for public review. Notice of site visit shall be posted for 30 days from today's visit. Facility was advised for any additional questions to call Office, M-F, 8AM-5PM at 650-266-8800. For Rules and Regulations, visit the Website: www.cdss.ca.gov

SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Farhan Bashir-TariqTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2020
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
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: GAN NOE PRESCHOOL
FACILITY NUMBER: 384002445
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/11/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/21/2020
Section Cited

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101215.1...Child Care Center Directors Qualifications and Duties...(d) The childcare center director, or the substitute director as specified in (f) below, shall be on the premises during the hours the center is in operation. (1) The childcare center director shall not accept outside employment that interferes with the duties specified in this chapter.
This requirement is not met as evidenced by:
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Based on observation, inspections and Interviews conducted, Director is unable to meet this requirement due to having outside employment as a FCCH licensee.

This poses a potential health and safety risk to the children in care.

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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 LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Farhan Bashir-TariqTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 02/11/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/11/2020
LIC809 (FAS) - (06/04)
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