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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384002469
Report Date: 04/11/2022
Date Signed: 04/11/2022 12:02:51 PM


Document Has Been Signed on 04/11/2022 12:02 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
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066



FACILITY NAME:LITTLE BEEFACILITY NUMBER:
384002469
ADMINISTRATOR:CARMEN LINFACILITY TYPE:
850
ADDRESS:2733 LOMBARD STREETTELEPHONE:
(415) 500-2296
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94123
CAPACITY:32CENSUS: 24DATE:
04/11/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Carmen LinTIME COMPLETED:
12:00 PM
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On April 11, 2022, Licensing Program Analyst (LPA), Leong, conducted an unannounced annual random inspection with Carmen LIn. LPA explained the inspection's purpose to the director. All staff at the facility have fingerprint clearance. LPA observed two teachers and four aides supervising twenty-four pre-k children. The hours of operation are Monday to Friday, 8:00 p.m. to 5:30 p.m.

LPA and the Director inspected the facility for potential health and safety hazards. In all classrooms, toys, furniture, and learning materials are age appropriate. The furniture and play structures appeared to be in good shape. The outdoor play structures are age-appropriate and well-kept. The facility has rubberized cushions, artificial grass and wood chips beneath all play structures to absorb accidental falls. The facility has no bodies of water on the premises. All cleaning products, poisons, and other hazardous chemicals have been kept out of children's reach. The facility is equipped with a smoke detector, a carbon monoxide detector, a fully charged fire extinguisher, a centralized smoke alarm, and working telephones. According to the director, there are no firearms or weapons in the facility. All solid waste storage containers have a proper tight-fitting cover

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SUPERVISOR'S NAME: Daniel J OquendoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Hanson LeongTELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 04/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/11/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3


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: LITTLE BEE
FACILITY NUMBER: 384002469
VISIT DATE: 04/11/2022
NARRATIVE
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LPA observed that the facility had posted the required documents. (i.e., license, waivers, notification of parental rights, notification of personal rights, car seat law, emergency disaster plan, and daily activities).

LPA reviewed the children's records during the inspection. All required forms were in the children’s file. The program uses an electronic app, Pro-Care, for authorized individuals to sign their children in and out. Children have access to drinking water. The facility provides food to the children from Tuesdays to Fridays. Children are required to bring their own lunch on Mondays.

A review of the facility's records revealed that the names, addresses, and phone numbers of each child's authorized representative are kept on file. A review of staff records revealed that all staff members have valid CPR and First Aid certifications.

According to the Director, the Center simulates fire and earthquake drills every three to four months. LPA reminded the director fire and earthquake drills must be recorded and documented.

Licensee 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.



***See Page 3 for continuation***
SUPERVISOR'S NAME: Daniel J OquendoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Hanson LeongTELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 04/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2022
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
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: LITTLE BEE
FACILITY NUMBER: 384002469
VISIT DATE: 04/11/2022
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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/process.

LPAs encouraged the Director to frequently visit the Licensing website at www.ccld.ca.gov for licensing regulations and new updates. Licensee can also email at childcareadvocatesprogram@dss.ca.gov and ask to be added to the email list for the updates.

LPA reminded the director to submit a copy of one of the staff's Mandated Reporter Certificate to the department.

A notice of site visit was given and must remain posted for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted, and report reviewed with director, Carmen LIn

SUPERVISOR'S NAME: Daniel J OquendoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Hanson LeongTELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 04/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2022
LIC809 (FAS) - (06/04)
Page: 3 of 3