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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384002515
Report Date: 09/24/2019
Date Signed: 09/24/2019 01:57:56 PM

COMPREHENSIVE INSPECTION
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:WU YEE CHILDREN'S SERVICES-POTRERO HILL CCC (PS)FACILITY NUMBER:
384002515
ADMINISTRATOR:OSMAN, YASMIN M.FACILITY TYPE:
850
ADDRESS:824 CAROLINA ST.TELEPHONE:
(415) 285-3600
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94107
CAPACITY:36CENSUS: DATE:
09/24/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
11:50 AM
MET WITH:Yasmin OsmanTIME COMPLETED:
02:00 PM
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On 9/24/2019 at 11:50 A.M., Licensing Program Analyst (LPA) Van met with director, Yasmin Osman for an unannounced annual random inspection. This is a Preschool program. There are two classrooms at the facility. The toddler room 1A (age 2-3), and preschool classroom room #2 (age 3-5). Present today are 29 children with 7 staff members. Staff to child ratio was met on this day. LPA observed that each classroom has an electronic sign in / out record with full legal signatures from parent or authorized representative. Days and hours of operations are from Monday - Friday 8:00 AM - 5:00 PM.

LPA along with director inspected the center for health and safety hazards. The center is clean and orderly. Heating, lighting & ventilation are adequate. There are no pools, spas or other bodies of water on the premises. Per director, there are no firearms or weapons at the center. All cleaning supplies or other potentially harmful items are stored inaccessible to the children in care. This center provides Incidental Medical Service (IMS). LPA reviewed storage and paperwork requirements with staff. The furniture and equipment are in good repair and is free from loose sharp or pointed parts. Per director, the facility provides snacks, breakfast, and lunch for children. Director stated food are prepared and delivered from chefables. LPA observed the food preparation area is clean, organize, and foods store appropriately. All solid waste storage containers have tight fitting lids. The facility has more than one carbon monoxide detector and smoke alarm installed.

Drinking water is provided to the children by cups and pitchers. Cubbies are used to store children's belongings, and each cubby has child’s name labeled. The center has a bathroom that is located next to the toddler classroom. There are 5 stalls and 5 sinks in the bathroom. Bathroom has adequate supplies, clean, and in good repair. The water temperature is warm. There is a separate staff restroom. The isolation area for an ill child is located in the director’s office.

The outside play area is completely fenced, clean and in good repair. The playground is free of hazardous materials. Play equipment is age appropriate, and safe. Climbing structures are securely anchored, free of any loose parts and has sufficient amounts of rubber cushioning floor to prevent any fall injuries. There are no bodies of water, shade is provided for children. Outdoor drinking water is accessible by water pitchers and cups.
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon VanTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 09/24/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2019
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 2
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: WU YEE CHILDREN'S SERVICES-POTRERO HILL CCC (PS)
FACILITY NUMBER: 384002515
VISIT DATE: 09/24/2019
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At 12:45 P.M., LPA reviewed personnel and children records. A sample of children's files were reviewed and found to have medical assessments, needs/services, and signed admission agreements. Staff files are organized, complete, and have documentation of education credits. Multiple staff members have record of valid Pediatric FirstAid and CPR card in files and documentation of immunization for Measles, Pertussis and Influenza. There are menus posted at least one week in advance and are visible to the child's authorized representative. LPA also observed facility has posted the required forms (i.e. License, menus, waivers, Notification of Parent's Rights, Notification of Personal Rights, Car Seat Law, and Emergency Disaster Plan). Director stated Fire and Earthquake drills are done on the monthly basis, the last drill was logged 9/4/19. Discipline policy is talking to the children, redirection, and uses visual images.

LPA reminded the director that as of September 1, 2016, a person may not be employed or volunteer at a child care facility unless he or she has been immunized against influenza, pertussis, and measles. LPA observed the facility has record of required immunization for all staff members.

LPA reviewed AB 1207 with the director. As of January 1, 2018, all staff is required to complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com. LPA observed all staff members completed the online training, and certification are in file.

No deficiencies are cited today. The copy of this report is reviewed and provided to the director. Notice of site visit is posted and shall remain posted for next 30 days.
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon VanTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 09/24/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2019
LIC809 (FAS) - (06/04)
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