384002515-9-29-2022-05-CC-HLEG-CJQQK6-20220929121350

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 384002515
Report Date: 09/29/2022
Date Signed: 09/29/2022 12:14:33 PM

Document Has Been Signed on 09/29/2022 12:14 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:	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 FRANCISCO	STATE: CA	ZIP CODE:	94107
CAPACITY:	36	CENSUS: 11	DATE:	09/29/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Francisco Sierra		TIME COMPLETED:	12:25 PM

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On 9/29/2022, Licensing Program Analyst (LPA), Hanson Leong, made an unannounced annual visit to the Wu Yee Potrero Hill facility. The LPA was granted entry by the Family Advocate, Francisco Sierra. The LPA explained the purpose of the visit to the family advocate. Veronica Figueroa, who is the Regional Manager, arrived at the facility while the visit was in progress. Guardian, the department's system for conducting background checks, has confirmed that all the individuals listed on the facility’s roster have been granted permission to work or be present in a childcare facility. The LPA observed seven teachers supervising eleven preschool children. Children's capacity and ratio requirements were observed to be in compliance,

LPA and the family advocate both performed comprehensive inspections of the facility to look for possible threats to health and safety. The facility offers a first aid kit that is completely loaded with everything that is required for the treatment of wounds and other types of injuries. Toys, furnishings, and learning materials in all classes are age appropriate. The LPA made the observation that the playground equipment and outdoor furnishings are in very good shape. The outdoor play structures are surrounded by rubberized cushion, which can cushion any falls that may occur. The LPA noted that there were no bodies of water present at the facility. All poisons, cleaning products, and other potentially harmful substances have been stored in a location that is inaccessible to children. The building is equipped with smoke detectors, carbon monoxide detectors, fire extinguishers that are properly charged, centralized smoke alarms, and phones that are in working order. The family advocate has stated that the facility does not house any firearms or other types of weapons.

The LPA observed that the facility 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).

The LPA reviewed the records of ten children. All required forms were in the children’s’ file. The program uses an electronic sign in / out application for authorized individuals to sign their children in and out.

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SUPERVISOR'S NAME: Daniel J Oquendo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Hanson Leong	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 09/29/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2022

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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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: 09/29/2022

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Continued, Page 2
The LPA reviewed the records of seven staff members. All required forms were in the staff files. A review of staff records revealed that six staff members are currently certified in CPR and First Aid.

According to the regional manager, the facility simulates and documents fire and earthquake drills monthly.

The regional manager 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.

Incidental Medical Services (IMS) policy was discussed with the regional manager. For IMS information, see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to the publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

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

No deficiencies were issued today

A copy of this report, and the “Notice of Site Visit” were given to the regional manager.

A Notice of Site Visit must remain posted for 30 days.

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

An exit interview was conducted, and the report was reviewed with the Regional Manager, Veronica Figueroa

SUPERVISOR'S NAME: Daniel J Oquendo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Hanson Leong	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 09/29/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2022

LIC809 (FAS) - (06/04)

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