384002531-5-30-2024-05-CC-JTSE-D5RUSJ-20240530155024

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 384002531
Report Date: 05/30/2024
Date Signed: 05/30/2024 03:50:43 PM

Document Has Been Signed on 05/30/2024 03:50 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
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME:	WU YEE CHILDREN'S SERVICES-WESTSIDE CCC (PS)		FACILITY NUMBER:	384002531
ADMINISTRATOR:	KIM,OLIVIA		FACILITY TYPE:	850
ADDRESS:	2400 POST STREET		TELEPHONE:	(415) 677-0100
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94115
CAPACITY:	30	CENSUS: 20	DATE:	05/30/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:25 PM
MET WITH:	Director, Olivia Kim		TIME COMPLETED:	04:05 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 5/30/2024, at approximately 1:25PM, Licensing Program Analyst (LPA) Jonathan Tse conducted an unannounced annual visit at the facility. LPA met with Director Olivia Kim (D1). LPA explained the purpose of the visit. Present during the visit was D1, eight staff members, and 20 preschool age children. The facility is in compliance with staffing and ratio requirements on this day. The facility’s operating hours are from 8:00AM to 5:00PM. The facility is located on the premises of the Westside Courts. LPA inspected the facility for any health or safety hazards. There are fully charged fire extinguishers that are at least size 2A10BC. There is a fire alarm system running throughout the facility. There are operational carbon monoxide detectors present in the facility that are operational. Evacuation routes are posted and accessible for review. Emergency exits are clearly marked and visible. The facility operates in two classrooms: Classroom 1, and Classroom 2. LPA observed age-appropriate toys and learning materials to be available for children. There are art supplies, books, and manipulatives present. Furniture is age-appropriate and free of rough or sharp edges. There are labeled cubbies available for each child in care. Children nap on cots that are labeled with their names. Allergy lists are available for teachers in each classroom. LPA observed toilets and sinks to be operational. Each classroom is equipped with their own first aid kit and outdoor emergency kit. First aid kits were observed to be fully equipped, including band-aids, scissors, and tweezers. The facility provides disposable cups for children to use. The facility provides water from a water filter that is a non-contaminating fixture. The facility provides food via Chefables. Food is heated up and then prepared for children. Children with food allergies or cultural/dietary/religious preferences have individual food items prepared for them. The facility is nut-free and does not offer seafood or pork. Continued on Page Two

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 266-8817
LICENSING EVALUATOR NAME: Jonathan Tse	TELEPHONE: (650) 464-4927
LICENSING EVALUATOR SIGNATURE:	DATE: 05/30/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/30/2024

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
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: WU YEE CHILDREN'S SERVICES-WESTSIDE CCC (PS)	FACILITY NUMBER: 384002531
	VISIT DATE: 05/30/2024

NARRATIVE

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The facility uses an outdoor play area that is owned by the Westside Courts apartment complex. Per D1, teachers check the outdoor play area for any debris in the mornings. The facility has a set schedule for exclusive use of the outdoor play area. Classroom 1 has access from 9:30AM to 10:30AM, and Classroom 2 has access from 10:30AM to 11:45AM. LPA observed there to be play structures and equipment that are explicitly labeled for use by children from the ages of two to five. There is resilient padding in the form of rubber mats. The outdoor play area is enclosed by a fence that is at least four feet high. There is a storage shed that is kept locked until children are outside. There is a sandbox that is covered and locked. Per D1, the facility does not have access to the sandbox. There are no pools or other bodies of water in the facility.

LPA reviewed six staff files, six children’s files, and facility records. There is at least one staff member with current Pediatric First Aid/CPR certification. All staff are fully qualified teachers and have their immunizations available for review. LPA observed all children’s files to be complete. LPA observed all required postings to be posted and accessible for review immediately upon entry to the facility. Menus and class schedules are posted. The facility last conducted an emergency drill on 4/26/2024. Emergency drills are logged and posted for review. Parents electronically sign children in and out of the facility using individual codes that are unique to each authorized representative.

The facility tested its outlets for lead on 1/7/2022 before the deadline of 1/1/2023. There were no exceedances of lead in all tested outlets. The facility is in compliance with lead testing requirements. LPA advised that lead testing must be completed every five years.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process.

Continued on Page Three

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 266-8817
LICENSING EVALUATOR NAME: Jonathan Tse	TELEPHONE: (650) 464-4927
LICENSING EVALUATOR SIGNATURE:	DATE: 05/30/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/30/2024

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
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: WU YEE CHILDREN'S SERVICES-WESTSIDE CCC (PS)	FACILITY NUMBER: 384002531
	VISIT DATE: 05/30/2024

NARRATIVE

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Facility representative was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP).

LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of “medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication. Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-carecenters/.

Facility representative was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

No deficiencies were cited during today’s visit on 5/30/2024.
A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the facility representative, Olivia Kim.

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 266-8817
LICENSING EVALUATOR NAME: Jonathan Tse	TELEPHONE: (650) 464-4927
LICENSING EVALUATOR SIGNATURE:	DATE: 05/30/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/30/2024

LIC809 (FAS) - (06/04)

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