384002595-9-4-2020-05-CC-CINO-BT5QVV-20200904123058

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 384002595
Report Date: 09/03/2020
Date Signed: 09/04/2020 12:31:45 PM

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:	LA PICCOLA SCUOLA ITALIANA		FACILITY NUMBER:	384002595
ADMINISTRATOR:	LENTINI, FEDERICA		FACILITY TYPE:	850
ADDRESS:	851 TENNESSEE STREET		TELEPHONE:	(415) 558-9006
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94107
CAPACITY:	45	CENSUS:	DATE:	09/03/2020
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Director, Federica Lentini		TIME COMPLETED:	11:00 AM

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	Licensing Program Analyst (LPA), Cindy Interiano conducted a Case Management inspection and met with Director, Federica Lentini via a Tele-inspection. Purpose of the inspection was explained to Director. Facility is currently licensed in Room ‘A’ (aka T1 and T1a) and Room ‘C’ (aka T4 and T4a). Facility is requesting an increase of capacity from 45 Preschool age children to 64 Preschool age children. Room ‘B’ (aka T2 and T3) has been requested to be added to the License. Director lead LPA on a virtual inspection of the facility indoors and outdoors for Health and Safety hazards. Per facility sketch, > Room ‘B’ measures 674.52 square feet, allowing for 19 PreK children. > Rooms share a restroom, which has a total of 3 toilets, 2 urinals, and 4 sinks. > Facility shares outdoor play area with La Scuola International School (fac# 384002073). An approved waiver is on file for shared and scheduled use. Outdoor space was previously measured to be 6812.83 square feet, allowing for 90 PreK children. Room ‘B’ has age appropriate toys and equipment for children. Room is equipped with an industrial fire alarm, a smoke and carbon monoxide detector, and a fire extinguisher. Restroom is maintained clean, in good repair, and with adequate supplies. Outdoor play area is completely fenced and is maintained free of debris and dangerous conditions. During the tele-inspection, LPA provided Technical Assistance for Covid-19 guidelines, including Social Distancing, proper use of PPE equipment, and cleaning / disinfecting / sanitizing of commonly used areas/items. See Page 2. . .

SUPERVISOR'S NAME: Alma Malig	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Cindy Interiano	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 09/03/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2020

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: LA PICCOLA SCUOLA ITALIANA	FACILITY NUMBER: 384002595
	VISIT DATE: 09/03/2020

NARRATIVE

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Waiver requests have been submitted for shared restroom and (updated) outdoor play area, which are pending Supervisor’s review.

Director was advised that a follow-up inspection will be conducted in the future and measurement of indoor and outdoor space may be required.

Prior to approving license of a capacity increase of 64 PreK children,
> Fire clearance must be received.
> Restroom waiver and outdoor play area waiver must be reviewed and approved by Supervisor.
> Final review is required from the Department.

***No deficiencies were cited against the facility under CCR,Title 22, Div. 12, Ch. 1. ***

>This report will be emailed to facility. This report must be available in the facility for public review. Any additional questions to call Office, M-F, 8a-5p, 650-266-8800 or 1-844-538-8766. Website: www.ccld.ca.gov

SUPERVISOR'S NAME: Alma Malig	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Cindy Interiano	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 09/03/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2020

LIC809 (FAS) - (06/04)

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