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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384002677
Report Date: 01/14/2020
Date Signed: 01/14/2020 12:17:20 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:TEACHING TOTS PRESCHOOL, INC.FACILITY NUMBER:
384002677
ADMINISTRATOR:ARSENIO, M. & ZHANG, X.FACILITY TYPE:
850
ADDRESS:939 IRVING STREETTELEPHONE:
(415) 731-9705
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94122
CAPACITY:30CENSUS: 23DATE:
01/14/2020
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Melinda ArsenioTIME COMPLETED:
12:30 PM
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On January 14, 2020, at approximately 11:15PM, Licensing Program Analyst (LPA) Winnie Ly conducted an unannounced Plan of Correction visit and met with Site Director, Melinda Arsenio during the visit. Purpose of the inspection was explained. There were also 23 children 4 staff members present during the visit.

On November 19, 2019, the following deficiency was cited during an annual inspection:
Three Children's Records were incomplete.

LPA reviewed the children's files and found files are complete. Therefore, LPA was able to clear this POC.

An exit interview was conducted with Director. Consultation was provided. No deficiencies are cited today. A copy of this report and clear deficiency letter were reviewed and provided to the licensee. Notice of site visit is posted and shall remain posted for next 30 days.
SUPERVISOR'S NAME: Ali ZebilaTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Winnie LyTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 01/14/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2020
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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