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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384002677
Report Date: 12/05/2019
Date Signed: 12/06/2019 09:43:32 AM

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: 24DATE:
12/05/2019
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Melinda ArsenioTIME COMPLETED:
03:00 PM
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On December 05, 2019, at approximately 1:45PM, 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 24 children 3 staff members present during the visit.

On November 19, 2019, the following deficiencies were cited during an annual inspection:
Only 18 children were signed in while 25 children were present that day.
Two Staff members records were incomplete.
Three Children's Records were incomplete.

LPA observed a notice was posted to remind parents to sign in and sign out by the children's cubbies next to the children's sign in and out log. LPA reviewed sign in and out sheets and was able to clear POC today.

LPA also reviewed the 2 staff files and found to be complete. LPA was able to clear POC today.

LPA reviewed the children's files and found files are still incomplete (missing physician report). Per Director, parents will bring their children to the doctor in order to have the child's physician reports fill out. Therefore, LPA was not able to clear this POC. Director was advised to remind parents to bring complete documents into center and advised Director to send missing paper to LPA as a proof of complete file once she has received it.
An exit interview was conducted with Director. Consultation was provided. No deficiencies are cited today. A copy of this report is 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: 12/05/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2019
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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