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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384002677
Report Date: 09/22/2021
Date Signed: 09/22/2021 11:13:42 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: 11DATE:
09/22/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Melinda ArsenioTIME COMPLETED:
11:30 AM
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On September 22, 2021, at approximately 9:30AM, Licensing Program Analyst (LPA) Winnie Ly conducted a joint visit with San Francisco Fire Inspector. The purpose of the Unannounced Case Management Visit was explained. LPA and Fire Inspector met with Site Director, Melinda Arsenio and Co-Licensee Xiao Rong Zhang during the visit. Present during the visit are Site Director, Co-Licensee and a staff caring for 11 children.

During today visit, San Francisco Fire Inspector stated facility has a few corrections to be made. A Follow Up Inspection is Required.

During today's visit, LPA also clear the deficiency that was cited on September 07, 2021. The following deficiency Reporting Requirement was being cited in accordance with the California Code of Regulations, Title 22, school director fail to report Fire that happened to the unit above the preschool. LPA received statement that Director have review Titile 22, Reporting Requirement. Therefore, LPA was able to clear this POC.

An Exit Interview was conducted with Licensee. No deficiencies were issued today under Title 22 Division 12 of the California Code of Regulations. A copy of this report and appeal rights were discussed and left with Licensee whose signature on this form confirm receipt of these reports. Notice of Site Visit was posted. Notice to remain posted for 30 days. For updates on Licensing information, go to CCL website: www.ccld.ca.gov. For Provider Information Notice: ccld.ca.gov/PG5098.htm


A Follow Up Inspection is Required.
SUPERVISOR'S NAME: Ali ZebilaTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Winnie LyTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 09/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2021
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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