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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384002677
Report Date: 10/14/2021
Date Signed: 10/14/2021 02:11:49 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: 12DATE:
10/14/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Melinda ArsenioTIME COMPLETED:
02:30 PM
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On October 14, 2021, at approximately 12:45PM, Licensing Program Analyst (LPA) Winnie Ly conducted a Case Management Visit. The purpose of the inspection is to remeasure the facility to calculate capacity due to additional furnishing/equipment has been added since original licensure. LPA 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 12 children. During today's visit the facility was measured and the usable space is 864.65 square feet allowing for a total capacity of 24 children. A new Fire Clearance Request will be initiated to allow 24 children to be present at facility.

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 will email to Director whose signature on this form confirm have read these reports. Notice of Site Visit will also be emailed to Director. 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
SUPERVISOR'S NAME: Ali ZebilaTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Winnie LyTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 10/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2021
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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