384002718-8-14-2019-05-CC-FBTQ-BF2P5B-20190814110028

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 384002718
Report Date: 08/14/2019
Date Signed: 08/14/2019 11:00:37 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:	MISSION NEIGHBORHOOD CTRS, INC. CENTRO DE ALEGRIA		FACILITY NUMBER:	384002718
ADMINISTRATOR:	NARVAEZ, AMADA		FACILITY TYPE:	850
ADDRESS:	1245 ALABAMA STREET		TELEPHONE:	(415) 285-9662
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94110
CAPACITY:	55	CENSUS: 39	DATE:	08/14/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:20 AM
MET WITH:	Amada Narvaez		TIME COMPLETED:	11:30 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) Farhan Bashir-Tariq met with Director, Amada Narvaez, for an annual inspection. Purpose of the inspection was explained. Present, there were 39 children with 9 teachers and the Director. Facility is operating within the capacity and in compliance with staff child ratio on this day. Facility operate day care from Monday to Friday between 8 AM to 5:30 PM. Facility runs the day care program in 3 classrooms. LPA and Director inspected the facility indoors and outdoors for Health and Safety Hazards. LPA inspected the kitchen area and observed menus were posted on the refrigerator door. All poisons and chemical were stored in the kitchen cabinet under the sink. Access to kitchen has been barricaded with a baby gate from the classroom side and with a locked door on the other side. The kitchen appeared clean and sanitary and the food was orderly and properly stored. Per Director there are no firearms or weapons on the premises. Per Director, there are no bodies of water on the premises. The facility is equipped with multiple carbon monoxide detectors and fully charged fire extinguishers that meet minimum size requirements. Facility has a fire protection system installed in the building. The classrooms were clean and orderly. LPA observed a sufficient amount of learning materials and age appropriate furniture that were available to the children. The bathroom appeared clean and sanitary. Trash receptacles had tight fitting lids in well repair. LPA observed drinking water was available to the children in play yard. The outdoor play yards were free from hazards. LPA observed sufficient amount of cushioning around the climbing structure. Children records did have admission agreements available for review as well as current immunization records. Parents’ rights notifications slip, and personal rights slips were signed and contained in the file. LPA observed current first aid/CPR certification on file for at least one teacher present on this day. All personnel files contained immunization records and proper education units. Continuation on next page...

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8867
LICENSING EVALUATOR NAME: Farhan Bashir-Tariq	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 08/14/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2019

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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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: MISSION NEIGHBORHOOD CTRS, INC. CENTRO DE ALEGRIA	FACILITY NUMBER: 384002718
	VISIT DATE: 08/14/2019

NARRATIVE

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This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm
LPA collected a copy of children's roster. Per facility's record, last emergency drill was conducted in July 2019. LPA reminded the Director that as of September 1, 2016, a person may not be employed or volunteer at a child care facility unless he or she has been immunized against influenza, pertussis, and measles. LPAs observed the record of immunization for 3 of the staff present today.
LPA reviewed AB 1207 with the director. As of January 1, 2018, all staff is required to complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com. LPA observed the completion certificates in staff files.
LPA encouraged the director to frequently visit our website at www.ccld.ca.gov for licensing regulations and new updates. Facility can also email at childcareadvocatesprogram@dss.ca.gov and ask to be added to the email list for the updates.

>No deficiencies were cited today under Title 22 Division 12 of the California Code of Regulations.

This report and rights to comment and appeal were discussed with Licensee. This report must be available in the facility for public review. Notice of site visit shall be posted for 30 days from today's visit.
Licensee was advised for any additional questions to call Office, M-F, 8AM-5PM at 650-266-8800 . For Rules and Regulations, visit the Website: www.cdss.ca.gov

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8867
LICENSING EVALUATOR NAME: Farhan Bashir-Tariq	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 08/14/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2019

LIC809 (FAS) - (06/04)

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