384002718-5-10-2023-05-CC-LGOZ-CRPR9M-20230510124945

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 384002718
Report Date: 05/10/2023
Date Signed: 05/10/2023 12:49:57 PM

Document Has Been Signed on 05/10/2023 12:49 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 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: 37	DATE:	05/10/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:50 AM
MET WITH:	Ana Irma Ramos, Blanca Velasquez		TIME COMPLETED:	01:00 PM

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	On 5/10/2023 at 8:50AM., Licensing Program Analyst (LPA), Luis J. Gomez met with Lead Teacher, Ana Irma Ramos. Purpose of inspection was explained and was for an Unannounced, Annual Random inspection. Facility is licensed to operate preschool-age program. Regional Manager, Blanca Velasquez arrived during inspection. Present was the regional manager and 11 staff supervising 37 children. Children present had been properly signed in. Staff's have criminal record clearances on file. Program utilizes three classrooms: Room #3, Seeds; Room #2, Caterpillars; and Room #1, Sunshine; and two Outdoor Play Spaces, North and South Yard. Outdoor space waiver was observed posted in facility lobby. Program operates year around. LPA inspected facility, indoors and outdoors, with director for health and safety hazards. At 9:05AM., LPA observed the following: Classrooms were clean, orderly, with age-appropriate playthings available for the children. Floor/ground surfaces were free of any obstructions. Labeled cubbies are available for storage of children's belongings. Furniture, shelves, supplies, inspected were free of sharp corners or splinters. Classrooms are equipped with child- sized tables and chairs for snack and seated activities. Children’s bathrooms are maintained clean with fixtures (5 toilets, 5 sinks) in operating condition. Staff bathroom is located separately. For napping services, labeled cots are stored in facility. Cots inspected were made of cleanable material. Per regional manager, napping sheets are washed weekly. Classrooms had acceptable ventilation and lighting. Disinfectants, toxins, and cleaning compounds have been stored inaccessible to children. Outlets and trash bins have coverings installed. Facility has built-in smoke detector, functioning carbon monoxide detector, telephone service, and fully charged fire extinguishers: 2A:10BC located in each classroom. First aid kit was reviewed and is fully stocked. At 9:45AM, LPA inspected the outdoor play areas. Play yards were completely enclosed. Outside playthings were in good repair. Rubber padding had been installed around structure for added safety. Structure was properly anchored. Shaded rest area is available for children. For water services, refillable bottles and cups with pitchers are provided for children outside and inside. Water fountains are also available. LPA inspected kitchen/ food storage area. Per regional manager, food is delivered daily. Food items inspected were current, and correctly stored. Area was clean and free of trash or rubbish. (REFER TO 809C, FOR CONT.)

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 05/10/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/10/2023

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
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: MISSION NEIGHBORHOOD CTRS, INC. CENTRO DE ALEGRIA	FACILITY NUMBER: 384002718
	VISIT DATE: 05/10/2023

NARRATIVE

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At 10:15AM LPA reviewed facility records including four children’s files and five personnel files. Staff’s files contained the: Notice of Employee Rights (LIC9052); Education Verification; and Personnel Record (LIC501).

LPA reminded facility to ensure staff's updated the required “Mandated Reporter Training’ certifications (AB1207) are stored in personnel files. Advisory Note: Technical Violation (LIC9102TV) was issued.

Children’s files contained the: Consent for Emergency Medical Treatment (LIC627); Immunization Records, Identification and Emergency Information (LIC700); Personal Rights (LIC613A); and Notification of Parent’s Rights (LIC995).

Staff member had their current ‘Cardiopulmonary Resuscitation and First Aid’ certification, which expires on: 6/2023.

Emergency disaster drill are conducted on-site, with the last drill completed on 5/10/2023, properly logged.

LPA observed required posting in facility, including the: Facility License; Notice of Parent’s Rights (PUB394); Emergency Disaster Plan (LIC610); Earthquake Preparedness Checklist; May Lunch Menu; Outdoor Space Waiver; and Child Passenger Safety Laws (PUB369).

LPA reviewed children’s medication, with the ‘Incidental Medical Services’ (IMS) plan stored in each files.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manuel – Regulations Interpretations and Procedures for Child Care Centers Section 101173 and 101226. When an IMS is provided, an updated Plan of Operations that includes IMS must be submitted to the Department. Following information regarding ADA was provided: US Department of Justice (USDOJ) toll- free ADA information line at (800) 514- 0382 (TTY) and link to publications: Commonly asked questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

Regional manager was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in Child Care Center. A civil penalty of $100.00 minimum/ day up to $500.00 maximum per day/per person will be assessment if this regulation is violated. (REFER TO 809C, FOR CONT.)

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 05/10/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/10/2023

LIC809 (FAS) - (06/04)

Page: 3 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: MISSION NEIGHBORHOOD CTRS, INC. CENTRO DE ALEGRIA	FACILITY NUMBER: 384002718
	VISIT DATE: 05/10/2023

NARRATIVE

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Based on today's inspection, no deficiencies were observed in the areas evaluated according to the Title 22 Division 12 Chap. 1 Ca. Code of Regulations. Exit interview and report was discussed with Regional Manager, Blanca Velasquez and administrator's signature of this form acknowledges receipt of these documents.

This report must be made available in the facility for public review. Notice of site visit was provided and must remain posted for 30 days. Director was advised any additional questions to call office, M-F, 8am-5pm, 650-266-8800 or 1-844-538-8766. Website: www.ccld.ca.gov

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 05/10/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/10/2023

LIC809 (FAS) - (06/04)

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