384002718-7-24-2024-05-CC-LGOZ-D7GVQZ-20240724163909

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 384002718
Report Date: 07/24/2024
Date Signed: 07/24/2024 04:39:34 PM

Document Has Been Signed on 07/24/2024 04:39 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 CC RO, 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: 29	DATE:	07/24/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:05 PM
MET WITH:	Amada Narvaez, Blanca Velasquez		TIME COMPLETED:	04:50 PM

NARRATIVE

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On 7/24/2024 at 1:05PM., Licensing Program Analyst (LPA), Luis Gomez met with Director, Amada Narvaez. The purpose of today's visit was explained and was for an Unannounced, Annual Random inspection. Facility is licensed to operate a preschool program. Regional Manager, Blanca Velasquez arrived during inspection. Present was director and 10 staff supervising 29 children. Personnel have criminal record clearances on file. Children present had been signed-in by their guardian. The program utilizes three classrooms: #1, Sunshine; #2, Caterpillar; and #3, Seeds and two Outdoor Play Yards (North and South). Posted waiver for rotational use of outdoor space was observed in facility lobby. Per director, program operates year around. LPA inspected facility, indoors and outdoors, for health and safety hazards.

At 1:10PM., LPA observed the following: Classrooms were clean, neat, with age-appropriate materials and supplies available for the children. Floor and ground surfaces are clear of obstructions or hazards. Classrooms were equipped with tables and chairs, scaled to the proper size, and labeled cubbies for storage.

Children’s bathrooms were observed clean with fixtures in operating condition. Classrooms had additional drawers and cabinets for extra supplies and teacher belongings. For trash and solid waste, trash bins are available with proper covering.

For scheduled rest/ napping services, facility has stackable cots, labeled with each child’s name in hallway. Per director, napping linens are washed weekly by staff. (REFER TO 809C, FOR CONT.)

SUPERVISOR'S NAME: Marie Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 07/24/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2024

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 CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: MISSION NEIGHBORHOOD CTRS, INC. CENTRO DE ALEGRIA	FACILITY NUMBER: 384002718
	VISIT DATE: 07/24/2024

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(Page 2)
Classrooms had ventilation; lighting; and was a comfortable temperature. Facility had a functioning telephone service; carbon monoxide (CO) detector; and fully charged fire extinguishers: 2A:10BC. Per director, smoke detector system is built in.

At 1:45PM, LPA reviewed the north and south, outdoor play areas. LPA observed climbing structure had was securely anchored, with an absorbent rubber flooring installed for added safety. Per director, refillable bottles are available for the children to drink water as they wish. Outdoor play yards were enclosed with shaded rest areas, plaything in proper repair.

At 1:50PM., Based on observation, LPA observed broken hinges on two storage bins/ bench in North Play Yard. Advisory Note: Technical Violation (LIC9102TV) was issued.

The food preparation area/ kitchen was reviewed by LPA during inspection. Kitchen area was observed clean, free of any litter or rubbish.

At 2:05PM., LPA reviewed facility records including a sample of the children and personnel files. The personnel files reviewed contained staff’s: Teacher Qualifications; Notice of Employee Rights (LIC9052); Acknowledgement to Report Suspected Child Abuse (LIC9108); and Personnel Record.

LPA discussed with director requirement for all staff to renew their required 'Mandated Reporter Training’ course (AB1207). Advisory Note: Technical Violation (LIC9102TV) was issued.

Children’s files were reviewed and contained the: Identification and Emergency Information (LIC700); Notification of Parent’s Rights (LIC995); Consent for Emergency Medical Treatment (LIC627); Immunization Record; and Personal Rights (LIC613A). (REFER TO 809C, FOR CONT.)

SUPERVISOR'S NAME: Marie Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 07/24/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2024

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 CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: MISSION NEIGHBORHOOD CTRS, INC. CENTRO DE ALEGRIA	FACILITY NUMBER: 384002718
	VISIT DATE: 07/24/2024

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Staff’s Cardiopulmonary Resuscitation / First Aid certification expires on: 7/2025.
Facility is conducted required emergency disaster drills every six months, with last drill (Fire Drill) completed on 7/9/2024.

LPA observed required postings including the: Facility License; Notification of Parent’s Rights (PUB394); Personal Rights (LIC613A); Passenger Safety Laws (PUB269); Outdoor Space Waiver; Menu; and Emergency Disaster Plan (LIC610).

Assembly Bill (AB) 2370, chapter 676, statues 2018 requires all licensed child care centers (CCC’s) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and every five years after the date of the first test.

LPA verified that the lead testing was completed in accordance with the Written Directives outlined in PIN21-21- CCP.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02CCP. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website athttps://www.cdss.ca.gov/inforesources/community-carelicensing/subscribe and select the Child Care option to receive email communication. (REFER TO 809C, FOR CONT.)

SUPERVISOR'S NAME: Marie Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 07/24/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2024

LIC809 (FAS) - (06/04)

Page: 5 of 6

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

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

FACILITY NAME: MISSION NEIGHBORHOOD CTRS, INC. CENTRO DE ALEGRIA	FACILITY NUMBER: 384002718
	VISIT DATE: 07/24/2024

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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. An exit interview discussing the facility evaluation report was conducted with director, Amada Narvaez. Director’s signature on this form acknowledges receipt of these documents.

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

SUPERVISOR'S NAME: Marie Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 07/24/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2024

LIC809 (FAS) - (06/04)

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