384002725-7-17-2019-05-CC-BVAN-BE6PVW-20190717113950

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 384002725
Report Date: 07/17/2019
Date Signed: 07/17/2019 11:39:55 AM

COMPREHENSIVE INSPECTION

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:	KAI MING RAINBOW INFANT/TODDLER CENTER		FACILITY NUMBER:	384002725
ADMINISTRATOR:	CHIU, SHIRLEY		FACILITY TYPE:	830
ADDRESS:	799 PACIFIC AVENUE		TELEPHONE:	(415) 982-4777
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94133
CAPACITY:	22	CENSUS: 11	DATE:	07/17/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Lei Iok		TIME COMPLETED:	11:40 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 Van conducted an announced random annual inspection and met with Site manager, Iok Lei. LPA explained the purpose of the visit. There are 6 staff and 11 infant present today and separated by age group. Facility manager, Susanna Leung arrived during the inspection. This is an infant program with toddler component. Facility meets Teacher/Child ratio. LPA observed that facility has an electronic sign in / out with full legal signatures from parent or authorized representative. LPA along with site manager inspected the center for health and safety hazards. The center is clean and orderly. Heating, lighting, and ventilation are adequate. There are no pools, spas or other bodies of water on the premises. Per director, there are no firearms or weapons at the center. All cleaning supplies or other potentially harmful items are stored inaccessible to the children. The furniture and equipment are in good repair and is free from loose sharp or pointed parts. All solid waste storage containers have tight fitting lids. The facility has more than one carbon monoxide detector and has a centralize smoke alarms installed. Classrooms are equipped with fully supplied First Aid. Outdoor play areas are in good repair and free of hazards. There are age appropriate toys and learning materials available for children. LPA observed the diaper changing tables have at least 1" thick padding covered with vinyl, and with sides raised to at least minimum of 3". The changing tables are within arm’s reach of the sink and disposable paper-roll is used to clean after each use. There is separate napping area for children to nap or rest without distraction or disturbance. There is sufficient sleeping equipment, cribs and cots are use and available for each child present. There is a staff present in a designated area visually observing children in the napping area. Mats and beddings are stored properly. There is a separate, clearly labeled storage for each child's clothing. LPA did not observe any walkers, bouncers or other similar items in the day care. Continue on the next page......................

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon Van	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 07/17/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2019

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: KAI MING RAINBOW INFANT/TODDLER CENTER	FACILITY NUMBER: 384002725
	VISIT DATE: 07/17/2019

NARRATIVE

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This center provides Incidental Medical Service (IMS). LPA reviewed storage and paperwork requirements with staff. LPA received an IMS plan from site manager. There are schedule posted at least one week in advance and are visible to the child's authorized representative. The food prep area is clean and organized with food stored appropriately, Per site manager Lunch is delivered from Chefables. Per director, Infant and Service Plan are conducted once every quarter and are kept in a separate binder from the children's files.

LPA reviewed the staff’s and children’s records. A sample of children's files were reviewed and found to have medical assessments, needs and services and feeding plans and signed admission agreements. Staff files are organized, complete, and have documentation of education credits. Multiple staff members have record of valid Pediatric First/Aid and CPR card in files and have documentation of immunization for Measles, Pertussis and Influenza. LPA also observed facility has posted the required forms (i.e. License, menus, waivers, Notification of Parent's Rights, Notification of Personal Rights, Car Seat Law, and Emergency Disaster Plan). Site manager states Fire and Earthquake drills are done every month, last fire drill was logged on 6/21/19.

No deficiencies are cited today. The copy of this report is reviewed and provided to the director. Notice of site visit is posted and shall remain posted for next 30 days.

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon Van	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 07/17/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2019

LIC809 (FAS) - (06/04)

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