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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384002760
Report Date: 11/21/2022
Date Signed: 11/21/2022 05:25:47 PM


Document Has Been Signed on 11/21/2022 05:25 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
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066



FACILITY NAME:BUENA VISTA CHILD CARE, INC.(SA)FACILITY NUMBER:
384002760
ADMINISTRATOR:SCHLICKER, SHERIFACILITY TYPE:
840
ADDRESS:1266 FLORIDA STREETTELEPHONE:
(415) 283-5545
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94110
CAPACITY:90CENSUS: 45DATE:
11/21/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
04:00 PM
MET WITH:Judith Diaz, Rochelle CeledonTIME COMPLETED:
05:40 PM
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On 11/21/2022 at 4:00PM., Licensing Program Analyst (LPA) Luis J. Gomez met with Director, Rochelle Celedon and Administrative Director, Judith Diaz. Purpose of the inspection was explained and was for an unannounced; Plan of Correction inspection. Present was the directors and 11 staff supervising and 45 children. LPA inspected facility, inside and outside, for health and safety hazards.

During today’s inspection, LPA performed site observations, record review and interviewed directors.

At 4:15PM., Based on record review and observations, LPA confirmed facility is operating within capacity limits stated on license.

The Department has received facility’s updated personnel roster (LIC500), with staff job titles. Per director, all qualified teachers have the proof of training hours and/or transcripts showing required units, in the facility files.

Director submitted proof of staff training agenda and sign-in sheet completed on 11/3/2022. Staff training conducted included review of proper staff-child supervision at all times. Per administrative director, training also reviewed staff's position designation.

Deficiencies from 10/26/2022, have been cleared and ‘Cleared Plan of Correction Letters’ were issued.

Based on today's inspection, no deficiencies were observed in the areas evaluated according the Title 22 Division 12 Ca. Code of Regulations. Exit interview was discussed with Director, Rochelle Celedon and signature of this form acknowledges receipt of these documents.

This report must be available in the facility for public review. Notice was provided and must remain posted for 30 days. Director was advised for additional questions to call CCL Office, M-F, 8am-5pm, 650-266-8800 or 1-844-538-8766.
SUPERVISOR'S NAME: Cindy InterianoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis GomezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 11/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/21/2022
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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