384003012-2-22-2022-05-CC-LGOZ-CBVRGT-20220222120117

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 384003012
Report Date: 02/22/2022
Date Signed: 02/22/2022 12:01:28 PM

Document Has Been Signed on 02/22/2022 12:01 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:	SUNSHINE PRESCHOOL CENTER		FACILITY NUMBER:	384003012
ADMINISTRATOR:	AZAR, NAIFEH		FACILITY TYPE:	850
ADDRESS:	650 ANDOVER STREET		TELEPHONE:	(650) 291-0512
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94110
CAPACITY:	30	CENSUS: 1	DATE:	02/22/2022
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Nancy Azar		TIME COMPLETED:	12:15 PM

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On 2/22/2022 at 9:00A.M., Licensing Program Analyst (LPA) Luis J. Gomez met with Licensee, Nancy Azar at the facility. Purpose of inspection was explained and was for Case Management inspection to add Toddler Option component to existing preschool license. Facility requested to designate lower classroom area as the toddler space. Present during inspection was the licensee caring for one child. Child present is preschool age. Toddler option request was submitted to the Department on 2/10/2022. LPA Inspected facility, inside and outside, with licensee for health and safety hazards.

LPA measured lower classroom, designated for the toddler component: Area totals 180sq. ft., with total useable indoor square footage of 177 sq. ft. Useable space, divided by 35 sq. ft. equals 5 children. Per licensee, toddler option will share bathroom with the preschool.

Classroom was observed clean with age appropriate toys and equipment. There were several cubbies for children's belongings. All furnishing and equipment was safe and in good repair. Licensee had child size tables and chairs for snack and activities. All accessible garbage cans with tight fitting lids and outlets had been covered. All accessible sinks deliver water, no warmer than 120 degrees. Shared bathroom is equipped with 2 sink and 3 toilet. Diaper changing table was located next to children’s bathroom.

Classroom was equipped with a first aid kit. Facility is equipped with fire extinguisher (3A:40BC), smoke detector, carbon monoxide (CO) detector. (REFER TO 809C FOR CONT.)

SUPERVISOR'S NAME: Cindy Interiano	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 02/22/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2022

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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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: SUNSHINE PRESCHOOL CENTER	FACILITY NUMBER: 384003012
	VISIT DATE: 02/22/2022

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(PAGE 2)

Outdoor play area measured during inspection and total is 501sq. ft. The total usable space is 470Sq. Ft. divided by 75 sq. ft. allows for groups of 6 children. LPA reminded licensee that the toddler's outdoor equipment must be age appropriate. The outdoor area surface is observed clean and in good condition. Per licensee, facility will implement outdoor play schedule, keeping the toddler children separate from the preschool. Artificial turf has been installed for added safety. There are no climbing structures in outdoor play space. Water services will be made accessible to day-care children with the use of pitchers of fresh water and refillable water bottles.

Licensee understands required age range for the toddler option, 18 to 36 months old, and that child's authorized representatives must provider written permission for participation in toddler option component. Ratio and staffing requirement for the toddler option was discussed with licensee.

During inspection, LPA reviewed with licensee: Care and Supervision of the Children, Child Discipline Procedures is redirection and choices, Emergency Evacuation Procedures, Isolation of Sick Children, Napping Requirements, Food Service, Transportation-none provided, Parents Rights, and Reporting Requirements.

Required postings were observed during inspection. Facility will conduct monthly disaster drills every six months, and log will be maintained.

Licensee understands preschool and toddler option children cannot commingle at any time in bathroom. Licensee understands that children in must be kept physically separation from the preschool age children. Licensee understands that the toddler option children cannot commingle on the preschool in the outdoor space. Food service was discussed and will not be provided by the center. LPA reminded licensee that all children's food containers, brought from home must be properly labelled

(REFER TO PAGE 3, FOR CONT.)

SUPERVISOR'S NAME: Cindy Interiano	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 02/22/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2022

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: SUNSHINE PRESCHOOL CENTER	FACILITY NUMBER: 384003012
	VISIT DATE: 02/22/2022

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Facility provides Incidental Medical Services – IMS. LPA reviewed storage area for medication and equipment/supplies, and reviewed forms that will be used. For IMS information see Title 22 Regulations 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

Prior to recommendation for approval of toddler option component, facility must complete the following:-

Install child safe gate to create physical separation from preschool classroom
Move Diaper changing table inside designated toddler area
Receive Fire Clearance Approval for requested age group
Submit Updated LIC200A
Submit Letter of Intention
Submit Outdoor Play Schedule (Toddler/ Prek)
Submit Bathroom Plan for Toddler Option
Submit Activity Schedule for Toddler Program

Based on today’s inspection, no deficiencies were cited in areas evaluated according to Title 22, Code of Regulations. This report and rights to comment and appeal were discussed. This report must be available in the facility for public review. Notice of site inspection was posted. Facility 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: Cindy Interiano	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 02/22/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2022

LIC809 (FAS) - (06/04)

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