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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384003038
Report Date: 08/31/2022
Date Signed: 08/31/2022 10:48:57 AM


Document Has Been Signed on 08/31/2022 10:48 AM - 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:SWEET PEAS PRESCHOOLFACILITY NUMBER:
384003038
ADMINISTRATOR:DIONNE, SAMANTHAFACILITY TYPE:
850
ADDRESS:1647 VALENCIA STREETTELEPHONE:
(415) 637-0796
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94110
CAPACITY:40CENSUS: 0DATE:
08/31/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:Rebecca WongTIME COMPLETED:
11:05 AM
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On 8/31/2022 at 10:10AM., Licensing Program Analyst (LPA) Luis J. Gomez met with Lead Teacher, Rebecca Wong. Purpose of the inspection was explained and was for an unannounced; plan of correction inspection. Present were six staff and no children. Per lead teacher, site is closed today for staff in-service. LPA inspected facility for health and safety hazards.

During inspection, LPA reviewed facility records. Staff members (S4, S5) have renewed the required mandated reporter training certifications (AB1207). Per Director, staff member (S2) will not be returning.

Deficiency issued on 7/21/2022, has been cleared and ‘Cleared Plan of Correction Letter’ was provided.

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 Lead Teacher, Rebecca Wong 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. Website: www.ccld.ca.gov
SUPERVISOR'S NAME: Cindy InterianoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis GomezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 08/31/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/31/2022
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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