384003091-7-11-2022-05-CC-HLEG-CG8VGT-20220711162603

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 384003091
Report Date: 07/11/2022
Date Signed: 07/11/2022 04:26:09 PM

Document Has Been Signed on 07/11/2022 04:26 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:	SFUSD-TULE ELK PARK AT MARINA EARLY EDUCATION		FACILITY NUMBER:	384003091
ADMINISTRATOR:	KATHLENE DOMINGUEZ		FACILITY TYPE:	850
ADDRESS:	1950 CHESTNUT STREET		TELEPHONE:	(415) 749-3551
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94123
CAPACITY:	96	CENSUS: 23	DATE:	07/11/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Leonida Avenis		TIME COMPLETED:	04:25 PM

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On 7/11/2022, Licensing Program Analysts (LPAs), Hanson Leong and Nathan, made an unannounced annual visit to the SFUSD Tule Elk Park facility. LPAs were granted entry by the secretary, Amy Fung. LPAs explained the purpose of the visit to the Lead Teacher, Leonida Avenis. All facility’s staff members have had their criminal background checks cleared by the San Francisco Unified School District. LPAs observed four teachers and four paraprofessionals supervising twenty-three children. From Monday to Friday, the hours of operation are 7:30 am. to 5:30pm.

LPAs and the lead teacher thoroughly checked the facility for potential health and safety hazards. Toys, furniture, and learning materials are all age appropriate in all classrooms. LPAs observed that the outside furniture and play structures are in excellent condition. Rubberized cushions surround the outdoor play structures, absorbing any accidental falls. Cots are provided for children to use while napping. LPAs observed that there were no bodies of water at the facility. All cleaning products, poisons, and other hazardous chemicals have been kept out of reach of children. The facility has smoke detectors, carbon monoxide detectors, fully charged fire extinguishers, centralized smoke alarms, and working phones. According to the director, there are no firearms or weapons in the facility.

LPAs observed that the facility posted the required documents. (i.e., license, waivers, notification of parental rights, notification of personal rights, car seat law, emergency disaster plan, and daily activities).

LPAs reviewed the records of ten children. All required forms were in the children’s file. The program uses a sign in / out sheet for authorized individuals to sign their children in and out. Children have the option of bringing their own food or receiving food from the facility's catering company.

LPAs reviewed the records of eight staff members. All required forms were in the staff files. ***See Page 2 for continuation***

SUPERVISOR'S NAME: Daniel J Oquendo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Hanson Leong	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 07/11/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2022

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: SFUSD-TULE ELK PARK AT MARINA EARLY EDUCATION	FACILITY NUMBER: 384003091
	VISIT DATE: 07/11/2022

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Continued, Page 2

A review of staff records revealed that five of the staff members are currently certified in CPR and First Aid.

According to the Lead Teacher, the Center simulates fire and earthquake drills monthly. . The last fire and earthquake drill were conducted on 7/6/2022.

Licensee was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Incidental Medical Services (IMS) policy was discussed. For IMS information, see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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)/ (800) 514-0383 (TTY) and link to the publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

LPAs encouraged the Director to frequently visit the Licensing website at www.ccld.ca.gov for licensing regulations and new updates. Licensee can also email at childcareadvocatesprogram@dss.ca.gov and ask to be added to the email list for the updates.

A copy of this report, and the “Notice of Site Visit” were given to the Lead Teacher.

A Notice of Site Visit must remain posted for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

An exit interview was conducted, and the report was reviewed with the Lead Teacher, Leonida Avenis

SUPERVISOR'S NAME: Daniel J Oquendo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Hanson Leong	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 07/11/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2022

LIC809 (FAS) - (06/04)

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