384004021-3-5-2020-05-CC-BVAN-BMET6T-20200305132740

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 384004021
Report Date: 03/05/2020
Date Signed: 03/05/2020 01:27:48 PM

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:	CREATIVE MONTESSORI PRESCHOOL		FACILITY NUMBER:	384004021
ADMINISTRATOR:	YANG, YANG		FACILITY TYPE:	850
ADDRESS:	3101 VICENTE STREET		TELEPHONE:	(415) 661-2828
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94116
CAPACITY:	52	CENSUS: 50	DATE:	03/05/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:20 AM
MET WITH:	Yang Yang		TIME COMPLETED:	01:50 PM

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	On March 5, 2020, at 11:20 am, Licensing Program Analyst (LPA) Van met with the Director, Yang Yang, for an unannounced annual inspection. The purpose of the inspection was explained and was granted entry to the facility by the Director. The facility is a preschool program, present today are 7 teachers supervising 50 children. The facility is in compliance with the staff/children ratios today. Days and hours of operations for the preschool are from Monday - Friday 7:00 am – 6:00 pm. At 11:25 am, LPA, along with the Director, inspected the facility for health and safety hazards. The center is clean, safe, sanitary, and in good repair. LPA observed that the facility has two electronic sign-in / out near the entrance for the parent or authorized representative to sign the children in. Per the Director, the parent was provided with a sign/in and out code to use when signing in or out. There are age-appropriate toys and learning materials available for children. All furniture and equipment are in good condition, free of sharps, loose or pointed parts. LPA observed no pools, spas, or other bodies of water at the facility. All disinfectants, cleaning solutions, poisons, and other items that are dangerous to children are locked and stored inaccessible to children. The facility has a centralized smoke alarm, fully charged fire extinguisher, carbon monoxide detector, and a working telephone at the site. The facility has a total of 4 toilets and 4 sinks for children, and there is a separate toilet for staff usage; all toilets and sinks are in safe and sanitary operating conditions. All medications are centrally stored, maintained with the child’s name, and are appropriately dated. The outdoor playground area is in good repair. Play structures are free of any loose parts. Per the Director, the sandbox is inspected daily before children play. The 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). Per the Director, there are no firearms, weapons, or pets at the center; the center provides breakfast, lunch, and afternoon snack for children. The center has a water dispenser for children to use indoor, and for outdoor, staff will bring water pitchers and cups for children. The food preparation area is clean, organize, and foods store appropriately. Sleeping cots are appropriately stored. Per the Director, children blankets return to the parent to wash every Friday, and parents bring back on Monday.

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon Van	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 03/05/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2020

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 2

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: CREATIVE MONTESSORI PRESCHOOL	FACILITY NUMBER: 384004021
	VISIT DATE: 03/05/2020

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
26
27
28
29
30
31
32

LPA reviews the children and staff’s files, Care and Supervision of the Children, and Medication Policies. A review of staff records during today’s visit indicates that all staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. All staff have a record of valid Pediatric FirstAid/CPR card in file. Also, all staff have the required immunization and verification of the mandated child abuse reporting training as compliant with AB1207.

LPA reminded the Director that as of September 1, 2016. A person may not be employed or volunteer at a childcare facility unless he or she has been immunized against influenza, pertussis, and measles.

LPA reviewed AB 1207 with Director. As of January 1, 2018, all staff is required to complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com.

ADA information 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. Pesticides training was also discussed (Information on the DPR website at www.cdpr.ca.gov/shoolipm/childcare). Incidental Medical Services (IMS) Plan was also discussed with the Director.

During the inspection, LPA obtained an up today Emergency Disaster Plan (LIC 610), Personnel Report (LIC 500), and the Designation of Administrative Responsibility (LIC 308). LPA also went over the Child Care Center checklist and provided a copy to the staff during the inspection for reference in the future inspection.

No deficiencies were observed today. A copy of this report was reviewed and provided to the licensee. Notice of Site Visit was observed to be posted and shall remain posted for 30 days.

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon Van	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 03/05/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2020

LIC809 (FAS) - (06/04)

Page: 2 of 2