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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004147
Report Date: 09/29/2019
Date Signed: 10/03/2019 03:04:48 PM

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:PEEKADOODLE ACADEMY PRESCHOOLFACILITY NUMBER:
384004147
ADMINISTRATOR:STODDARD, STEFANIEFACILITY TYPE:
850
ADDRESS:4228 GEARY BLVDTELEPHONE:
(415) 440-7335
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94118
CAPACITY:60CENSUS: DATE:
09/29/2019
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
07:00 PM
MET WITH:Ellen ParkTIME COMPLETED:
08:20 PM
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Licensing Program Analyst (LPA) Pandora Huffman-Smith met with the applicant today for a follow up pre-licensing inspection. This is a relocation from 900 North Point Street in San Francisco. The facility was inspected today, indoor and outdoor, for health and safety hazards and measured to calculate capacity.

Indoor: The total square footage for the indoor space is 2616 square feet allowing for a capacity of 74 children. The facility is equipped with a fire extinguisher, smoke and carbon monoxide detectors, first aid kits, mats for napping, and changing table in the toddler bathroom Isolation for ill children will be in the directors office and the staff bathroom will be used if needed until parent arrives for pick up.

Outdoor: The outdoor was measured and is 1948 square feet allowing for 25 children. LPA advised that a waiver will need to be requested for shared and scheduled usage of the outdoor play area.

LPA received an amended LIC 200A (Application) today.

A provisional license will be issued for 30 days due to updated paperwork is required
SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Pandora Huffman-SmithTELEPHONE: (650)266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 09/29/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2019
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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