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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004171
Report Date: 10/18/2019
Date Signed: 10/25/2019 06:05:26 AM

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:SOUTH OF MARKET CHILD CARE-TRANSBAY CDCFACILITY NUMBER:
384004171
ADMINISTRATOR:MOFAKHAM, NOUSHINFACILITY TYPE:
850
ADDRESS:220 BEALE STREETTELEPHONE:
(415) 820-3500
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94105
CAPACITY:60CENSUS: DATE:
10/18/2019
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Noushin MofakhamTIME COMPLETED:
02:00 PM
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Licensing Program Analyst (LPA) Pandora Huffman-Smith met with the applicant, Noushin Mofakham, today for a pre-licensing inspection. Also present is the site director and financial manager. The applicant is requesting a capacity of 60 children (48 preschool ages 2-6 and 12 toddlers ages 18-36 months). The facility will operate Monday - Friday from 7:30 AM to 6:00 PM. The facility was inspected today, indoor and outdoor, for health and safety hazards and measured to calculate capacity.

Indoor: There are 5 areas for child care (Classroom A, B, Atelier, and Piazza/Town Square) which will be used for preschool children and (Classroom C) for toddlers. The areas measure a total of 2714 square feet allowing for a capacity of 77 children. The facility appears to be clean, safe and equipped with fire extinguishers, smoke and carbon monoxide detectors, first aid kits, emergency supplies, toys and other equipment for children. There is also a kitchen for food preparation, a staff lounge, and directors office with an attached meeting/conference room. The facility is furnished and all equipment appears to be safe and in good condition. There is a bathroom between preschool classrooms A and B that is equipped with 3 toilets, a water table with 3 faucets, and 2 troth style sinks with 2 faucets in each. There is a second bathroom in the toddler classroom that is equipped with 1 toilet and a troth style sink with 2 faucets. There is a changing table in the toddler bathroom and is within arms reach of a sink for diaper changing. There is an additional troth sink in the toddler classroom with 2 faucets. There is an additional sink between preschool classroom B and the atelier and another sink between the preschool bathroom and classroom A. Total sinks (14) total toilets (4). There are 2 additional bathrooms in the front portion of the facility for staff usage. Classrooms will have pitchers and cups to provide drinking water to children. Isolation for ill children will be either in the staff lounge or the meeting/conference room which is adjacent and connected to the directors office. One of the staff bathrooms will be used for ill children, if needed, until parent arrives for pick up. All toxins and other hazardous items will be stored in the children's bathroom that is inaccessible to children. There is also a janitorial closet for additional cleaning supplies. Medications will be stored either in the director's office or the kitchen if refrigeration is required.

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SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Pandora Huffman-SmithTELEPHONE: (650)266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 10/18/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2019
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: SOUTH OF MARKET CHILD CARE-TRANSBAY CDC
FACILITY NUMBER: 384004171
VISIT DATE: 10/18/2019
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Outdoor: The outdoor area measures a total of 1458 square feet allowing for 19 children. The outdoor area appears to be clean, safe and equipped with toys and equipment for children. The entire outdoor play area is cushioned and there is shading provided for children. Pitcher and cups will be provided outdoor for children's drinking water. No apparent health and safety risks were observed.

The applicant states that disaster drills will be conducted and logged monthly. The fire inspection was conducted and received in the San Bruno office as of September 19, 2019.

This facility will provide Incidental Medical Services – IMS. LPA reviewed location for storage of medication and equipment/supplies. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers 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

A plan of operation for incidental medical services (IMS) was received during today's inspection.

The following is required prior to licensure:
  • An amended LIC 200A, Application, is required. Ages of toddlers should be 18-36 months and preschool should be 2-6 years.
  • A waiver for scheduled and shared usage of the outdoor play area is required along with a schedule for usage.
  • Facility posting are required.
  • Cubbies for children's personal belongings are required.



Facility will be approved for licensure upon receipt of requested corrections.

Proof of corrections can be emailed to LPA.
SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Pandora Huffman-SmithTELEPHONE: (650)266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 10/18/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2019
LIC809 (FAS) - (06/04)
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