384004173-10-4-2021-05-CC-JSAI-C74TBJ-20210922143514

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 384004173
Report Date: 09/22/2021
Date Signed: 10/04/2021 02:05:17 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:	SHINING STAR BILINGUAL MONTESSORI		FACILITY NUMBER:	384004173
ADMINISTRATOR:	WANG, FEIFEI		FACILITY TYPE:	850
ADDRESS:	610 20TH STREET		TELEPHONE:	(415) 881-1883
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94107
CAPACITY:	44	CENSUS: 8	DATE:	09/22/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Edna Herrin		TIME COMPLETED:	03:00 PM

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Licensing Program Analyst (LPA) Jyoti Saini met with Facility Representative Edna Herrin for an unannounced Annual Random Inspection. LPA disclosed the purpose of the inspection and was granted entry into the facility. In addition to the In charge person, there are 8 children and 1 staff present today. The facility operates Monday - Friday from 7:30 AM to 5:30 PM. The Facility is currently operating on first floor only. The facility was inspected indoor and outdoor today for health and safety hazards and the following was observed;

The facility has multiple working smoke and carbon monoxide detector, a fully charged fire extinguisher, and a working telephone available. There are no bodies of water, firearms, or weapons on the premises. The center is in good condition with proper temperature and ventilation and is free of any hazards. All furniture is in good repair. The Center has age-appropriate toys and equipment. A first aid kit is available in the facility. The play area appears to be clean and there is sufficient cushioning underneath the play structure. There is one bathroom on the first floor that is equipped with 3 toilets and 3 sinks and another bathroom on the second floor that is equipped with one toilet and one sink. A separate staff restroom is on the site. Parents provide Lunch for the children and the facility provides snacks. There is drinking water readily available for children. The facility has appropriate postings. LPA reviewed sign-in and out sheet. The center has a complete record of sign-in/out sheets by an authorized pick up person.

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SUPERVISOR'S NAME: Alma Malig	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Jyoti Saini	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 09/22/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2021

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: SHINING STAR BILINGUAL MONTESSORI	FACILITY NUMBER: 384004173
	VISIT DATE: 09/22/2021

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LPA reviewed files for children and staff. All children have a record of emergency identification information on file. The site Director has a current Pediatric First Aid/CPR certificate on file. All staff has taken CPR and Mandated Reporter training.

During inspection,

Facility representative 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.

LPA discussed the safe sleep regulations with facility representative and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed facility representative of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment

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 notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the facility representative Edna Herrin.

SUPERVISOR'S NAME: Alma Malig	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Jyoti Saini	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 09/22/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2021

LIC809 (FAS) - (06/04)

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