384004339-1-29-2021-05-CC-HRCO-BXQTT8-20210129140020

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 384004339
Report Date: 01/25/2021
Date Signed: 01/29/2021 02:00:46 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:	MISSION KIDS		FACILITY NUMBER:	384004339
ADMINISTRATOR:	MARCHIEL, CHRISTINA M.		FACILITY TYPE:	850
ADDRESS:	969 TREAT AVENUE		TELEPHONE:	(415) 970-9027
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94110
CAPACITY:	96	CENSUS: 0	DATE:	01/25/2021
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Christina Maluenda Marchiel		TIME COMPLETED:	02:45 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	Licensing Program Analyst (LPA) Haydee Caliboso met with Christina Maluenda Marchiel on 1/25/21 for a pre-licensing inspection. The applicant has requested a capacity of 96 children, ages 2 to entry to first grade. The facility is a 2-story building located on 969 Treat Ave. SF and will operate Monday - Friday; 8:30AM – 3:00PM. The designated Director for the facility is Christina Maluenda Marchiel. The facility was inspected today, indoor and outdoor, for health and safety hazards, and measured to calculate capacity. Indoor: There are 6 Classrooms and 1 Activity Room that will be used for the program and the following square footage was calculated for each room: Classroom (#1) 291 sq. ft. allowing for capacity of 8 children, Classroom (#2) 287 sq. ft. allowing for capacity of 8 children, Classroom (#3) 637 sq. ft. allowing for capacity of 18 children, Classroom (#4) 668 sq. ft. allowing for capacity of 19 children, Classroom (#5) 677 sq. ft. allowing for capacity of 19 children, and Classroom (#6) 646 sq. ft. allowing for capacity of 18 children, Activity Room 211 sq. ft. allowing for capacity of 6 children. The total indoor classroom area measures 3,417 sq. ft allowing for a total capacity of 96 children. The classrooms and furniture equipment are clean and in good condition. Children’s toys and supplies are orderly, in good condition, and age-appropriate. There is storage space for children's personal belongings and mats to be utilized for napping children. Parents will provide a sheet and blanket for their child. Bedding is sent home to be washed weekly or as needed. Mats will be cleaned daily or as needed. The classroom is equipped with a fire extinguisher, smoke, and carbon monoxide detectors. Continuation 809-C page 2.

SUPERVISOR'S NAME: Alma Malig	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Haydee R Caliboso	TELEPHONE: (650)266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 01/25/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/25/2021

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 3

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: MISSION KIDS	FACILITY NUMBER: 384004339
	VISIT DATE: 01/25/2021

NARRATIVE

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Each classroom has a kitchen area with a working refrigerator where snack food is stored. Each classroom has garbage cans with tight-fitting lids and a designated backpack with a first aid kit and emergency supplies. There is also a first aid kit and emergency supplies located in the front office area. Refrigerated medications will be stored separately from food. Medication will be administered with parental consent and will be kept in the child’s file for record. All medication will be logged when administered to children. The program will provide morning and afternoon snacks daily. Parents will provide lunch daily for children. Only disposable products will be used for food service.

Each of the 6 classrooms have sinks and toilets available for children to use. There are 8 toilets allowing for a capacity of 120 children, and 10 sinks allowing for a capacity of 150 children. The restrooms are clean and do not have any health or safety hazards. All cleaning supplies and hazardous items are stored in a locked cabinet made inaccessible to children. Isolation area for ill children is in the front office, and staff bathrooms will be used for ill children. There are designated restrooms for staff to use. Children will bring their own water bottle for indoor and outdoor use. In addition, pitchers of water and disposable cups will be provided and a water fountain is available for outdoor use.

Outdoor: There are 4 playground areas that will be used in the facility and the following square footage was calculated for each one. There are 2 playgrounds on the 1^st level and 2 playgrounds on the 2^nd level of the facility. Classroom #1 and #2 playground on the 1^st level is 413 sq. ft. allowing for a capacity of 5 children, and Main Preschool playground is 4,077 sq. ft. allowing for a capacity of 54 children. On the 2^nd level of the facility, Main Roof playground is 976 sq. ft. allowing for a capacity of 13 children, and Back Roof playground is 718 sq. ft. allowing for a capacity of 9 children. The outdoor area measures 6,184 sq. ft allowing for a capacity of 81 children. LPA advised that a waiver will need to be approved for outdoor scheduled rotation usage.
Cont. 809-C page 3.

SUPERVISOR'S NAME: Alma Malig	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Haydee R Caliboso	TELEPHONE: (650)266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 01/25/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/25/2021

LIC809 (FAS) - (06/04)

Page: 2 of 3

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: MISSION KIDS	FACILITY NUMBER: 384004339
	VISIT DATE: 01/25/2021

NARRATIVE

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The facility submitted and obtained a permit for designated time and space playground usage from SF Recreation Park to use the following location as an alternative children’s playground: Parque Ninos Lawn and Rolph playground. The park was inspected and meets the requirements for the open space waiver. Children will walk to the park. Portable shade will be used in the facility outdoor area when children are present. The outdoor area is enclosed by a fence at least 4 ft. tall, and was observed to be clean, safe, and equipped with toys that are age-appropriate for children. There is no sandbox in each playground, climbing structures, or slides at the playground. Woodchips are used on the Main Preschool playground for cushioning. There are age-appropriate toys in good condition in the playground made accessible for children to use. Storage room in each classroom will remain closed and locked when children are present. LPA reminded the Director to ensure ratio and supervision are observed at all times. The facility will conduct and log fire drills once every six months, and the log will be available upon request. There is an elevator in the building, and it will not be used for children during the hours of care. All stairs in the building are gated for outdoor safety purposes.

The following items were reviewed as part of today’s visit: Record keeping for staff, children, and facility records, care and supervision of the children, child discipline procedures – staff will use positive discipline and logical consequences. Emergency Evacuation Procedures, Medication Policies, Isolation of Sick Children, Napping Requirements, Food Service, Transportation-none provided, Parents Rights, and Reporting Requirements.

This facility will provide Incidental Medical Services – IMS. LPA reviewed storage area for medication and equipment/supplies, and reviewed forms that will be used. 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

An electronic copy of this three-page report was emailed to Christina Maluenda Marchiel. Applicants were asked to review the report and return a signed copy of the report to LPA Haydee Caliboso. COVID-19 Self-assessment guide was received and reviewed today with the Director.

Based on available square footage, sinks, and toilets, LPA Haydee Caliboso will recommend licensure of this facility for a maximum capacity of 96 children. The following is required prior to licensure:
· Obtain fire clearance from SF Fire Department.
· Outdoor schedule rotation for outdoor use.

The following is required for proof of correction:
· A proof of photo of portable shade for outdoor use.
· A proof of photos of gated stairs.
· Obtain new permits from SF Parks and Rec for the new facility address.

SUPERVISOR'S NAME: Alma Malig	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Haydee R Caliboso	TELEPHONE: (650)266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 01/25/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/25/2021

LIC809 (FAS) - (06/04)

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