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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414002749
Report Date: 02/28/2020
Date Signed: 02/28/2020 01:24:48 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:BUILDING KIDZ OF SSF, INC.(PRESCHOOL)FACILITY NUMBER:
414002749
ADMINISTRATOR:JACQUELINE GALDAMEZFACILITY TYPE:
850
ADDRESS:600 GRAND AVENUETELEPHONE:
(650) 837-9348
CITY:SOUTH SAN FRANCISCOSTATE: CAZIP CODE:
94080
CAPACITY:54CENSUS: 45DATE:
02/28/2020
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:05 AM
MET WITH:Mercy Bernard, Ana GaldamezTIME COMPLETED:
01:20 PM
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Licensing Program Analyst (LPA) Andrea Medlin met with director, and staff, for this annual licensing visit. Purpose of visit explained. Days and hours of operation: Monday-Friday 7:00AM-6:00PM. There are 45 children present. Facility meets teacher-child ratio today. Physical plant toured, including the classrooms used for the program. Facility is licensed as a combination center which includes: infant and preschool programs. The facility has multiple fully charged fire extinguishers that meet the minimum requirements, smoke detectors, and at least one carbon monoxide detector in the facility. Children's bathrooms inspected; all toilets and hand washing facilities are in safe and sanitary operating condition. Staff bathrooms are available. No pools, spas, hot tubs, fish ponds, or bodies of water are present. Per director, there are no firearms or weapons on site. Disinfectants, cleaning solutions, poisons and other items that are dangerous to children are inaccessible. Variety of age appropriate toys and materials for children are available in the classrooms. Classrooms are set up for child care and furniture and equipment for children is present. Children nap on cots; parent's provide napping blankets. Facility provides snacks and meals for children. First aid supplies are available in the classrooms. Sick children will be separated from the group and wait for parents to pick up. Outdoor play areas inspected for health and safety hazards. Outdoor activity space surfaces are free of hazards. Center has posted all the required licensing forms. LPA reviewed staff and children's files. In the files that were reviewed, all children had complete files. In the staff files, all had complete files. At least one staff on site has current Pediatric First Aid and CPR certification.

(Continued on next page 809-C)
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Andrea MedlinTELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 02/28/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/28/2020
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: BUILDING KIDZ OF SSF, INC.(PRESCHOOL)
FACILITY NUMBER: 414002749
VISIT DATE: 02/28/2020
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Incidental Medical Services (IMS) policy discussed. Facility has IMS on file. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA is 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. Facility informed that effective September 1, 2016, a person may not be employed or volunteer at a child care facility unless he or she has been immunized against influenza, pertussis, and measles or qualifies for an exemption pursuant to Health and Safety code 1596.7995 and 1597.662. LPA reviewed with director the Mandated Child Abuse Reporting training as compliant with AB 1207. As of January 1, 2018 all child care staff are required to complete Mandated Child Abuse Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com.


This report is reviewed with staff and a copy of this report must be made available for public review upon request.

Notice of site visit posted and shall remain posted for 30 days.
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Andrea MedlinTELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 02/28/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/28/2020
LIC809 (FAS) - (06/04)
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