414004639-1-24-2020-05-CC-PHSH-BL5W3C-20200124155544

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414004639
Report Date: 01/24/2020
Date Signed: 01/24/2020 03:55:55 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:	MINIVERSE MANAGED BY BRIGHT HORIZONS		FACILITY NUMBER:	414004639
ADMINISTRATOR:	KARPEL, KARA		FACILITY TYPE:	830
ADDRESS:	279 EAST GRAND AVENUE		TELEPHONE:	(617) 673-8000
CITY:	SO. SAN FRANCISCO	STATE: CA	ZIP CODE:	94080
CAPACITY:	18	CENSUS:	DATE:	01/24/2020
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Kara Karpel and Holly Kerwin		TIME COMPLETED:	04:00 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) Pandora Huffman-Smith and Licensing Program Manager (LPM) Alma Malig met with the Regional Manager, Kara Karpel and Facility Director, Holly Kerwin, today for a pre-licensing inspection. The applicant has requested a capacity of 18 infants (ages birth to 24 months). The facility is also requesting to operate as a combination center with the infant program for ages birth to 24 months, a preschool program for 34 children (ages 2 years to entry into first grade) and 12 toddlers (ages 18 to 36 months). The facility was inspected today for health and safety hazards and measured to calculate capacity. The request for the preschool license will be on a separate report. Indoor: There are two classrooms for the infant program (Orbiter for infants birth to 12 month) and (Rover for infants 12 to 24 months). These classrooms measure 1043 square feet allowing for a capacity of 30 infants. There is an additional activity area (Common space #117) for children's usage that is not included in the determination of capacity. There are two sinks in the in the rover classroom and one sink in the orbiter classroom. There are changing tables within arms reach of a sink in each of the infant classrooms. The classrooms are clean and equipped with a fire extinguisher, smoke and carbon monoxide detectors, first aid supplies, cubbies for children's personal belongings, toys and other equipment, cots for napping in the rover classroom and a separate napping area with cribs in the orbiter classroom. Sign in and out will be located in the lobby and electronically logged. Isolation for ill children will be in the conference room and the staff bathroom will be used, if needed, until parent arrives for pick up. This facility will provide Incidental Medical Services – IMS. LPA reviewed area 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 Continued on page 2

SUPERVISOR'S NAME: Alma Malig	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Pandora Huffman-Smith	TELEPHONE: (650)266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 01/24/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2020

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: MINIVERSE MANAGED BY BRIGHT HORIZONS	FACILITY NUMBER: 414004639
	VISIT DATE: 01/24/2020

NARRATIVE

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Outdoor: The outdoor area was measured and is 2510 square feet allowing for 33 infants. The infant yard will be shared with the toddlers which will be part of the preschool program and a waiver will be required for shared scheduled usage.

The facility will conduct and log disaster drills (earthquake and fire) monthly and lock down drills twice annually. Facility postings were reviewed and are complete with the exception of the license which will be posted upon receipt.

Safe sleep was discussed during today's inspection and information was given to the applicant for review.

LPA received requested paperwork during today's inspection.

A fire clearance is required for the infant program prior to licensure.

SUPERVISOR'S NAME: Alma Malig	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Pandora Huffman-Smith	TELEPHONE: (650)266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 01/24/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2020

LIC809 (FAS) - (06/04)

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