414004851-12-1-2021-05-CC-SLOO-C9ATCW-20211201133726

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414004851
Report Date: 12/01/2021
Date Signed: 12/01/2021 01:39:56 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:	PLAYHOUSE CHILDCARE CENTER		FACILITY NUMBER:	414004851
ADMINISTRATOR:	AUNG, YIN		FACILITY TYPE:	850
ADDRESS:	58 HILL STREET		TELEPHONE:	(650) 756-1926
CITY:	DALY CITY	STATE: CA	ZIP CODE:	94014
CAPACITY:	36	CENSUS: 16	DATE:	12/01/2021
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	10:59 AM
MET WITH:	Reiko Nakauchi		TIME COMPLETED:	01:00 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	On December 1, 2021 at 11:00 AM, Licensing Program Analysts (LPAs) Sheran Lo met with Applicant Reiko today for a pre-licensing inspection. This inspection included a technical assistance inspection for COVID-19 guidance and support. The applicant is requesting 36 children (ages 2 years to entry into first grade). The facility will operate Monday - Friday; 7:00 AM to 6:00 PM. The designated director/site supervisor for the facility is Yin Aung. The facility was inspected today, indoor and outdoor, for health and safety hazards and measured to calculate capacity. Indoor: There are two classrooms that will be used for the program and the following square footage was calculated for each room: Room 1 was 1,320 sq ft. and Room 2 was 638 sq ft. Total useable indoor square footage is 1,958 sq ft divided by 35 sq ft equals 55 children. The indoor space for children is observed today to be clean and all furnishing, toys and equipment observed to be safe and in good condition. There is storage space for children's personal belongings and mats to be utilized for napping children. Parents will provide napping equipment for children and bedding will sent home to be laundered weekly. Mats will be cleaned at least weekly or more often if needed. Children will be signed in and out on paper in a binder to be kept by the front entrance. The indoor space is equipped with a fire extinguisher, smoke and carbon monoxide detectors, garbage cans with tight-fitting lids, first aid and emergency supplies. The facility is adequately ventilated and free of insects and bugs. Windows are high up inaccessible to children. The program provides dry snacks for emergency and parents will provide lunch and snack to be kept in children's cubby with ice packs. Only disposable products will be used for food served by the facility. Snack foods will be stored in the cabinet separately from any cleaning products or other hazards. Medications will be stored in the office area inaccessible to the children; there is a refrigerator located in this area for refrigerated medications. Report continues on the next page.

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Sheran Lo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 12/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/01/2021

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: PLAYHOUSE CHILDCARE CENTER	FACILITY NUMBER: 414004851
	VISIT DATE: 12/01/2021

NARRATIVE

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There are _3 toilets (45 capacity) and 3 sinks (45 capacity) accessible for children's use. Bathrooms are located either inside the classrooms or in the hallway. The bathrooms were observed to be clean and with no health and safety hazards. Sinks accessible to children deliver water that is no warmer than 120 degrees. The program will provide a water dispenser and children will bring their own reusable water bottles to drink water indoors. All toxins and other hazardous items will be stored in a locked cabinet in the classroom and will be inaccessible to children. Isolation of ill children will be located in the office and adult bathroom will be used for an ill child.

Outdoor: The outdoor area measures 960 sq ft. allowing for a total of 12 children. The outdoor area to be used is enclosed by at least a four foot fence and observed to be clean, safe and equipped with toys and equipment for children. Resilient material located under climbing applicable climbing structures is a play soft padding. Individual water bottles will be taken outside to allow children access to drinking water. Shade for children will be provided by tent hanging on fence and building.

Required postings were observed during today's inspection. Facility will conduct emergency disaster drills every six months and a log will be maintained for review upon request. The fire inspection was conducted and passed on November 17, 2021. The requirement for Lead Water Testing was discussed (H&S Code 1597.16). Information was provided to applicants during today's inspection. Advisory Note provided to applicants stating that the requirement for testing must be met by January 2023.

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

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Sheran Lo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 12/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/01/2021

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: PLAYHOUSE CHILDCARE CENTER	FACILITY NUMBER: 414004851
	VISIT DATE: 12/01/2021

NARRATIVE

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LPA conducted a pre licensing inspection today and the inspection included providing the applicant with the COVID-19 self-assessment guide. LPA also reviewed COVID-19 required postings and provided additional COVID-19 resources to applicant.

An electronic copy of this three page report was emailed to applicant Reiko Nakauchi on December 1, 2021. Applicant was asked to review the report and return a signed copy of the report to LPA Lo.

LPA Lo will recommend licensure of this facility for a capacity of 36 children once the following is received:

-Covid-19 Self- Assessment
-Management Approval
-Rotating Outdoor Schedule for Waiver

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Sheran Lo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 12/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/01/2021

LIC809 (FAS) - (06/04)

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