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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 380500086
Report Date: 07/11/2024
Date Signed: 07/11/2024 09:54:42 AM

Document Has Been Signed on 07/11/2024 09:54 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:JCCSF BROTHERHOOD WAY PRESCHOOLFACILITY NUMBER:
380500086
ADMINISTRATOR/
DIRECTOR:
EDNA VAKNINFACILITY TYPE:
850
ADDRESS:655 BROTHERHOOD WAYTELEPHONE:
(415) 333-4289
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94132
CAPACITY: 116TOTAL ENROLLED CHILDREN: 116CENSUS: 75DATE:
07/11/2024
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:20 AM
MET WITH:Edna VakninTIME VISIT/
INSPECTION COMPLETED:
10:00 AM
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On July 11, 2024, Licensing Program Analyst (LPA) Van conducted an unannounced case management visit and met with the site Director, Edna Vaknin. The purpose of the inspection was explained. Today's case management visit focuses on clarifying and confirming that the exceedance fixture is permanently fixed and capped. Nineteen staff supervised 75 children today.

During the inspection, the LPA inspected the Etzim classroom, formerly known as Challah, with a fixture in question with exceedance. Based on the Center’s water report, it appeared that the wrong fixture was capped. LPA reviewed the water analytical report with the Director, pointing out the fixture that still exceeds the threshold of 5.5 ppb. The Director acknowledged this and immediately contacted the building management and requested a maintenance person to come in the afternoon to cap the fixture. Once the fixture is capped, the Director will send pictures to the Department to demonstrate that the fixture has been fixed and capped. Meanwhile, the Director has put signs near the fixture to inform staff not to use it.

A notice of site visit was given to the director, and it must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

An exit interview was conducted, and the report was reviewed with the Director, Edna Vaknin.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Brendon Van
LICENSING EVALUATOR SIGNATURE: DATE: 07/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/11/2024
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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