380500254-2-10-2023-05-CC-NGAA-CNWRLX-20230210120752

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 380500254
Report Date: 02/10/2023
Date Signed: 02/10/2023 12:07:59 PM

Document Has Been Signed on 02/10/2023 12:07 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PENINSULA CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME:	HAIGHT ASHBURY COOPERATIVE NURSERY SCHOOL		FACILITY NUMBER:	380500254
ADMINISTRATOR:	DRAKE, COCOA		FACILITY TYPE:	850
ADDRESS:	1180 STANYAN STREET		TELEPHONE:	(415) 661-9204
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94117
CAPACITY:	24	CENSUS: 2	DATE:	02/10/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:54 AM
MET WITH:	Cocoa Drake		TIME COMPLETED:	12:15 PM

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On 2/10/23, Licensing Program Analyst (LPA), Garcia made an unannounced visit to the Haight Ashbury Cooperative Nursery School facility to deliver the findings and close out a complaint in conjuction with annual inspection. LPA was granted entry by the director, Cocoa Drake. LPA explained the purpose of the visit to the licensee. All the facility's staff members have had their criminal background checks cleared by Guardian. Upon arrival, there were 2 preschool children and 3 parent volunteers working for the day.Facility operates day care from Monday - Friday 9:30am to 12:30pm.

With Director, LPA inspected day care room and the outdoor space. LPA observed facility has combined smoke detectors and carbon monoxide detectors, multiple fully charged fire extinguisher model 3A40BC located in multiple areas. The facility has a working telephone on site. All cleaning solutions, poisons, and other chemicals dangerous to the children are stored inaccessible to the children. Facility has age-appropriate furniture. Facility floor and rugs are in good repair and free of any hazards.

There are first aid supplies available in the classrooms and in the office. All bathrooms are in working condition. All food is stored properly to avoid contamination. According to the director, the snacks and lunches are brought from home. Per director, the children are provided through kitchen sink as main source of drinking water. The children brings their own water from home. The water is filtered through Brita water pitchers and water bottles are brought home everyday, as needed. There is water available for children in the yard as well as in the classrooms and emergency bags. LPA observed outdoor area and play structures are free from health and safety hazards. There are a variety of chalks and toys available for the children. There are also sheds/bins and storage areas for the toys when they're not being used. The park being utilized is part of the facility and a public space with public access.

Based on the interview with the director, the facility has not done their water lead testing. LPA Garcia went over the requirements and forwarded the PINs and written directives to Director, Cocoa Drake. But will send them to Janine via text messages.

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SUPERVISOR'S NAME: Daniel J Oquendo	TELEPHONE: (650) 379-9023
LICENSING EVALUATOR NAME: Nathan Garcia	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 02/10/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2023

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
PENINSULA CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: HAIGHT ASHBURY COOPERATIVE NURSERY SCHOOL	FACILITY NUMBER: 380500254
	VISIT DATE: 02/10/2023

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According to the director, the facility is using paper for sign in/out sheet. All authorized representatives have signed. Facility has license and all other required documents posted and visible for the public. Facility has an emergency drill log and last drill was conducted on September 9, 2022. Per Director, drills are done every 4-6 months.

The LPA reviewed the facility records. LPA reviewed 2 random children's files. All required files were available in folders. LPA reviewed 1 staff file, director, with qualifying requirements such as ECE Units, CPR and Mandated Reporter Training. The facility has a set learning curriculum that includes story time, and movement posted in the classroom.

The Director was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption or transfer their existing clearance or exemption prior to initial presence in a Child Care Center.

A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Facility was informed that as of September 1, 2016, a person may not be employed or volunteer at a childcare 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.

Director is aware that all staff is required to complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com.

LPA encourages the director to frequently visit our website at www.ccld.ca.gov for licensing regulations and new updates.

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SUPERVISOR'S NAME: Daniel J Oquendo	TELEPHONE: (650) 379-9023
LICENSING EVALUATOR NAME: Nathan Garcia	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 02/10/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2023

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
PENINSULA CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: HAIGHT ASHBURY COOPERATIVE NURSERY SCHOOL	FACILITY NUMBER: 380500254
	VISIT DATE: 02/10/2023

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This facility provides Incidental Medical Services – IMS. According to the director, there are currently no children with allergies. 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

>No deficiencies were cited today's required inspection. Technical Violation for failure to test water for lead.

Director was advised any additional questions to call Office, M-F, 8am-5pm, 650-266-8800 or 1-844-538-8766. Website: www.cdss.ca.gov

Report was reviewed and signed by director, Cocoa Drake.

Today’s report, and notice of site visit will be printed and given to the director.

SUPERVISOR'S NAME: Daniel J Oquendo	TELEPHONE: (650) 379-9023
LICENSING EVALUATOR NAME: Nathan Garcia	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 02/10/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2023

LIC809 (FAS) - (06/04)

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