<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 380505931
Report Date: 11/14/2024
Date Signed: 11/14/2024 04:14:46 PM

Document Has Been Signed on 11/14/2024 04:14 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
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:SFUSD-JOHN MUIR ECIA (EES) PRESCHOOLFACILITY NUMBER:
380505931
ADMINISTRATOR/
DIRECTOR:		SARA LIEBERTFACILITY TYPE:
850
ADDRESS:380 WEBSTER STREETTELEPHONE:
(415) 241-6339
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94117
CAPACITY: 36TOTAL ENROLLED CHILDREN: 36CENSUS: 9DATE:
11/14/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:40 PM
MET WITH:Principal, Don FrazierTIME VISIT/
INSPECTION COMPLETED:
04:30 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 11/14/2024, at approximately 1:40PM, Licensing Program Analyst (LPA) Jonathan Tse conducted an unannounced case management visit at the facility. LPA met with co-teacher Winnie Richardson and explained the purpose of the visit. Present during the visit were two teachers and nine preschool age children.

The Department received an incident report from the facility on 11/13/2024 detailing an incident where a child expressed that they did not want to rest, and was placed on a napping bed instead of being allowed to continue a quiet activity by a staff member (S1). This is a self-reported incident.

LPA conducted staff interviews and site observations during the visit. LPA arrived during nap time. Children were observed to be napping or having a quiet activity. LPA found that the self-reported incident described a violation of a child's personal rights. Based on interviews with staff, LPA found that corrective action was taken with staff members involved and that staff are now aware of children's personal rights. LPA acquired a copy of the discussion between the Principal and S1. Based on interviews with staff, LPA found that staff members offer quiet activities for children who are not napping during designated nap times.

See LIC809-D for deficiency cited and cleared today regarding children's personal rights.

A notice of site visit was provided and must remain posted for 30 days. Appeal rights were provided and explained to Principal Frazier. Exit interview conducted and report was reviewed with Principal Don Frazier.
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE: DATE: 11/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/14/2024
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
Document Has Been Signed on 11/14/2024 04:14 PM - It Cannot Be Edited


Created By: Jonathan Tse On 11/14/2024 at 03:37 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: SFUSD-JOHN MUIR ECIA (EES) PRESCHOOL
FACILITY NUMBER: 380505931

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/14/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/21/2024
Section Cited
CCR
101223(a)(1)

1
2
3
4
5
6
7
Personal Rights
(a) The licensee shall ensure that each child is accorded the following personal rights:
(1) To be accorded dignity in his/her personal relationships with staff and other persons.

This requirement was not met as evidenced by:
1
2
3
4
5
6
7
The facility discussed the incident with all staff members involved. The staff member described in the incident is aware of and understands personal rights of children in care.
8
9
10
11
12
13
14
Based on interview and record review, the licensee did not comply with the above by placing a child on their napping bed even though the child expressed that they did not want to nap. This posed a potential risk to the health, safety, or personal rights of children in care.
8
9
10
11
12
13
14
This deficiency will be cited and cleared during the visit.

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Ali Zebila
LICENSING EVALUATOR NAME:Jonathan Tse
LICENSING EVALUATOR SIGNATURE:
DATE: 11/14/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/14/2024


LIC809 (FAS) - (06/04)
Page: 2 of 2