384000199-6-23-2023-05-CC-LGOZ-CT3TZB-20230623151004

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 384000199
Report Date: 06/23/2023
Date Signed: 06/23/2023 03:10:07 PM

Document Has Been Signed on 06/23/2023 03:10 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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME:	CHILDREN'S DAY SCHOOL, INC.		FACILITY NUMBER:	384000199
ADMINISTRATOR:	GREENE, ANTONETTE B.		FACILITY TYPE:	850
ADDRESS:	333 DOLORES STREET		TELEPHONE:	(415) 861-5432
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94110
CAPACITY: 72	TOTAL ENROLLED CHILDREN: 72	CENSUS: 0	DATE:	06/23/2023
TYPE OF VISIT:	Case Management - Licensee Initiated	ANNOUNCED	TIME BEGAN:	01:45 PM
MET WITH:	Antonette Green		TIME COMPLETED:	03:25 PM

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On 6/23/2023 at 1:45PM., Licensing Program Analyst (LPA), Luis J. Gomez met with Director, Antonette Green and Facilities Manager, John Castro. Purpose of the inspection was explained and was an announced follow-up, case management inspection, to review corrections established on 6/20/2023. Facility is applying for decrease in capacity/room change. Present was the director and no children. Program is planning to utilize the following classrooms: St. Joseph’s Hall: Classroom #109, #112; and 16^th Street Classroom in the Annex Building. LPA inspected facility with director, for health and safety hazards.

At 1:50PM., the following was observed: Children’s bathroom, located in St. Josephs Hall, was maintained clean with adequate supplies for hand washing. Fixtures tested were in operating condition.

LPA inspected rooms #112, 16^th Street classroom. Functioning carbon monoxide detector had been installed in each classroom.

At 2:00PM., LPA confirmed hallway doors in Annex Building, 16^th Street classroom have been made inaccessible with safety locks.

Per director, facility will retracting the pending waiver request, adding the off-site, Boys and Girls Club to the outside play space. Per director, program is planning to share the lower school playground with the elementary school. Updated schedule has been submitted to the department. Lower school playground measures a total usable space of 4570 sq. ft. which divided by 75, can accommodated a total of 60 children.

LPA observed required posting in classrooms, including the Notification of Parents’ Rights (PUB269), Child Passenger Restraint System (PUB269), Emergency Disaster Plan (LIC610), and Personal Rights (LIC613A).

On 6/22/2023, Director submitted proof of purchased napping supplies to accommodate licensed capacity.

On 6/23/2023, Facility will be recommended for approval for Decrease in Capacity/ Room Change.

>No deficiencies were cited against the facility under CCR, Title 22. 12 Ch. 1.

Copy of the report was reviewed with director. This report will be kept with the facility files and made available upon request.

SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:	DATE: 06/23/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2023

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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