384000615-11-8-2024-05-CC-BVAN-DAU2MB-20241108163053

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 384000615
Report Date: 11/08/2024
Date Signed: 11/08/2024 04:31:29 PM

Document Has Been Signed on 11/08/2024 04:31 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:	K.E.E.P. INC.		FACILITY NUMBER:	384000615
ADMINISTRATOR/ DIRECTOR:	SARKISIAN, MIMI		FACILITY TYPE:	840
ADDRESS:	2051 34TH AVENUE		TELEPHONE:	(415) 664-8685
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94116
CAPACITY: 63	TOTAL ENROLLED CHILDREN: 57	CENSUS: 51	DATE:	11/08/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	01:55 PM
MET WITH:	Mimi Sarkisian		TIME VISIT/ INSPECTION COMPLETED:	04:50 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 November 8, 2024, Licensing Program Analyst (LPA) Van conducted an unannounced annual inspection and met with site Director Mimi Sarkisian. The purpose of the inspection was explained, and access to the Center was granted. This facility is an after-school program for school-aged children, operating at R.L. Stevenson Elementary School, which is a functioning SFUSD school site. The program is conducted in the school cafeteria. The operating days and hours are as follows: Monday, Tuesday, Thursday, and Friday from 2:05 PM to 6:00 PM and Wednesday from 12:50 PM to 6:00 PM. LPA inspected the facility for potential health and safety hazards. LPA observed the children lining up and being checked in by the Director. During check-in, a staff member also handed out supper to the children. According to the Director, the school district provides supper to all after school programs. The cafeteria has good ventilation and ample lighting. The center has a centralized smoke detector, fully charged fire extinguishers, and a carbon monoxide detector. LPA observed age-appropriate toys and art supplies present. All poisons and chemicals are stored inaccessible to children. The facility shares bathrooms with the school. The girls’ bathroom has four toilets and three sinks. The boys' bathroom has five urinals, two toilets, and three sinks. All toilets and hand-washing stations are in good working condition and good repair. The outdoor playground area is in good repair and completely fenced for supervision. The play structure is age-appropriate in good condition, and free of debris. Continued on page 2...

SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Brendon Van
LICENSING EVALUATOR SIGNATURE:	DATE: 11/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2024

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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Document Has Been Signed on 11/08/2024 04:31 PM - It Cannot Be Edited

Created By: Brendon Van On 11/08/2024 at 03:33 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: K.E.E.P. INC.	FACILITY NUMBER: 384000615
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/08/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1596.8662(b)(1)

Administration of Child Day Care Licensing

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on the record review, the Center did not comply with the abovementioned section. All staff members have not completed their Mandated reporter training, or the training has expired, which poses/posed a potential health, safety, or personal rights risk to persons in care.
	POC Due Date: 11/22/2024
	Plan of Correction
1 2 3 4	The Center/Site Director is responsible for ensuring all staff complete the Mandated Reporter Training every two years. The record of completion should be available for inspection. The Director will have all staff members complete the training by November 22, 2024. Certificates of completion will be sent to the licensing office no later than the indicated due date

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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:

Garfield Leung

LICENSING EVALUATOR NAME:

Brendon Van

LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2024

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

FACILITY NAME: K.E.E.P. INC.	FACILITY NUMBER: 384000615
	VISIT DATE: 11/08/2024

NARRATIVE

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During today’s inspection, LPA reviewed children's and staff records. All children had their required licensing forms completed, and every staff member had undergone a criminal record clearance. However, it was noted that the mandated reporter training for all staff members had expired.

All required postings (i.e., License, waivers, Notification of Parent's Rights, and Notification of Personal Rights) were observed. The Director stated that Fire and Earthquake drills are conducted at least once every six months, with the latest drills completed on 9/7/2024.

The incidental Medical Services (IMS) policy was discussed. For IMS information, see Evaluator Manual - Regulation Interpretations and Procedures for Childcare Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. 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

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 Childcare 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.

LPA reminded the Director 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.
The Director was informed about the Mandated Reporter training that is available on the CCLD website. In addition to AB1207 training, which must be completed every two years by all staff hired. Training can be taken online at www.mandaterreporterca.com. Also, the Director was reminded of Pesticide training. Information on the DPR website at: www.cdpr.ca.gov/shoolipm/childcare
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SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Brendon Van
LICENSING EVALUATOR SIGNATURE:	DATE: 11/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2024

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

FACILITY NAME: K.E.E.P. INC.	FACILITY NUMBER: 384000615
	VISIT DATE: 11/08/2024

NARRATIVE

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LPA encouraged the Director to visit the CCLD website at www.ccld.ca.gov for licensing regulations and new updates. The Director can also email childcareadvocatesprogram@dss.ca.gov and ask for the updates to be added to the email list.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP).

The Center currently has a pending request for a waiver regarding water lead testing with the San Bruno Regional office.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

See LIC 809D for deficiency cited today.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Director, Mimi Sarkisian.

SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Brendon Van
LICENSING EVALUATOR SIGNATURE:	DATE: 11/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2024

LIC809 (FAS) - (06/04)

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