384000892-11-3-2023-05-CC-HLEG-CX8PYV-20231103114433

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 384000892
Report Date: 11/03/2023
Date Signed: 11/03/2023 11:44:39 AM

Document Has Been Signed on 11/03/2023 11:44 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:	SFUSD-TENDERLOIN COMMUNITY EARLY EDUCATION SCHOOL		FACILITY NUMBER:	384000892
ADMINISTRATOR:	BERMAN, BARBARA		FACILITY TYPE:	850
ADDRESS:	627 TURK STREET		TELEPHONE:	(415) 379-2701
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94102
CAPACITY: 54	TOTAL ENROLLED CHILDREN: 54	CENSUS: 11	DATE:	11/03/2023
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Paul Lister		TIME COMPLETED:	12:00 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 11/3/2023, Licensing Program Analysts (LPAs) Leong and Van, made an unannounced required visit to the child daycare facility listed above. The LPAs were granted entry by the Director, Paul Lister. The LPAs explained the purpose of the visit to Mr. Lister. The LPAs observed 2 staff members supervising 11 preschool aged children. All individuals listed on the facility’s roster have been granted permission to work or be present in a childcare facility. The facility is operating within its capacity and in accordance with the required ratio of staff to children. The LPAs and Mr. Lister both performed comprehensive inspections of the facility to look for possible threats to health and safety. The LPAs observed that the facility maintains a paper record of when children sign in and out, and the number of parent signatures did not match the number of children enrolled for the day. The LPAs reminded Mr. Lister that the number of children enrolled for the day must be matched by parent signatures on the sign in and out form. The facility offers a first aid kit that is completely loaded with everything that is required for the treatment of wounds and other types of injuries. Toys, furnishings, and learning materials in all classes are age appropriate. The LPAs observed that the playground equipment and outdoor furnishings are in very good shape. The LPAs observed that children were being adequately supervised by a staff member while they played with a water table. All poisons, cleaning products, and other potentially harmful substances have been stored in a location that is inaccessible to children. The building is equipped with smoke detectors, carbon monoxide detectors, fire extinguishers that are properly charged, centralized smoke alarms, and phones that are in working order. According to Mr. Lister, the facility does not house any firearms or other types of weapons. The LPAs observed a designated area for children to sleep or rest quietly. The area has sufficient sleeping equipment and cots for each child, and all mattresses and bedding are stored in the appropriate location. The LPAs reminded Mr. Lister that emergency exits must always remain clear, and that cots and cribs cannot be situated in a manner that blocks emergency exits. *See Page 2 *

SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Hanson Leong
LICENSING EVALUATOR SIGNATURE:	DATE: 11/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2023

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

FACILITY NAME: SFUSD-TENDERLOIN COMMUNITY EARLY EDUCATION SCHOOL	FACILITY NUMBER: 384000892
	VISIT DATE: 11/03/2023

NARRATIVE

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The LPAs observed that the facility posted the required documents. (i.e., license, waivers, notification of parental rights, notification of personal rights, car seat law, emergency disaster plan, and daily activities)

The LPAs reviewed both the children's and staff records. The LPAs reviewed the 5 children's records and found that all 5 children have a record of their emergency information on file The LPAs reviewed the records of the 2 staff members and found that 1 staff member possesses a valid Pediatric First Aid/CPR certification. The LPAs reminded Mr. Lister that the Mandated Reporter Training (AB 1207) must be completed every two years. The LPAs reminded Mr. Lister that Pest Management training must be completed annually. The LPAs also found that the 2 staff members possess the required 12 Early Childhood Education (ECE) units, which are necessary qualifications for being a qualified teacher. The LPAs reminded Mr. Lister that each staff member must have a copy of their immunization record on file.

The LPAs reviewed the facility's emergency drill log. According to the facility's emergency drill log, the last fire drill was carried out on 10/26/2023.

Ms. Lister was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

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).

***See Page 3***

SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Hanson Leong
LICENSING EVALUATOR SIGNATURE:	DATE: 11/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2023

LIC809 (FAS) - (06/04)

Page: 2 of 3

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: SFUSD-TENDERLOIN COMMUNITY EARLY EDUCATION SCHOOL	FACILITY NUMBER: 384000892
	VISIT DATE: 11/03/2023

NARRATIVE

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LPAs verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

LPAs discussed the safe sleep regulations with Ms. Lister and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPAs also informed Ms. Lister of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers

Mr. Lister was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-carelicensing/subscribe and select the Child Care option to receive email communication.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process

The LPAs reminded Mr. Lister to submit updated forms, LIC 308, LIC 500, LIC 610 and Mandated Reporter training certificates to the department.

The LPAs observed that the facility also operates a TK program that is exempt from licensure. The LPAs reminded Mr. Lister that co-mingling of children is not allowed.

No deficiencies were cited today under CCR, Title 22, Div. 12.

A copy of today’s report was given to Paul Lister. The Notice of Site Visit was given to Paul Lister and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Exit interview conducted and report was reviewed with Paul Lister.

SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Hanson Leong
LICENSING EVALUATOR SIGNATURE:	DATE: 11/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2023

LIC809 (FAS) - (06/04)

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