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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384001376
Report Date: 12/13/2022
Date Signed: 12/13/2022 12:48:33 PM

Document Has Been Signed on 12/13/2022 12:48 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
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:SERRA PRESCHOOL, THEFACILITY NUMBER:
384001376
ADMINISTRATOR:MARYBETH CODYFACILITY TYPE:
850
ADDRESS:7 FUNSTON AVENUETELEPHONE:
(415) 561-2200
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94129
CAPACITY: 47TOTAL ENROLLED CHILDREN: 47CENSUS: DATE:
12/13/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Victoria DudleyTIME COMPLETED:
01:10 PM
NARRATIVE
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Licensing Program Analyst (LPA) Mok conducted an unannounced annual inspection today. LPA met with the Assistance Site Director, Victoria Dudley, and explained the purpose of inspection to her. Facility had 39 children with 8 staff and an Assistance Site Director present. All staff had fingerprint clearance. Facility's operation hours were Monday to Friday from 8 AM to 5 PM. The facility has run Preschool Program in Rooms #115 (Nursery - Art Room), #110 & #111 (Front Room - it was a connected room), #104 (Snack room), # 103 (Gross motor room), #211 (Art Room), 219 (Block Room) & #202 (Pre-K - Front Room). The facility had an outdoor play yard behind the building. The facility has run the preschool program in two sessions: morning from 9:00 am to 12:00 pm; afternoon from 1:00 pm to 4:00 pm. The main entrance of the facility was on Mesa Avenue instead. LPA toured and inspected the facility for health and safety hazards. The facility was clean and in order. Temperature and lighting were adequate. All toxins and harmful objects were either locked or made inaccessible to the children. All electrical outlets were covered. There were plenty of age-appropriate toys, books, learning materials, art materials, and children's furniture were in good condition and repair available for children indoors. Window locks have been installed on all windows in each classroom. Children have brought their lunch and water bottles to school. The facility has provided snacks to the children only. The facility had drinking water from the water fountain available for the children to refill their water bottles whenever they needed. The facility had bathrooms with 3 toilets and 3 sinks for children on the main floor. One bathroom was available for children on the second floor. Separate Staff bathrooms were available in the building. Gates were installed at the stairways. No apparent health or safety hazards were noted in both the indoor or the outdoor play areas. The facility had 2 frogs in a small fish tank with a tide lid in the Front Room on the main level. All food wastebaskets had tide lids. The outdoor play yard was completely fenced. There were some age-appropriate toys, ride-on toys, sandbox, water table, and children's furniture available for the children. The daycare children played in the yard in front of the building daily as well. The facility had no guns or weapons on site. Per Victoria, they had a couple of children on special medication. This facility provided Incidental Medical Services - IMS. LPA reviewed the storage of medication and equipment/supplies and reviewed children's, personnel, and administrative record. 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 the publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm. At least one staff had a current CPR/First Aid training certificate available for review during the inspection. It will expire on 8/2023. Disaster Drill has been conducted at least 2 times a year and logged. The latest drill was conducted on 12/12/22. All staff completed the Child Abuse Mandated Reporter Training (AB1207). LPA reviewed children and staff files, Sign in/out sheets, and obtained a copy of the current children's roster from the licensee during the inspection. The facility posted all required postings in the facility.

This report and notice of the site visit were discussed with the licensee and must be made available to the public upon request. For a quarterly update on Licensing information, go to the CCL website: www.ccld.ca.gov. For Provider Information Notice: ccld.ca.gov/PG5098.htm.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Cindy Mok
LICENSING EVALUATOR SIGNATURE: DATE: 12/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/13/2022
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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