384001418-3-28-2024-05-CC-JTSE-D3SU82-20240328152050

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 384001418
Report Date: 03/28/2024
Date Signed: 03/28/2024 03:21:11 PM

Document Has Been Signed on 03/28/2024 03:21 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:	SCANDINAVIAN SCHOOL IN SAN FRANCISCO, THE		FACILITY NUMBER:	384001418
ADMINISTRATOR:	MIMMI SKOGLUND		FACILITY TYPE:	850
ADDRESS:	20 WOODSIDE AVENUE		TELEPHONE:	(415) 665-3276
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94127
CAPACITY: 57	TOTAL ENROLLED CHILDREN: 57	CENSUS: 40	DATE:	03/28/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	12:50 PM
MET WITH:	Director, Mimmi Skoglund		TIME COMPLETED:	03:35 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 3/28/2024, at approximately 12:50PM, Licensing Program Analyst (LPA) Jonathan Tse conducted an unannounced annual visit at the facility. LPA met with Director Mimmi Skoglund (D1). LPA explained the purpose of the visit. Present during the visit were D1, nine staff members, and 40 preschool age children. The facility is in compliance with staffing and ratio requirements on this day. The facility’s operating hours are from 8:00AM to 5:00PM. LPA inspected the facility for any health or safety hazards. LPA observed the facility to be in clean and orderly condition. There are three classrooms in the facility: Goldfish (ages 2-3), Dolphins (ages 3-4), and White Sharks (ages 4-5). LPA observed age-appropriate toys and learning materials to be available for children in care. There is a fully charged 2A10BC fire extinguisher present in the facility. There is a carbon monoxide detector present. LPA observed children napping on mats and bedding that are provided by the facility. Per D1, children bring bedding home once a week to be cleaned. There is an indoor sand room that has a table sandbox for children to play in, in addition to an activity room for art activities. Per D1, children are taken to these rooms in rotations of small groups. The facility provides lunch and snacks for children in care. LPA observed seven toilets and seven sinks to be operational in the facility. Off-limits areas are kept inaccessible with childproof locks. Per D1, there are no firearms in the facility. LPA observed that trash cans were not covered with tight-fitting lids during inspection of the classrooms. Per D1, they facility has been using paper plates because the dishwasher has been broken. LPA advised that all containers used for storage of solid wastes shall be fitted with tight-fitting lids. D1 stated that they understood. Continued on Page Two

SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE:	DATE: 03/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2024

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 5

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: SCANDINAVIAN SCHOOL IN SAN FRANCISCO, THE	FACILITY NUMBER: 384001418
	VISIT DATE: 03/28/2024

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
26
27
28
29
30
31
32

Page Two
LPA inspected the outdoor play areas for health or safety hazards. LPA observed the outdoor play area to be free of debris and other loose articles. There is sufficient padding in the form of artificial turf and mats. Outdoor play areas are enclosed by a fence that is at least five feet high. There is a chicken coop present, and children are provided the opportunity to feed and take care of the chickens. The facility has a Nature/Science room that is detached from the main building of the facility and is connected via the outdoor play area. Per D1, this room is used for small groups to play and conduct activities in. There are no pools or other bodies of water present in the facility.

LPA reviewed five staff files, ten children’s files, and facility records. LPA observed staff files to be complete, containing staff qualifications and Mandated Reporter Training. All staff reviewed have current First Aid/CPR training. All children’s files were observed to be complete. LPA observed copies of all required postings to be accessible and available for review in all three classrooms. Upon review of the facility’s lead testing records, LPA found that the facility had an exceedance of lead in two fixtures, fixtures D and E. D1 showed LPA the two fixtures, which were hand washing sinks located in the bathroom attached to the Dolphin classroom. Per D1, the fixtures are not used to provide drinking water or to prepare food, only for hand washing purposes. Fixture E has been retested and no longer has an exceedance. See LIC809-D for deficiency cited today regarding lead exceedance in the facility.

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.

Facility representative 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.

Continued on Page Three

SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE:	DATE: 03/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2024

LIC809 (FAS) - (06/04)

Page: 2 of 5

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: SCANDINAVIAN SCHOOL IN SAN FRANCISCO, THE	FACILITY NUMBER: 384001418
	VISIT DATE: 03/28/2024

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
26
27
28
29
30
31
32

Page Three
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).

LPA referred facility representative to the Department website for lead: Lead Toxicity Prevention and Water Testing Information.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of “medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see PIN 22-02-CCP. 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-carecenters/.

Facility representative 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.

See LIC809-D for Type B deficiency cited today regarding a lead exceedance in two handwashing sinks in the facility. See LIC9102-TV for technical violation issued today regarding tight-fitting lids on garbage bins. Appeal rights were provided and explained to D1. A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the facility representative, Mimmi Skoglund.

SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE:	DATE: 03/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2024

LIC809 (FAS) - (06/04)

Page: 3 of 5

Document Has Been Signed on 03/28/2024 03:21 PM - It Cannot Be Edited

Created By: Jonathan Tse On 03/28/2024 at 02:58 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: SCANDINAVIAN SCHOOL IN SAN FRANCISCO, THE	FACILITY NUMBER: 384001418
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/28/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

101700.3(b)(2)

California Lead Action Level at Child Care Centers Licensees shall maintain a lead value at or below the Action Level of 5 ppb in all outlets subject to the testing requirements of these Written Directives, for the health and safety of children in care. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above in two out of eleven tested fixtures which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 04/29/2024
	Plan of Correction
1 2 3 4	Licensee has retested the fixtures and provided courtesy results to LPA during the visit. Licensee will replace the pipes or renovate the whole sink to remediate the affected fixture, and then retest the sink (fixture D).

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:

Ali Zebila

LICENSING EVALUATOR NAME:

Jonathan Tse

LICENSING EVALUATOR SIGNATURE:

DATE: 03/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2024

LIC809 (FAS) - (06/04)

Page: 5 of 5