384001473-3-5-2025-05-CC-LGOZ-DEH369-20250305165758

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 384001473
Report Date: 03/05/2025
Date Signed: 03/05/2025 04:58:08 PM

Document Has Been Signed on 03/05/2025 04:58 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:	ROOM TO GROW PRESCHOOL, THE		FACILITY NUMBER:	384001473
ADMINISTRATOR/ DIRECTOR:	KRIS TAYLOR		FACILITY TYPE:	850
ADDRESS:	3786 MISSION STREET		TELEPHONE:	(415) 826-9598
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94110
CAPACITY: 26	TOTAL ENROLLED CHILDREN: 26	CENSUS: 15	DATE:	03/05/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	12:25 PM
MET WITH:	Woody Harper, Chris Taylor		TIME VISIT/ INSPECTION COMPLETED:	03:45 PM

NARRATIVE

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On 3/5/2025 at 12:25PM., Licensing Program Analyst (LPA), Luis Gomez met with Teacher, Woody Harper. The purpose of today's visit was explained and was for an unannounced, annual random inspection. Director, Kris Taylor arrived during inspection. This facility is licensed to operate a preschool-age program. Present was Director and 5 staff supervising 15 children. The days and hours of operation are Monday- Friday, 8:00-5:30PM. Staff in facility have criminal record clearances on file. Children present had been signed in. Program utilizes one classroom and one, shared, outside play area. LPA inspected facility, indoors and outdoors, for health and safety hazards.

At 12:30PM., LPA observed the following: Classroom was clean, neat, with age-appropriate materials and playthings available for the children. Floor and surfaces were clean and clear of obstructions for hazards. Classroom was equipped with tables, chairs, and labeled cubbies for storage of belongings. All furniture inspected was scaled to the appropriate size. The children’s bathroom was clean with supplies available for handwashing. Toilets and faucets inspected were in operating condition. LPA observed several closets and added storage areas.

The kitchen/ food storage areas were free of any liter/ rubbish, and all food items reviewed were current and properly stored.

For scheduled rest/ nap services, LPA observed foldable mats available. Per director, blankets and supplies are washed weekly by families. (REFER TO 809C, FOR CONT.)

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:	DATE: 03/05/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2025

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 CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: ROOM TO GROW PRESCHOOL, THE	FACILITY NUMBER: 384001473
	VISIT DATE: 03/05/2025

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Facility has adequate ventilation; lighting; and was a comfortable temperature. Facility had a functioning telephone service; fire extinguishers (2A10BC); testable carbon monoxide detector; and smoke detector (Built-in).

LPA reviewed the outside play area. Area was completely enclosed with available shading available. The climbing structures were observed properly anchored. Sandbox was observed free of hazardous objects.

At 12:50PM., Based on observation, LPA confirmed large cement block and hole in the outdoor play area.

LPA advised director to install absorbent material in and around the climbing structures. Advisory Note Technical Violation (LIC9102TV) was issued.

Water services are provided with bottles, refilled by staff for children to have water as they wish.

At 1:30PM., LPA reviewed facility records including a sample of the children files and personnel files. Children’s files were reviewed and contained the: Identification and Emergency Information (LIC700); Notification of Parent’s Rights (LIC995); Immunization Record; and Personal Rights (LIC613A).

The personnel files reviewed contained Teacher's Proof of Qualifications; Notice of Employee Rights (LIC9052); and Personnel Record.

LPA reminded director to ensure staff’s proof of immunization and mandated reporter training are stored in facility records. Advisory Note: Technical Violation (LIC9102TV) was issued.

Staff's Cardiopulmonary Resuscitation / First Aid certification was current, expiring on: 3/2026.
Facility's emergency disaster drill was completed and logged on: 2/14/2025.

Required postings including the: Facility License; Notification of Parent’s Rights (PUB394); Personal Rights (LIC613A); The Passenger Safety Laws (PUB269); and Emergency Disaster Plan (LIC610). (REFER TO 809C, FOR CONT.)

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:	DATE: 03/05/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2025

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 CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: ROOM TO GROW PRESCHOOL, THE	FACILITY NUMBER: 384001473
	VISIT DATE: 03/05/2025

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Assembly Bill (AB) 2370, chapter 676, statues 2018 requires all licensed childcare centers (CCC’s) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and every five years after the date of the first test.

LPA has verified that lead testing procedure was completed in accordance with the Written Directives outlined in PIN 21-21- CCP.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02CCP. 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/.

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 athttps://www.cdss.ca.gov/inforesources/community-carelicensing/subscribe and select the Child Care option to receive email communication.

Based on today's inspection, deficiencies were observed in the areas evaluated according to the Title 22 Division 12 Chap. 1 Ca. Code of Regulations and cited on 809D. An exit interview discussing facility evaluation report and plans of correction was conducted with Director, Kris Taylor. Director’s signature on this form acknowledges receipt of these documents.

This report must be made available in facility for public review. Notice of site visit was provided and must remain posted for 30 days. Director was advised, any additional questions/ concerns to contact the office, M-F, 8am-5pm, 650-266-8800 or 1-844-538-8766. Website: www.ccld.ca.gov

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:	DATE: 03/05/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2025

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 03/05/2025 04:58 PM - It Cannot Be Edited

Created By: Luis Gomez On 03/05/2025 at 03:42 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: ROOM TO GROW PRESCHOOL, THE	FACILITY NUMBER: 384001473
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/05/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101238.2(d)(2)

(d) The surface of the outdoor activity space shall be maintained: (2) Free of hazards including, but not limited to, holes, broken glass and other debris, and dry grasses that pose a fire hazard. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	At 12:50PM., Based on observation, LPA confirmed large cement block and hole in the outdoor play area. This poses a potential health and safety risk to children in care.
	POC Due Date: 04/04/2025
	Plan of Correction
1 2 3 4	Director will refill large hole and remove cement block from the outdoor play area by the due date: 4/4/2025. Proof of correction will be submitted to the Department via email.

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:

Marie Rodriguez

LICENSING EVALUATOR NAME:

Luis Gomez

LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2025

LIC809 (FAS) - (06/04)

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