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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384001488
Report Date: 12/06/2022
Date Signed: 12/06/2022 12:36:18 PM

Document Has Been Signed on 12/06/2022 12:36 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:SFUSD - SHERIDAN EARLY EDUCATION SCHOOLFACILITY NUMBER:
384001488
ADMINISTRATOR:DINA EDWARDSFACILITY TYPE:
850
ADDRESS:431 CAPITOL AVENUE, ROOM130TELEPHONE:
(415) 469-4743
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94112
CAPACITY: 56TOTAL ENROLLED CHILDREN: 56CENSUS: 19DATE:
12/06/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Dina EdwardsTIME COMPLETED:
01:00 PM
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Licensing Program Analyst (LPA) Yee conducted a Required - 1 Year inspection today. The purpose of the inspection was explained. Present at the facility are 4 teachers, 3 paras, and 19 children. Teacher-to-child ratios were met during today's visit. Days and hours of operation: Monday - Friday, 7:30 am - 11:50 am in room 127, 128; 7:30am - 2:05 pm in room 130; 7:30 am - 12:50 pm on Wednesday. The facility has fully charged fire extinguishers that meet the minimum requirements, smoke detectors, and a carbon monoxide detector. The outside yard is adjacent to the classroom.

LPA toured and inspected the Center for Health and Safety Hazards. Daycare areas: room 127, 128, 129 (gross motor room ), 130 and outside yard adjacent to all the classrooms. LPA observed outdoor equipment is in good condition, free from loose, sharp, or pointed parts. There are no pools, spas, or other bodies of water on the premises. All cleaning supplies and other potentially harmful items are made inaccessible to the children. Medications are stored in locked areas and made inaccessible to children located in the nurse's office. Furniture and equipment are in good condition. Isolation for a sick child is available. The facility provides snacks and Lunches. Drinking water is provided indoors and outdoor. The last Emergency Drill was conducted on 11/04/2022 and properly logged.

At least one staff have current Pediatric First Aid and CPR on file which expire 10-15-2024. The facility has posted all the required licensing forms in a prominently visible location.

LPA discussed Child Abuse Mandated Training AB1207 with the Site Principal. As of January 1, 2018, all staff will be required to complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com. The principal said all staff members are required to take it yearly.
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jennifer Yee
LICENSING EVALUATOR SIGNATURE: DATE: 12/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/06/2022
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: SFUSD - SHERIDAN EARLY EDUCATION SCHOOL
FACILITY NUMBER: 384001488
VISIT DATE: 12/06/2022
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Pesticide regulations were discussed with the principal. In accordance with the Healthy Schools Act, California law requires that anyone using any pesticide must be trained every year in integrated pest management and the safe use of pesticides around children. The director was advised that a free one-hour online course is available on the Department of Pesticide Regulation's Web site: www.cdpr.ca.gov/schoolipm/training. For questions, email ccipmlist@cdpr.ca.gov. All staff members have a certificate.

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 Evaluator Manual - Regulation Interpretations and Procedures for Child Care 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 facility was also informed 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 or qualifies for an exemption pursuant to Health and Safety code 1596.7995 and 1597.662.

LPA advised the facility to do a lead water testing if the building was built prior to 2010. The facility may find information under PIN 21021-CCP and 22-06-CCP. The principal said the facility recently completed the test and passed.


An Exit Interview was conducted with the principal. No deficiencies were issued today under Title 22 Division 12 of the California Code of Regulations. For updates on Licensing information, go to CCL website: www.ccld.ca.gov. For Provider Information Notice: ccld.ca.gov/PG5098.htm
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jennifer Yee
LICENSING EVALUATOR SIGNATURE:

DATE: 12/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2022
LIC809 (FAS) - (06/04)
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