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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384001548
Report Date: 10/27/2021
Date Signed: 10/27/2021 11:14:08 AM

Document Has Been Signed on 10/27/2021 11:14 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
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:ST. PHILIP THE APOSTLE PRESCHOOL DAY CARE CENTERFACILITY NUMBER:
384001548
ADMINISTRATOR:WILLIAMS, RACHEL A.FACILITY TYPE:
850
ADDRESS:725 DIAMOND STREETTELEPHONE:
(415) 282-0141
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94114
CAPACITY: 30TOTAL ENROLLED CHILDREN: 24CENSUS: 23DATE:
10/27/2021
TYPE OF VISIT:Case Management - OtherANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Director, Concepion BaluyutTIME COMPLETED:
11:30 AM
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On October 27, 2021 at 9:00am, Licensing Program Analyst (LPA) Catrina Quimbo met with Facility # 380506430 director, Concepcion "Tina" Baluyut, for a case management inspection. Director requested to temporarily operate child care at Facility #384001548. Operations at Facility #380506430 have temporarily ceased due to construction and flooding of facility. Hours of operation are Monday to Friday 8:00am to 5:00pm. Facility is currently licensed for a capacity of 30 preschool children. LPA advised Director operations at facility are to operate within capacity limits and outdoor rotation limits.

Present during inspection were 21 children and 4 staff members (including director). All staff members currently working in facility have cleared criminal background clearances and are associated to facility. LPA and Director inspected day care areas for health and safety hazards.

Facility includes one large classroom with a wooden divider in center of classroom, making 2 separate classroom areas. Facility also includes additional classroom (napping room) and multipurpose area. LPA observed day care areas to be in good repair with proper temperature and ventilation. There were a variety of age appropriate toys and equipment in the classrooms which are in good condition.

At approximately 9:40am, two additional children (preschool age) arrived to facility. Total children present during inspection is 23 children. All electrical outlets accessible to children have child safety covers. All cleaning supplies, poisons and other chemicals were stored inaccessible to children. There are no pools, spas or other bodies of water on site. Facility is equipped with smoke detectors, carbon monoxide detectors, fully charged fire extinguisher and fully stocked first aid kit.

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SUPERVISORS NAME: Cindy Interiano
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE: DATE: 10/27/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/27/2021
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: ST. PHILIP THE APOSTLE PRESCHOOL DAY CARE CENTER
FACILITY NUMBER: 384001548
VISIT DATE: 10/27/2021
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Children’s bathrooms, toilets and sinks are clean and sanitary. Garbage cans have tight fitting lids. LPA observed outdoor play area to be in good condition, with age appropriate materials and play equipment. Outdoor play area has sufficient shade and resilient padding. Water is made available to children both indoors and outdoors with pitchers of water and disposable cups.

No deficiencies were observed today. Operations at Facility #384001548 have been approved to resume. LPA notified Director facility will be operating as St. Philip the Apostle Preschool Day Care Center. LPA advised Director to notify department when operations at Facility #380506430 resume and/or operations at St. Philip cease.

After today’s inspection, an exit interview was conducted with Director, Concepcion "Tina" Baluyut. A copy of this report along with Appeal Rights and Notice of Site Visit were provided to Director at tina@littlestangelpreschool.com. LPA advised director to acknowledge report was received.

Director was advised any additional questions to call Office, M-F, 8am-5pm, 650-266-8800 or 1-844-538-8766. Website: www.cdss.ca.gov
SUPERVISORS NAME: Cindy Interiano
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE:

DATE: 10/27/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2021
LIC809 (FAS) - (06/04)
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