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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384001548
Report Date: 05/08/2024
Date Signed: 05/08/2024 04:27:16 PM

Document Has Been Signed on 05/08/2024 04:27 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:ST. PHILIP THE APOSTLE PRESCHOOL DAY CARE CENTERFACILITY NUMBER:
384001548
ADMINISTRATOR/
DIRECTOR:		PATEL, MELISSAFACILITY TYPE:
850
ADDRESS:725 DIAMOND STREETTELEPHONE:
(415) 282-0141
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94114
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 2DATE:
05/08/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:41 PM
MET WITH:Melisa PatelTIME VISIT/
INSPECTION COMPLETED:
04:55 PM
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On May 8th, 2024 at approximately 1:30 PM, Licensing Program Analyst (LPA) Janet Gil conducted an unannounced, annual inspection. LPA met with director, Melissa Patel, and explained the purpose of the visit.
Present during LPA's visit included director, and 2 preschool age children. Program is operating within capacity limits and ratio during LPA's visit. Director present has fingerprint clearance on file.

Hours of operation are Monday through Friday 8:00 AM to 5:00 PM. With director, LPA inspected preschool program's day care areas, indoors and outdoors for health and safety hazards. Preschool program includes a stage, two bathrooms, a large classroom, and a smaller classroom in the back of main classroom. Per director, they are currently not using the smaller classroom but plan to use it once they have more enrolled children in care. Classrooms include a variety of toys and materials that were clean and in good condition. Children's furniture and equipment were observed to be age appropriate. There are multiple activity areas in the main classroom that children have access to. Activity areas include building blocks, reading, art, and a stage for dramatic play. There are carpets in the classroom that were observed to be clean, free of stains. LPA observed electrical outlets in classrooms to be made inaccessible with furniture. LPA did not observe accessible poisons, cleaning solutions or chemicals during visit.

There is sufficient storage for children's belongings located inside the classroom. LPA observed facility to have designated children's cubbies. Facility is equipped with multiple fully charged fire extinguishers, multiple first aid kits and a fire alarm system. LPA observed multiple dual smoke/carbon monoxide detectors. LPA did not test carbon monoxide detector due to children in care sleeping.

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SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Janet Gil
LICENSING EVALUATOR SIGNATURE: DATE: 05/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/08/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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: ST. PHILIP THE APOSTLE PRESCHOOL DAY CARE CENTER
FACILITY NUMBER: 384001548
VISIT DATE: 05/08/2024
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There is two bathrooms in the facility that were observed to be clean and in working condition. Bathrooms are equipped with appropriate toileting equipment. Sinks accessible to children do not provide hot water. Garbage bins in classroom were observed to have tight fitting lids. LPA did not observe any hazardous materials in bathrooms and classrooms of the facility.

Children sleep on sleeping mats. Sheets are provided by children's families and are sent home weekly or as needed. LPA observed mats to be stacked and stored appropriately. Mats are designated for each child in care. Sheets are stored in children's individual bags to prevent sheets from touching one another in the back of the main classroom on hooks.

LPA observed preschool program's side yard to be equipped with outdoor toys and materials in good condition. There is sufficient shade in side yard. LPA observed side yard to be fully fenced and enclosed.

Preschool program does not currently provide a food service. Children's families provide children with their lunches. LPA observed children's individual lunch boxes to be separated in designated areas, properly stored. LPA observed a upper stage in main classroom that is closed off. Per director children only use that area with adult supervision. Upper stage stores more art supplies, games, and mats. Per director she plans to have teachers hired in the future run small enrichment classes on the stage. Water is made available to children, both indoors and outdoors, through children's individual water bottles. Water is refilled with tested source when needed.

During today's visit, LPA reviewed two children's files. Children's files were observed to have a record of immunization's, emergency and admission information. LPA also reviewed teaching staffs' files for present director. Staff present have proof of required immunization and educational transcripts, that were made available for review. Director has valid CPR and Mandated Reporter training on file.

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.


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SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Janet Gil
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2024
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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: ST. PHILIP THE APOSTLE PRESCHOOL DAY CARE CENTER
FACILITY NUMBER: 384001548
VISIT DATE: 05/08/2024
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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 verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

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

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.

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 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.

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SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Janet Gil
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2024
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: ST. PHILIP THE APOSTLE PRESCHOOL DAY CARE CENTER
FACILITY NUMBER: 384001548
VISIT DATE: 05/08/2024
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During today's visit, LPA observed facility tested for Lead on 5/11/2023. This was after the due date of 1/1/2023. Preschool program was issued a Type B citation. Appeal rights were provided during visit.



A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with facility representative, Melisa Patel.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Janet Gil
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2024
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Document Has Been Signed on 05/08/2024 04:27 PM - It Cannot Be Edited


Created By: Janet Gil On 05/08/2024 at 03:33 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: ST. PHILIP THE APOSTLE PRESCHOOL DAY CARE CENTER
FACILITY NUMBER: 384001548

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/08/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1597.16(a)(1)
Lead Testing
(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in testing for lead water before Janurary 1st,2023 which posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/08/2024
Plan of Correction
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Lead was tested in Sample site A and A30 on 5/11/2023. No exceedances were found present is both sample sites. Facility will retest in 5 years.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Garfield Leung
LICENSING EVALUATOR NAME:Janet Gil
LICENSING EVALUATOR SIGNATURE:
DATE: 05/08/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/08/2024


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