384001758-3-26-2024-05-CC-CMOK-D3QN7V-20240326101321

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 384001758
Report Date: 03/26/2024
Date Signed: 03/26/2024 10:14:01 AM

Document Has Been Signed on 03/26/2024 10:14 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
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME:	HARRIS, MARLIS		FACILITY NUMBER:	384001758
ADMINISTRATOR:	HARRIS, MARLIS		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(415) 751-7977
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94121
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 12	CENSUS: 0	DATE:	03/26/2024
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Marlis Harris		TIME COMPLETED:	10:30 AM

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	Licensing Program Analyst (LPA) Mok conducted an unannounced annual inspection today. LPA met with the licensee, Marlis Harris, and explained the purpose of the inspection to her. There were no children present due to the licensee was in recovery from knee surgery. Per the licensee, she plans to reopen her daycare starting on 4/23/2024. The facility is called Hummingbird School San Francisco Waldorf Inspired Preschool and the operation hours are Tuesday to Friday 9 AM to 1 PM and the extended hours from 1 PM to 3 PM. The home was toured and inspected for health and safety hazards. Daycare areas are the living room, the kitchen/dining area, the bathroom, the bedroom toward the backyard, and the backyard. Off-limit areas are the licensee's bedroom and the ground level, just the garage. The licensee is the only person who lives in this home. The home was clean and orderly. The facility had a working smoke and CO detector and one working telephone was tested. A 2A10BC fire extinguisher was fully charged. First aid supplies were available for children. Per the licensee, there were no firearms or weapons in the home. The facility had a chicken as a pet in the backyard. The children's bathroom was clean and free of harmful objects. The outdoor play yard was completely fenced. There was a sandbox, slide structure, play house, and some outdoor toys available for children. A variety of children's toys, tables, chairs, and other equipment are available for children in the daycare area indoor. If there were ill children, Licensee would place them in one of the bedrooms while waiting for a parent to pick them up. The licensee and all her helper's CPR and First Aid training are current. Parents' rights poster, disaster plan, and the License are also posted. The children bring their food an water to the facility. The facility also provides drinking water or some snacks if the children need it. LPA reviewed the children and staff files and obtained a copy of the children's roster during the inspection. Per the licensee, there were no children on special medication. Last fire/disaster drills have been conducted quarterly. continues in LIC809D

SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Cindy Mok
LICENSING EVALUATOR SIGNATURE:	DATE: 03/26/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/26/2024

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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: HARRIS, MARLIS	FACILITY NUMBER: 384001758
	VISIT DATE: 03/26/2024

NARRATIVE

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Criminal Record Clearance - Licensee was reminded that all adults 18 and over living or working in home, 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 licensed Family Child Care Home. 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.

Safe Sleep - LPA discussed the safe sleep regulations with licensee [or facility representative] and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed licensee [or facility representative] of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02CCP. When any IMS is provided, a Plan for Providing 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: https://www.ada.gov/resources/child-care-centers/.

SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Cindy Mok
LICENSING EVALUATOR SIGNATURE:	DATE: 03/26/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/26/2024

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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: HARRIS, MARLIS	FACILITY NUMBER: 384001758
	VISIT DATE: 03/26/2024

NARRATIVE

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MyChildCarePlan.org – Licensee 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.

Megan’s Law - During the exit interview, Harris, Marlis, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

Notice of Site Visit - A notice of site visit was given and must remain posted for 30 days.

Exit Interview - Exit interview conducted and report was reviewed with the licensee, Harris, Marlis.

SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Cindy Mok
LICENSING EVALUATOR SIGNATURE:	DATE: 03/26/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/26/2024

LIC809 (FAS) - (06/04)

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