384002045-9-19-2024-05-CC-JTSE-D99TXP-20240919150727

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 384002045
Report Date: 09/19/2024
Date Signed: 09/19/2024 03:07:41 PM

Document Has Been Signed on 09/19/2024 03:07 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:	LANGUAGE IN ACTION - SF		FACILITY NUMBER:	384002045
ADMINISTRATOR/ DIRECTOR:	AGUILAR, DENISSE		FACILITY TYPE:	850
ADDRESS:	1 MILEY STREET		TELEPHONE:	(415) 683-9017
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94123
CAPACITY: 15	TOTAL ENROLLED CHILDREN: 17	CENSUS: 12	DATE:	09/19/2024
TYPE OF VISIT:	Annual/Required	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	12:50 PM
MET WITH:	Director, Leeby Flores		TIME VISIT/ INSPECTION COMPLETED:	03:20 PM

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	On 9/19/2024, at approximately 12:50PM, Licensing Program Analyst (LPA) Jonathan Tse conducted an unannounced annual visit at the facility. LPA met with Site Director, Leeby Flores (D1), and explained the purpose of the visit. Present during the visit was D1, two staff members, and 12 preschool age children. The facility is in compliance with staffing and ratio requirements on this day. The facility’s operating hours are from 8:00AM to 5:00PM, Monday to Friday. The facility is located on the premises of Cow Hollow Playground. LPA and D1 inspected the facility for any health or safety hazards. LPA observed fully charged 2A10BC fire extinguishers to be present. There is a fire alarm system running throughout the facility. There is a carbon monoxide detector present. Electrical outlets are covered or obstructed by furniture when not in use to be inaccessible to children in care. Off-limits areas are secured with locks. Poisons, cleaning detergents, and other chemicals are stored inaccessible to children in care. There is a fireplace that has been rendered inoperable and childproof. There are temperature and ventilation controls for the comfort and safety of children in care. LPA observed age-appropriate toys and learning materials to be present. Furniture is age-appropriate and free of rough or sharp edges. Children have access to art supplies, toys, and books. Per D1, children bring all meals from home (lunch and snacks), but the facility has snacks available as needed. Children nap on mats that are provided by the facility. Children bring bedding from home and take it back once a week for cleaning. Water bottles are brought from home and refilled at the facility. Continued on Page Two

SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE:	DATE: 09/19/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2024

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

FACILITY NAME: LANGUAGE IN ACTION - SF	FACILITY NUMBER: 384002045
	VISIT DATE: 09/19/2024

NARRATIVE

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LPA inspected the facility's outdoor play area. The facility uses Cow Hollow Playground for outdoor play, which is a public park. Per D1, the park is checked and cleaned daily for debris and other loose articles. The facility has age-appropriate toys and equipment available for children to use. There are play structures present that are cushioned by sand. Shade is available with trees and park structures. Water bottles are taken outside with children to ensure accessibility of drinking water. There are no swimming pools or other similar bodies of water present in the facility.

LPA reviewed three staff files, five children’s files, and facility records. There is at least one staff member present with current Pediatric First Aid/CPR. All staff present have completed Mandated Reporter Training. Staff have immunization records available for review. LPA observed all children’s files to be complete. All required postings were observed to be posted and accessible for review upon entry to the facility. The facility last conducted an emergency drill on 9/10/2024. Emergency drills are properly logged and documented. Children are signed in via the ProCare app. The facility tested its fixtures for lead before the deadline of 1/1/2023 and found no exceedances of lead. The facility is in compliance with lead testing requirements as of 9/19/2024. LPA advised that lead testing shall be conducted every five years.

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 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.

Continued on Page Three

SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE:	DATE: 09/19/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2024

LIC809 (FAS) - (06/04)

Page: 2 of 3

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: LANGUAGE IN ACTION - SF	FACILITY NUMBER: 384002045
	VISIT DATE: 09/19/2024

NARRATIVE

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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. 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 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.

No deficiencies were cited during today’s visit on 9/19/2024.
A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with facility representative Leeby Flores.

SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE:	DATE: 09/19/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2024

LIC809 (FAS) - (06/04)

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