384002056-10-21-2024-05-CC-JTSE-DA9RH8-20241021130155

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 384002056
Report Date: 10/21/2024
Date Signed: 10/21/2024 01:02:13 PM

Document Has Been Signed on 10/21/2024 01:02 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:	MY LITTLE LEARNING TREE		FACILITY NUMBER:	384002056
ADMINISTRATOR/ DIRECTOR:	CORINNA LEUNG		FACILITY TYPE:	850
ADDRESS:	2118 CLEMENT STREET		TELEPHONE:	(415) 387-6558
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94121
CAPACITY: 30	TOTAL ENROLLED CHILDREN: 27	CENSUS: 21	DATE:	10/21/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:00 AM
MET WITH:	Director, Corinna Leung Collum		TIME VISIT/ INSPECTION COMPLETED:	01:15 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 10/21/2024, at approximately 9:00AM, Licensing Program Analyst (LPA) Jonathan Tse conducted an unannounced annual visit at the facility. LPA met with Licensee Corinna Leung (D1) and explained the purpose of the visit. Present during the visit was D1, four staff members, one volunteer, and 21 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 6:00PM. LPA and D1 inspected the facility for any health or safety hazards. LPA observed there to be a fully charged 2A10BC fire extinguisher present. There is a fire alarm system running throughout the facility. There are smoke and carbon monoxide detectors present. Emergency exits are clearly marked and visible. Poisons, cleaning detergents, and other chemicals are stored inaccessible to children in care. Off-limits areas are kept inaccessible with childproof gates or locks. There are heating and ventilation controls available for the comfort and safety of children in care. The surface of the facility was observed to be kept clean and free of loose materials by staff during the visit. 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, books, and manipulatives. There are cubbies available for each child in care that are labeled with their names. Children nap on cots that are labeled. Bedding is brought from home and taken back once a week for cleaning. The facility provides breakfast, lunch, and AM/PM snacks. Lunch is typically prepared off-site and brought to the facility. The facility is nut-free. Food allergies are documented and accessible for review by staff. Storage of medication was reviewed. LPA advised that all waste bins (trash and compost) should be fitted with tight-fitting lids. D1 stated that they understood. Water bottles are brought from home and refilled at the facility. LPA observed there to be two operational sinks and two operational toilets available for children to use. Continued on Page Two

SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE:	DATE: 10/21/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2024

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: MY LITTLE LEARNING TREE	FACILITY NUMBER: 384002056
	VISIT DATE: 10/21/2024

NARRATIVE

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Page Two
During the visit, a volunteer dance teacher arrived at the facility. Per D1, the dance teacher is only present at the facility one day a week for 1.5 hours. LPA observed there to be a staff member present with the dance teacher during today's session.

LPA observed the outdoor play area to be free of debris and other loose articles. The facility has an outdoor rotation waiver that allows for up to 10 children outside at a time. LPA provided D1 with a copy of the waiver during the visit and advised that it shall be posted in a publicly accessible area. D1 stated that they understood. The facility was operating within the terms and conditions of the waiver during the visit. LPA observed there to be resilient padding underneath swings and slides. There is shade from neighboring buildings and trees. LPA advised that extra padding can be placed underneath those structures to ensure safety of children during play. There are no swimming pools or other similar bodies of water present in the facility.

LPA reviewed five staff files, seven children’s files, and facility records. LPA observed there to be at least one staff member present with current Pediatric First Aid/CPR training. Staff have proof of completed Mandated Reporter Training. Immunizations are available for review. Children’s files were observed to be complete. LPA observed all required postings to be posted and accessible for review upon entry to the facility. The last emergency drill was conducted on 10/1/2024. Drills are properly logged and documented.

The facility tested its water for lead on 5/25/2024, past the deadline of 1/1/2023. There were no exceedances of lead found in the fixture tested. LPA informed D1 that a deficiency would be cited and cleared the same day of the visit for not testing the facility’s water before the deadline of 1/1/2023. The facility is now in compliance with lead testing requirements as of 10/21/2024. 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.
Continued on Page Three

SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE:	DATE: 10/21/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2024

LIC809 (FAS) - (06/04)

Page: 2 of 4

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: MY LITTLE LEARNING TREE	FACILITY NUMBER: 384002056
	VISIT DATE: 10/21/2024

NARRATIVE

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Licensee 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.

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.

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 PIN 22-02-CCP. 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/.

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.

See LIC809-D for deficiency cited and cleared today regarding lead water testing.
Appeal rights were provided and explained to D1. A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee, Corinna Leung.

SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE:	DATE: 10/21/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2024

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 10/21/2024 01:02 PM - It Cannot Be Edited

Created By: Jonathan Tse On 10/21/2024 at 12:17 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: MY LITTLE LEARNING TREE	FACILITY NUMBER: 384002056
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/21/2024

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
1 2 3 4	Based on record review, the licensee did not comply with the section cited above by testing fixtures for lead after the deadline of 1/1/2023, which posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 11/21/2024
	Plan of Correction
1 2 3 4	This deficiency shall be cited and cleared the same day of the visit. The facility is now in compliance with lead testing requirements as of 10/21/2024.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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:

Ali Zebila

LICENSING EVALUATOR NAME:

Jonathan Tse

LICENSING EVALUATOR SIGNATURE:

DATE: 10/21/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2024

LIC809 (FAS) - (06/04)

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