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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384002252
Report Date: 05/12/2022
Date Signed: 05/12/2022 12:00:38 PM

Document Has Been Signed on 05/12/2022 12:00 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
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:LITTLE LYNC CHILD CARE CENTER (THE)FACILITY NUMBER:
384002252
ADMINISTRATOR:HENDRIX, AMYFACILITY TYPE:
850
ADDRESS:501 CONNECTICUT STREETTELEPHONE:
(415) 282-5962
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94107
CAPACITY: 27TOTAL ENROLLED CHILDREN: 27CENSUS: 18DATE:
05/12/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Amy HendrixTIME COMPLETED:
12:00 PM
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On May 12, 2022, Hanson Leong, a Licensing Program Analyst (LPA), conducted an unannounced annual inspection with Amy Hendrix. LPA explained the purpose of the visit to the director. All staff members at the facility have criminal background checks on file. Four teachers and the director were observed supervising eighteen children by the LPA. From Monday to Friday, the hours of operation are 7:30 am. to 5:30 pm.

LPA and the Director thoroughly checked the facility for potential health and safety hazards. Toys, furniture, and learning materials are all age appropriate in all classrooms. The furniture and outdoor play structures appeared to be in excellent condition. Rubberized mats surround the outdoor play structure, absorbing any accidental falls. Children are provided resting mats to use while napping. There are no bodies of water on the property. All cleaning products, poisons, and other hazardous chemicals have been kept out of reach of children. The facility has a smoke detector, a carbon monoxide detector, a fully charged fire extinguisher, a centralized smoke alarm, and working telephones. According to the director, there are no firearms or weapons in the facility.

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SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Hanson Leong
LICENSING EVALUATOR SIGNATURE: DATE: 05/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/12/2022
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: LITTLE LYNC CHILD CARE CENTER (THE)
FACILITY NUMBER: 384002252
VISIT DATE: 05/12/2022
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LPA observed that the facility posted the required documents. (i.e., license, waivers, notification of parental rights, notification of personal rights, car seat law, emergency disaster plan, and daily activities).

During the inspection, LPA reviewed the children's records. All required forms were in the children’s file. The program uses a sign in/out sheet, for authorized individuals to sign their children in and out. Children must bring their own lunch, or the facility will feed them if they forget their food.

A review of the facility's records revealed that the names, addresses, and phone numbers of each child's authorized representative are kept on file. A review of staff records revealed that some staff members have current CPR and First Aid certifications.

According to the Director, the Center simulates fire and earthquake drills monthly.

Licensee was reminded that all adults 18 and over, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.



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SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Hanson Leong
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2022
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
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: LITTLE LYNC CHILD CARE CENTER (THE)
FACILITY NUMBER: 384002252
VISIT DATE: 05/12/2022
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LPA encouraged the Director to frequently visit the Licensing website at www.ccld.ca.gov for licensing regulations and new updates. Licensee can also email at childcareadvocatesprogram@dss.ca.gov and ask to be added to the email list for the updates.

Incidental Medical Services (IMS) policy was discussed. For IMS information, see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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)/ (800) 514-0383 (TTY) and link to the publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

The director was given both the Notice of Site Visit document and the Annual Inspection Report

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

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted, and report reviewed with director, Amy Hendrix

SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Hanson Leong
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2022
LIC809 (FAS) - (06/04)
Page: 3 of 3