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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384002504
Report Date: 08/07/2024
Date Signed: 08/07/2024 01:33:25 PM

Document Has Been Signed on 08/07/2024 01:33 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:INTERNATIONAL SCHOOL OF SAN FRANCISCO, THEFACILITY NUMBER:
384002504
ADMINISTRATOR/
DIRECTOR:		CECILE KOMBRZAFACILITY TYPE:
850
ADDRESS:1155 PAGE STREETTELEPHONE:
(415) 231-5733
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94117
CAPACITY: 94TOTAL ENROLLED CHILDREN: 94CENSUS: 0DATE:
08/07/2024
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:35 AM
MET WITH:Director, Katy WangTIME VISIT/
INSPECTION COMPLETED:
01:45 PM
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On 8/7/2024, at approximately 8:35AM, Licensing Program Analyst (LPA) Jonathan Tse conducted an announced case management visit at the facility. LPA met with Director Katy Wang (D1) and explained the purpose of the visit. Due to the facility being closed over the summer, there are no children in care on this day. The purpose of the visit was to conduct a follow-up visit for a case management visit on 11/1/2023 for a requested increase of capacity.

The facility renovated the outdoor play area during the summer of 2024 and completed renovations in August 2024. LPA inspected the outdoor play area and found there to be age-appropriate play structures and equipment available. There is resilient cushioning installed in each play area. The outdoor play area is enclosed by a fence that is at least four feet high.

During the visit, LPA measured Classrooms 6, 7, 8, and 9. Classroom 6 measured at 638.29 sq. ft. Classroom 7 measured at 643.4 sq. ft. Classroom 8 measured at 800.1 sq. ft. Classroom 9 measured at 714.3 sq. ft. The total measured indoor activity space is 2747.1 sq. ft, which allows for the addition of 78 children to the facility's capacity.

LPA measured the outdoor play area to be 6674.2 sq. ft., which allows for 88 children to be present at a time. LPA advised that D1 shall submit an outdoor rotation waiver request to ensure that all children have access to the outdoor play area. D1 stated that they understood, and provided an outdoor rotation waiver request to LPA during the visit.

During the inspection, LPA observed there to be 20 sinks and 13 toilets available for use. The facility meets the toilet and sink ratio for 195 children.
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SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE: DATE: 08/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/07/2024
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: INTERNATIONAL SCHOOL OF SAN FRANCISCO, THE
FACILITY NUMBER: 384002504
VISIT DATE: 08/07/2024
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The increase of capacity to 170 shall be approved pending Department review of the outdoor rotation request.

No deficiencies were cited during today's visit on 8/7/2024. A notice of site visit was provided and 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 was reviewed with Director, Katy Wang.
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE:

DATE: 08/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2024
LIC809 (FAS) - (06/04)
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