384002760-10-11-2023-05-CC-LGOZ-CWJ34Q-20231011175528

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 384002760
Report Date: 10/11/2023
Date Signed: 10/11/2023 05:55:38 PM

Document Has Been Signed on 10/11/2023 05:55 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:	BUENA VISTA CHILD CARE, INC.(SA)		FACILITY NUMBER:	384002760
ADMINISTRATOR:	SCHLICKER, SHERI		FACILITY TYPE:	840
ADDRESS:	1266 FLORIDA STREET		TELEPHONE:	(415) 283-5545
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94110
CAPACITY: 90	TOTAL ENROLLED CHILDREN: 90	CENSUS: 86	DATE:	10/11/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:20 PM
MET WITH:	Rochelle Celedon		TIME COMPLETED:	06:00 PM

NARRATIVE

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On 10/11/2023 at 1:20PM., Licensing Program Analyst, Luis J. Gomez met with Program Director, Rochelle Celedon. The purpose of the visit was explained and is for an unannounced; annual random inspection. Program is requesting an increase in capacity from 90 to 200. Program offers after-school care, which operates at St. Peter’s Catholic School. Program is utilizing eight classrooms: Parrish Hall: After-school Room, #4; Classroom #1 and #2, Middle School Room; Classroom #3, Main Building: Classrooms #101, #103, # 201, and 205. Program also has a shared, Library and Outdoor Play Yard. Days and hours of operation: Monday, Tuesday, Thursday, Friday: 3:00pm- 5:30pm and Wednesdays, 12:30- 5:30pm. Present were the directors and 14 staff supervising 86 children. LPA inspected the facility, indoor and outdoor, with director for health and safety hazards.

At 1:45PM., LPA observed the following: Classrooms were maintained clean and orderly. Classrooms inspected have books, supplies and materials available for the children. Classrooms were equipped with tables and chairs for activities.

At 2:00PM., Based on observations, LPA confirmed exposed heater vent in the middle school classroom (#3). Advisory Note: Technical Violation (LIC9102TV) was issued.

Classrooms have acceptable ventilation and lighting. Cubbies are available for storage of children’s belongings. Classrooms have functioning Carbon Monoxide Detector; Smoke Detector and fully charged fire extinguishers (2A10BC).

Due to program functioning at a school site, this school-age child care program is exempt from the square footage or toilet requirements.

At 2:20PM., LPA inspected the outdoor play areas and children’s bathrooms. Area was enclosed and free of trash or rubbish, with plaything in good repair. Water is available for the children with use of water station and disposable cups. Children’s bathroom located outside and were reviewed. Fixtures tested were in operating condition. Bathrooms had adequate supplies for handwashing. (REFER TO 809C, FOR CONT.)

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:	DATE: 10/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2023

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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Document Has Been Signed on 10/11/2023 05:55 PM - It Cannot Be Edited

Created By: Luis Gomez On 10/11/2023 at 04:37 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: BUENA VISTA CHILD CARE, INC.(SA)	FACILITY NUMBER: 384002760
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/11/2023

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	At 4:30PM., Based on interview, observations, and record review, LPA confirmed facility's fixtures used for drinking water, and/ or food preparation have not been tested for lead contamination levels. This poses a potential health and safety risk to children in care.
	POC Due Date: 10/16/2023
	Plan of Correction
1 2 3 4	Director will have all water outlets used for drinking water/ food preparation tested for lead contamination by the due date: 10/16/2023. Proof of correction will be submitted to the department via email.

Type B

Section Cited

CCR

101216.1(g)

Teacher Qualifications and Duties

(g) A photocopy of the teacher's Child Development Permit as specified in (c)(3) above, or a photocopy of the teacher's transcript(s) documenting successful completion of required course work, shall be maintained at the center. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	At 4:20PM., Based on record review, LPA confirmed teacher's proof of qualifications missing from facility files. This poses a potential health and safety risk to children in care.
	POC Due Date: 10/23/2023
	Plan of Correction
1 2 3 4	Director will resubmit updated Personnel Roster (LIC500) to the Department by the due date: 10/23/2023. Director will ensure qualified staff (teachers) have proof of qualification the personnel file. Proof of correction will be submitted to the department via email. Civil penalty of $250.00 issued for repeat violation.

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:

Marie Rodriguez

LICENSING EVALUATOR NAME:

Luis Gomez

LICENSING EVALUATOR SIGNATURE:

DATE: 10/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2023

LIC809 (FAS) - (06/04)

Page: 2 of 8

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: BUENA VISTA CHILD CARE, INC.(SA)	FACILITY NUMBER: 384002760
	VISIT DATE: 10/11/2023

NARRATIVE

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(Page 2)
At 3:00PM LPA review facility records including 5 children’s files and 8 personnel files. Staff files reviewed and included: Declaration to Report Suspected Child Abuse (LIC9108), and Notice of Employee Right (LIC9052).

At 4:20PM., Based on record review, LPA confirmed teacher's proof of qualifications missing from facility files.

LPA reminded director to ensure staff's updated ‘Mandated Reporter Training' (AB1207) certification, and proof of required immunization, stored in the facility files. Advisory Note: Technical Violation (LIC9102TV) was issued during inspection.

Children’s files were reviewed included: Identification of Emergency Information; and Notification of Parent’s Rights (LIC995).

Present staff members had their current CPR/ 1^st aid certification on file.

LPA reminded facility to be conducting emergency disaster drills every six months, with last on done one on 5/24/2023.

Per director, food services are outsourced, and brought to facility daily.

At 4:30PM., Based on interview, observations, and record review, LPA confirmed facility's fixtures used for drinking water, and/ or food preparation have not been tested for lead contamination levels.

All required posting were reviewed including the facility included the License, Parents Rights (PUB393), Emergency Disaster Plan (LIC610). LPA reminded Director to post snack/ lunch menu in visible location for families, a least a week in advance. Advisory Note Technical Violation (LIC9102TV) was issued.

For IMS information see PIN 22-02CCP. 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/.

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:	DATE: 10/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2023

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: BUENA VISTA CHILD CARE, INC.(SA)	FACILITY NUMBER: 384002760
	VISIT DATE: 10/11/2023

NARRATIVE

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(Page 3)
Director was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, 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.

LPA referred director to the Department website for lead: Lead Toxicity Prevention and Water Testing Information.

Prior to approval for increase in capacity, facility must:
1.Obtain Fire Clearance (STD 850).
2.Clear deficiencies cited during annual inspection.

Based on today’s inspection, deficiencies were observed in areas evaluated according to the Title 22 Division 12 of Ca. Code of Regulations and listed on the 809D pages. A copy of this report, exit interview, with the appeal rights was provided to Rochelle Celedon, and signature of this form acknowledges the receipt of these documents.

Civil Penalty of $250.00 was issued during inspection for repeat violation.

Notice of site visit was observed to be posted and shall remain posted for 30 days.

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:	DATE: 10/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2023

LIC809 (FAS) - (06/04)

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