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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384002794
Report Date: 12/14/2021
Date Signed: 12/14/2021 03:13:13 PM

Document Has Been Signed on 12/14/2021 03:13 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 OHANAFACILITY NUMBER:
384002794
ADMINISTRATOR:WONG, SONDRAFACILITY TYPE:
850
ADDRESS:50 FREMONT STREETTELEPHONE:
(650) 484-3000
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94105
CAPACITY: 84TOTAL ENROLLED CHILDREN: 84CENSUS: 19DATE:
12/14/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Sondra HomTIME COMPLETED:
01:26 PM
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On December 14, 2021 at 9:45 AM, Licensing Program Analysts (LPA) Sheran Lo met with Center Director Sondra Hom for an annual inspection. Purpose of the inspection was explained. Present, in the facility are Director, Health and Safety Director, 6 teachers and 19 children in care. Facility is operating within its capacity and is in compliance with staff / child ratio on this day. Facility operates day care from Monday - Friday 7:30am to 6:00pm.

With Director, LPA inspected the child care room and play yard. LPA observed facility has smoke detector, carbon monoxide detector, fully charged fire extinguisher and working telephone on site. All cleaning solutions, poisons, and other chemicals dangerous to the children are stored inaccessible to the children. Facility has age appropriate furniture. Facility floor is in good repair and free of any hazards.

There are first aid supplies available in the classrooms. All bathrooms are in working condition. All food is stored properly to avoid contamination. Facility has a sufficient amount of sleeping cots available and provides sheets laundered on site. Cubbies are used to store children's belongings Individual items provided by the parents are labeled and stored appropriately. Families provide lunch for their children. Two snacks are provided by facility and food preparation area is free of litter. Food is stored adequately to prevent contamination. Facility uses a rotation schedule in the outdoor yard for play. There is water available for children in the courtyard as well as in the classroom.

Report continues on next page……….

SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Sheran Lo
LICENSING EVALUATOR SIGNATURE: DATE: 12/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/14/2021
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 OHANA
FACILITY NUMBER: 384002794
VISIT DATE: 12/14/2021
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LPA observed that facility is using electronic sign in / out. LPA collected a print-out of children's roster. Facility has license and all other required documents posted and visible for the public. There are menus posted at least one week in advance and are visible to the child's authorized representative. Facility has an emergency drill log for the new school year. At 12:15 PM, LPA reviewed the facility records. LPA reviewed 10 random children's files. LPA reviewed 2 random staff's files. There are no pools, spas or other bodies of water on the premises. Per Director, there are no firearms or weapons at the center. This center provides Incidental Medical Service (IMS).

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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/process.

Director 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.

LPA discussed the safe sleep regulations with Director and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed Director of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Center Director Sondra Hom.

SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Sheran Lo
LICENSING EVALUATOR SIGNATURE:

DATE: 12/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/14/2021
LIC809 (FAS) - (06/04)
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