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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384003090
Report Date: 04/19/2024
Date Signed: 04/19/2024 01:48:48 PM

Document Has Been Signed on 04/19/2024 01:48 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:SFUSD-MISSION EDUCATION CENTER ELEMENTARY SCHOOLFACILITY NUMBER:
384003090
ADMINISTRATOR/
DIRECTOR:		CARLA LLEWELYN-VASQUEZFACILITY TYPE:
850
ADDRESS:1670 NOE STREET, RM 102TELEPHONE:
(415) 379-2700
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94131
CAPACITY: 24TOTAL ENROLLED CHILDREN: 9CENSUS: 6DATE:
04/19/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:10 AM
MET WITH:Calixta PazTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
NARRATIVE
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On April 19, 2024 at approximately 11:10am, Licensing Program Analyst (LPA) Catrina Quimbo conducted an unannounced, annual inspection. LPA met with lead teacher, Calixta Paz, and explained the purpose of the visit. Present during LPA's visit included 6 preschool age children, lead teacher and assistant teacher. Preschool program is operating within capacity limits and ratio during LPA's visit.

Preschool program operates at Mission Education Elementary School in classroom #102 only. August 2023 through June 2024 school years hours of operation are 8:40am to 2:55pm. All staff working in the classroom are fingerprinted through San Francisco Unified School District. LPA inspected facility, indoors and outdoors, for health and safety hazards.

LPA observed preschool classroom to have a variety of toys and materials that were in good working condition. Children's furniture and equipment were observed to be age appropriate. There are carpets in the classroom that were observed to be clean and secured to the ground. There are multiple activities in the classroom that children have access to that were observed to be age appropriate. There are multiple areas in the classroom that allow for a child's rest and relaxation, dramatic play, and gross motor development.

There is sufficient storage for children's belongings located inside the classroom, labeled with children's individual names. Cabinets and drawers in classrooms were observed to have child safety locks. LPA did not observe accessible poisons, cleaning solutions or chemicals during visit.

Classroom is equipped with a fully charged fire extinguisher, a first aid kit and a fire alarm system implemented by school district. There is a carbon monoxide detector in the classroom that was tested during visit. Carbon monoxide detector was not observed to be working, LPA advised lead teacher to replace detector.
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SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE: DATE: 04/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/19/2024
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: SFUSD-MISSION EDUCATION CENTER ELEMENTARY SCHOOL
FACILITY NUMBER: 384003090
VISIT DATE: 04/19/2024
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There is a bathroom in the classroom that is for preschool's use only. LPA observed bathroom to be in working condition, equipped with appropriate toileting equipment. There is an additional sink in the classroom that was observed to be working. Sinks accessible to children were appropriate temperature and did not exceed 120 degrees Fahrenheit. Garbage bins in classroom and bathroom were observed to have tight fitting lids. Cots are appropriately stored and stacked. Children's sheets and blankets were observed to not be touching.

Preschool program utilizes shared elementary school's basketball court only. Preschool program provides toys and materials that are brought to the basketball court during each use. There is also a garden on site that includes a sandbox. LPA observed sandbox to have a cover. Entire outdoor area is fully fenced and enclosed. LPA did not observe any bodies of water on site.

Drinking water is available to preschool children, both indoors and outdoors, with children's individual water bottles that can be refilled through accessible water fountains on site.

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.

Program provides a food service that is prepared in school district cafeteria and brought to preschool classroom. LPA observed program to utilize a paper sign in/out system that is located outside the classroom. LPA also observed licensing documentation and posters to be properly posted in classroom, available for review. Discipline policy was discussed with lead teacher. Per lead teacher, preschool program is a play based structure that exemplifies modeled behavior and classroom expectations.
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SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE:

DATE: 04/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2024
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: SFUSD-MISSION EDUCATION CENTER ELEMENTARY SCHOOL
FACILITY NUMBER: 384003090
VISIT DATE: 04/19/2024
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During today's visit, LPA reviewed six random children's files. Children's files were complete with a record of required immunizations, emergency and admission information. Lead teacher has a current CPR/First Aid certification that will expire 04/2026. Lead teacher's immunizations were also made available for review and are complete.

Facility representative 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.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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/

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

Facility representative 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.

During today's visit, no deficiencies were issued. A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with facility representative, Calixta Paz.
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE:

DATE: 04/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2024
LIC809 (FAS) - (06/04)
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