384004267-7-21-2023-05-CC-JYEE-CTXPAA-20230721110826

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 384004267
Report Date: 07/21/2023
Date Signed: 07/21/2023 11:08:50 AM

Document Has Been Signed on 07/21/2023 11:08 AM - 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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME:	YMCA OF SF-MISSION BRANCH-ALICE CHALMERS PRESCHOOL		FACILITY NUMBER:	384004267
ADMINISTRATOR:	SENORES, ANNE		FACILITY TYPE:	850
ADDRESS:	670 BRUNSWICK STREET		TELEPHONE:	(415) 452-7582
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94112
CAPACITY: 32	TOTAL ENROLLED CHILDREN: 32	CENSUS: 22	DATE:	07/21/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Danielle Recinos		TIME COMPLETED:	11:30 AM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst (LPA) Yee conducted a Required - 1 Year inspection today. The purpose of the inspection was explained. Present at the facility are 4 staff members and 22 children. Program site director, Katia Perez arrived during the inspection. Teacher-to-child ratios were met during today's visit. Days and hours of operation: Monday - Friday, 7:00 am - 5:00 pm. The facility has fully charged fire extinguishers that meet the minimum requirements, smoke detectors, and a carbon monoxide detector. LPA and Site director toured and inspected the Center for Health and Safety Hazards. Daycare areas: one large room, and an outside yard. The outdoor playground belongs to the public park which is adjacent to the classroom. All children were wearing school uniforms so that the children are easily spotted at the playground. LPA observed outdoor equipment is in good condition, free from loose, sharp, or pointed parts. There are no pools, spas, or other bodies of water on the premises. All cleaning supplies and other potentially harmful items are made inaccessible to the children. Medications are stored in locked areas and made inaccessible to children. Furniture and equipment are in good condition. There are separate bathrooms on-site for boys and girls. Isolation for a sick child is available. The facility provides meals. The menu is posted it. Drinking water is provided indoors and outdoors. The last Emergency Drill was conducted on June-15-2023 and properly logged. During the visit, LPA reviewed four staff members' files and five children's files. At least one staff have current Pediatric First Aid and CPR on file. Children's files were reviewed and in order. The facility has posted all the required licensing forms in a prominently visible location. LPA discussed Child Abuse Mandated Training AB1207 with the Site Director. As of January 1, 2018, all staff will be required to complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com.

SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jennifer Yee
LICENSING EVALUATOR SIGNATURE:	DATE: 07/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2023

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: YMCA OF SF-MISSION BRANCH-ALICE CHALMERS PRESCHOOL	FACILITY NUMBER: 384004267
	VISIT DATE: 07/21/2023

NARRATIVE

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Pesticide regulations were discussed with the Site director. In accordance with the Healthy Schools Act, California law requires that anyone using any pesticide must be trained every year in integrated pest management and the safe use of pesticides around children. The director was advised that a free one hour online course is available on the Department of Pesticide Regulation's Web site: www.cdpr.ca.gov/schoolipm/training. For questions, email ccipmlist@cdpr.ca.gov. All staff members have certificate.

This facility provides Incidental Medical Services-IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. 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 publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

Facility was also informed that as of September 1, 2016, a person may not be employed or volunteer at a child care facility unless he or she has been immunized against influenza, pertussis, and measles or qualifies for an exemption pursuant to Health and Safety code 1596.7995 and 1597.662.

LPA obtained a lead water testing result during the inspection. The facility may find information under PIN 21021-CCP and 22-06-CCP.

Annual fees are current.

An Exit Interview was conducted with Site director. No deficiencies were issued today under Title 22 Division 12 of the California Code of Regulations. For updates on Licensing information, go to CCL website: www.ccld.ca.gov. For Provider Information Notice: ccld.ca.gov/PG5098.htm

SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jennifer Yee
LICENSING EVALUATOR SIGNATURE:	DATE: 07/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2023

LIC809 (FAS) - (06/04)

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