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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004285
Report Date: 10/03/2023
Date Signed: 10/03/2023 04:46:50 PM

Document Has Been Signed on 10/03/2023 04:46 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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:JUST KIDS PRESCHOOLFACILITY NUMBER:
384004285
ADMINISTRATOR:XIE, SANDYFACILITY TYPE:
850
ADDRESS:5727 GEARY BLVD.TELEPHONE:
(415) 418-6676
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94121
CAPACITY: 24TOTAL ENROLLED CHILDREN: 23CENSUS: 15DATE:
10/03/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:55 PM
MET WITH:Sandy XieTIME COMPLETED:
05:10 PM
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Licensing Program Analyst (LPA) Mok conducted an unannounced annual inspection today. LPA met with the Site Director, Sandy Xie, and explained the purpose of the annual inspection to her. The facility had 15 children with 4 staff present. The children were napping upon LPA's arrival. LPA verified the fingerprint clearance for all staff during the inspection. The facility was a Chinese Immersion Preschool, and the operation hours were Monday to Friday from 7:45 AM to 5:30 PM. The facility was on the ground level of a commercial building. The facility had a tenant on the second level of the building who did not have access to the facility and outdoor space. It had a separate entrance to the upper level. The facility ran a Preschool program in one big classroom with a children's bathroom, a staff bathroom, a food preparation area, and an attached outdoor playground in the back of the building. The big classroom was divided into 2 sessions (Owls - on the right of the classroom and Owlets - on the left side of the classroom). LPA inspected the facility for health and safety hazards. The facility was clean and in order, temperature and lighting were adequate and all toxins and harmful objects were made inaccessible to the children. The facility had plenty of age-appropriate toys, books, learning equipment, and children's furniture that were in good condition and repair available for the children indoors. The facility had the first aid supplies available in the classroom. There was a right number of cubbies with children's names available for the children to store their belongings. The facility also had shoe shelves available for children and staff by the main entrance. All electrical outlets were covered. The facility installed a gate at the stairway to prevent children from accessing the off-limit area. There was a staff bathroom available in the center. Cots were used for napping with children's names. All the children's bedding was stored in the cubbies. There were 2 water fountains available for the children to refill their water bottles whenever they needed. Per the Site director, there were no guns, weapons, or pets in the facility. The facility provided AM/PM snacks and lunch to the children. The children bring their lunch to the facility daily. LPA inspected the food preparation area. It was clean and had no harmful objects. The lower cabinet and drawers were latched or free of harmful objects. The children's bathroom was clean and in order. It had a big sink with 2 faucets and 2 children's size toilets. The outdoor playground was completely fenced, clean, and in order. There were plenty of age-appropriate toys, climbing structures, slides, ride-on toys, sandboxes, water tables, and children's furniture that were in good condition and repair available for the children. The facility also installed artificial turf on the entire playground to prevent injury. Per the site director, there were a couple of children on special medication. LPA inspected the storage of the medication and reviewed the medical documents during the inspection. The facility has conducted the disaster drill 2 times a year. At least one staff had a current CPR/First Aid training certificate available for review during the inspection, LPA reviewed children and staff files and obtained a copy of the current children's roster during the inspection. All staff had completed the Child Abuse Mandated Reporter Training (AB1207). The facility posted all required postings by the main entrance.

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.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Cindy Mok
LICENSING EVALUATOR SIGNATURE: DATE: 10/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/03/2023
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: JUST KIDS PRESCHOOL
FACILITY NUMBER: 384004285
VISIT DATE: 10/03/2023
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Criminal Record Clearance - the licensee 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.

Lead Testing Child Care Centers (CCC) COMPLETED TESTING AND NO LEAD EXCEEDANCES: 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 21-21.1CCP). LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP. PIN 22-05-CCP Page Four For the following scenarios use the below un-bolded language: • CCC COMPLETED TESTING AND IS IN THE PROCESS OF REMEDIATING LEAD EXCEEDANCES, or • CCC COMPLETED SAMPLING BUT THE TEST RESULTS ARE NOT YET AVAILABLE, or • CCC DID NOT COMPLETE TESTING PRIOR TO THEIR DEADLINE, or • CCC TESTING DEADLINE HAS NOT PAST LPA referred licensee [or facility representative] to the Department website for lead: Lead Toxicity Prevention and Water Testing Information.

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 PIN 22-02-CCP. 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-carecenters/.

MyChildCarePlan.orgthe licensee 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.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Cindy Mok
LICENSING EVALUATOR SIGNATURE:

DATE: 10/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2023
LIC809 (FAS) - (06/04)
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