384004339-8-28-2024-05-CC-LGOZ-D8KVW2-20240828164713

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 384004339
Report Date: 08/28/2024
Date Signed: 08/28/2024 04:47:21 PM

Document Has Been Signed on 08/28/2024 04:47 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:	MISSION KIDS		FACILITY NUMBER:	384004339
ADMINISTRATOR/ DIRECTOR:	MARCHIEL, CHRISTINA M.		FACILITY TYPE:	850
ADDRESS:	969 TREAT AVENUE		TELEPHONE:	(415) 970-9027
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94110
CAPACITY: 96	TOTAL ENROLLED CHILDREN: 96	CENSUS:	DATE:	08/28/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	01:30 PM
MET WITH:	Heather Lubeck		TIME VISIT/ INSPECTION COMPLETED:	05:00 PM

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On 8/28/2024 at 1:30PM., Licensing Program Analyst (LPA), Luis Gomez met with Assistant Director, Heather Lubeck. The purpose of today's visit was explained and was for an unannounced, annual random inspection. This facility is licensed to operate a parent co-op, preschool program. Present was Assistant Director and 13 staff supervising 59 children. Days and hours of operation are Monday- Thursday, 8:30-4:00PM. Adults in facility have criminal record clearances on file. Children present had been signed-in by guardians. Program utilizes five classrooms: Marquitas, 2-3 years old; Mariposas, 2-3 years old; Conejitos, 3-5 years old; Ranitas, 3-5 years old; and Gatitos, 3–5 year-old, and two shared outside play area. Approved waiver, for rotational use of outdoor space is posted in lobby. LPA inspected facility, indoors and outdoors, for health and safety hazards.

At 1:35PM., LPA observed the following: Classrooms were clean, neat, with age-appropriate materials and playthings available for the children.

At 1:40PM., Based on observations, LPA observed napping supplies blocking exit in the Marquitas Classroom. Advisory Note: Technical Violation (LIC9102TV) was issued.

Classrooms were equipped with several tables, chairs, and cubbies for storage of children’s belongings. All furniture was scaled to the appropriate size, and free of sharp corners or splinters. Children’s bathrooms were clean, with toilets and faucets in operating condition. Diaper changing table was made available for staff if needed. Classrooms had extra drawers and cabinets for added storage. Per assistant director, food preparation/ storage are located in each classroom. Food preparation/ storage areas were free of any liter or rubbish. Food items reviewed were current. LPA observed trash bins and outlets have been covered.

For rest/ napping services, facility has plastic mats available. Per assistant director, blankets and supplies are taken home weekly to be washed. (REFER TO 809C, FOR CONT.)

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:	DATE: 08/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2024

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: MISSION KIDS	FACILITY NUMBER: 384004339
	VISIT DATE: 08/28/2024

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Classrooms had ventilation; adequate lighting; and were a comfortable temperature. Facility had a functioning telephone service and fire extinguishers (3A40BC). Per assistant director, carbon monoxide/ smoke detectors are built into the building.

At 2:25PM, LPA reviewed the outside play areas, including the lower and upper yards. LPA observed absorbent rubber and tan bark installed on floors for added safety. Areas were completely enclosed with tall fencing and retractable umbrellas for shaded rest.

LPA reminded facility to ensure water pitchers and cup are taken outside by staff, for children to drink water as they wish.

At 2:40PM., LPA reviewed facility records including a sample of the children files and personnel files. The personnel files reviewed contained Teacher's Proof of Qualifications; Immunization Record; Notice of Employee Rights (LIC9052); Acknowledgement to Report Suspected Child Abuse (LIC9108); and Personnel Record.

Children’s files were reviewed and contained the: Identification and Emergency Information (LIC700); Notification of Parent’s Rights (LIC995); Consent for Emergency Medical Treatment (LIC627); Immunization Record; Proof of Completed Mandated Reporter Training Course (AB1207); and Personal Rights (LIC613A).

Staff's Cardiopulmonary Resuscitation / First Aid certification expires on: 12/2025.

Facility is conducted required emergency disaster drills every six months, with last drills (Fire/ Earthquake) completed on 7/24/2024.

Required postings in lobby and in each classroom. Postings including the: Facility License; Notification of Parent’s Rights (PUB394); Personal Rights (LIC613A); The Passenger Safety Laws (PUB269); Outdoor Space Waiver; Menus (August); and Emergency Disaster Plan (LIC610). (REFER TO 809C, FOR CONT.)

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:	DATE: 08/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2024

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: MISSION KIDS	FACILITY NUMBER: 384004339
	VISIT DATE: 08/28/2024

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LPA referred Assistant Director to the Department website regarding Lead: https://www.cdss.ca.gov/inforesources/child-care-licensing/water-testing-information

Incidental Medical Services (IMS) policy was discussed. 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/.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website athttps://www.cdss.ca.gov/inforesources/community-carelicensing/subscribe and select the Child Care option to receive email communication.

Based on today's inspection, no deficiencies were observed in the areas evaluated according to the Title 22 Division 12 Chap. 1 Ca. Code of Regulations. An exit interview discussing the facility evaluation report was conducted with Assistant Director, Heather Lubeck. Assistant director’s signature on this form acknowledges receipt of these documents.

This report must be made available in facility for public review. Notice of site visit was provided and must remain posted for 30 days. Assistant Director was advised, any additional questions/ concerns to contact the office, M-F, 8am-5pm, 650-266-8800 or 1-844-538-8766. Website: www.ccld.ca.gov

LPA unable to print report during inspection. Copy of report will be sent to facility at a later date.

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:	DATE: 08/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2024

LIC809 (FAS) - (06/04)

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