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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004405
Report Date: 12/15/2023
Date Signed: 12/15/2023 11:59:32 AM

Document Has Been Signed on 12/15/2023 11:59 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:SFUSD-TULE ELK PARK EARLY EDUCATION SCHOOLFACILITY NUMBER:
384004405
ADMINISTRATOR:NANCY LAMBERT-CAMPBELLFACILITY TYPE:
850
ADDRESS:2110 GREENWICH STREETTELEPHONE:
(415) 749-3551
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94123
CAPACITY: 96TOTAL ENROLLED CHILDREN: 96CENSUS: 45DATE:
12/15/2023
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
09:35 AM
MET WITH:Nancy Lambert CampbellTIME COMPLETED:
12:10 PM
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On 12/15/2023, Licensing Program Analyst (LPA) Hanson Leong, made an unannounced required visit to the child daycare facility listed above. The LPA was granted entry by the Director, Nancy Lambert Campbell. The LPA explained the purpose of the visit to Ms. Lambert Campbell. Present in the facility: 12 staff members and 45 preschool aged children. All individuals listed on the facility’s roster have been granted permission to work or be present in a childcare facility. The facility is operating within its capacity and in accordance with the required ratio of staff to children.

The LPA and Ms. Lambert Campbell both performed comprehensive inspections of the facility to look for possible threats to health and safety. The LPA observed that the facility maintains a paper record of when children sign in and out, and the number of parent signatures did match the number of children enrolled for the day. The facility offers a first aid kit that is completely loaded with everything that is required for the treatment of wounds and other types of injuries. Toys, furnishings, and learning materials in all classes are age appropriate. The LPA observed that the playground equipment and outdoor furnishings are in very good shape. The LPA found that the facility did not have any pools, spas, or other types of bodies of water of any kind. All poisons, cleaning products, and other potentially harmful substances have been stored in a location that is inaccessible to children. The building is equipped with smoke detectors, carbon monoxide detectors, fire extinguishers that are properly charged, centralized smoke alarms, and phones that are in working order. According to Ms. Lambert Campbell, the facility does not house any firearms or other types of weapons.

The LPA observed a designated area for children to sleep or rest quietly. The area has sufficient cots for each child, and cots are stored in the appropriate location. The LPA reminded Ms. Lambert Campbell that emergency exits must always remain clear, and that cots cannot be situated in a manner that blocks emergency exits.

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SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Hanson Leong
LICENSING EVALUATOR SIGNATURE: DATE: 12/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/15/2023
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: SFUSD-TULE ELK PARK EARLY EDUCATION SCHOOL
FACILITY NUMBER: 384004405
VISIT DATE: 12/15/2023
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The LPA observed that the facility posted the required documents. (i.e., license, waivers, notification of parental rights, notification of personal rights, car seat law, emergency disaster plan, and daily activities)

The LPA reviewed both the children's and staff records. The LPA reviewed the 5 children's records and found that all 5 children have a record of their emergency information on file The LPA reviewed the records of the 5 staff members and found that the 5 staff members possess a valid certification in Pediatric First Aid/CPR and Mandated Reporter. The LPA also found that the 5 staff members possess the required 12 Early Childhood Education (ECE) units, which are necessary qualifications for being a qualified teacher.

Ms. Lambert Campbell 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.

According to Ms. Lambert Campbell, the building was constructed after January 1, 2010, which exempts the facility from testing for lead in their water (used for drinking and food preparation).

The LPA reviewed the facility's emergency drill log. According to Ms. Lambert Campbell, the last earthquake drill was carried out on 12/11/2023.

LPA discussed the safe sleep regulations with Ms. Lambert Campbell and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed Ms. Lambert Campbell 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.

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SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Hanson Leong
LICENSING EVALUATOR SIGNATURE:

DATE: 12/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2023
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: SFUSD-TULE ELK PARK EARLY EDUCATION SCHOOL
FACILITY NUMBER: 384004405
VISIT DATE: 12/15/2023
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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/

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 at https://www.cdss.ca.gov/inforesources/community-carelicensing/subscribe and select the Child Care option to receive email communication.

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



No deficiencies were cited today under CCR, Title 22, Div. 12.

A copy of today’s report was given to Nancy Lambert Campbell. A Notice of Site Visit was given to Nancy Lambert Campbell and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Exit interview conducted and report was reviewed with Nancy Lambert Campbell.
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Hanson Leong
LICENSING EVALUATOR SIGNATURE:

DATE: 12/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2023
LIC809 (FAS) - (06/04)
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