384004405-9-30-2024-05-CC-JTSE-D9LREB-20240930125717

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 384004405
Report Date: 09/30/2024
Date Signed: 09/30/2024 02:02:19 PM

Document Has Been Signed on 09/30/2024 02:02 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-TULE ELK PARK EARLY EDUCATION SCHOOL		FACILITY NUMBER:	384004405
ADMINISTRATOR/ DIRECTOR:	NANCY LAMBERT-CAMPBELL		FACILITY TYPE:	850
ADDRESS:	2110 GREENWICH STREET		TELEPHONE:	(415) 749-3551
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94123
CAPACITY: 96	TOTAL ENROLLED CHILDREN: 60	CENSUS: 49	DATE:	09/30/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	10:25 AM
MET WITH:	Principal, Nancy Lambert-Campbell		TIME VISIT/ INSPECTION COMPLETED:	01:10 PM

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	On 9/30/2024, at approximately 10:25AM, Licensing Program Analyst (LPA) Jonathan Tse conducted an unannounced annual visit at the facility. LPA met with Principal Nancy Lambert-Campbell (D1) and explained the purpose of the visit. Present during the visit was D1, 13 teachers, and 49 preschool age children. The facility is operating within capacity and ratio requirements on this day. The facility’s operating hours are from 7:30AM to 5:30PM, Monday to Friday. LPA and D1 inspected the facility for any health or safety hazards. There are fully charged 2A10BC fire extinguishers present. There is a fire alarm system running throughout the facility. Carbon monoxide detectors are present. Electrical outlets are covered or blocked when not in use to be inaccessible. Poisons, cleaning detergents, and other chemicals are stored inaccessible to children in care. LPA observed a first aid kit to be present in each classroom. Evacuation routes are posted and accessible for review. Emergency exits are clearly marked and visible. The facility operates in four classrooms: 1, 2, 3, and 4. LPA observed age-appropriate toys and learning materials to be present in each classroom. Furniture is age-appropriate and free of rough or sharp edges. There are cubbies available for each child in care. D1 stated that the facility provides snacks and lunch for children in care. AM snacks are provided from home. Children bring water bottles from home that are refilled from a non-contaminating source. Cots are available for children to nap on. Bedding is brought from home and taken back once a week for cleaning. Waste containers are fitted with tight-fitting lids. Allergy lists are posted and accessible for review by staff. Continued on Page Two

SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE:	DATE: 09/30/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2024

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-TULE ELK PARK EARLY EDUCATION SCHOOL	FACILITY NUMBER: 384004405
	VISIT DATE: 09/30/2024

NARRATIVE

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LPA observed the outdoor play area to be free of debris and other loose materials. The outdoor play area is enclosed by a fence that is at least four feet high. There is a sandbox present that is checked daily. Play structures are cushioned with resilient padding. Shade is available from the facility buildings or trees. Water bottles are brought outside during outdoor play so that children have access to drinking water. There are no pools or other similar bodies of water in the facility.

LPA reviewed six staff files, six children’s files, and facility records. LPA observed all staff members to have completed Mandated Reporter Training. Staff qualifications and immunization records are available for review. LPA advised that Pediatric First Aid/CPR training shall be taken with the American Red Cross, the American Heart Association, or an EMSA approved training program. D1 stated that they understood. See LIC9102-TV for technical violation issued today.

LPA observed all children’s files to be complete. LPA observed required postings to be posted and accessible for review upon entry to the facility and in each classroom. The facility last conducted an emergency drill on 9/17/2024. Emergency drills are properly logged and documented. The facility was constructed after January 1, 2010, and as such is exempt from lead testing requirements.

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 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.

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SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE:	DATE: 09/30/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2024

LIC809 (FAS) - (06/04)

Page: 2 of 3

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-TULE ELK PARK EARLY EDUCATION SCHOOL	FACILITY NUMBER: 384004405
	VISIT DATE: 09/30/2024

NARRATIVE

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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).

This facility was constructed after January 1, 2010, and as such does not require lead water testing to be conducted.

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-care-centers/.

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.

No deficiencies were cited during today's visit on 9/30/2024. See LIC9102-TV for technical violation issued today regarding Pediatric First Aid/CPR. Appeal rights were provided and explained to D1. A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with Principal Nancy Lambert-Campbell.

SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE:	DATE: 09/30/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2024

LIC809 (FAS) - (06/04)

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