384004573-6-6-2022-05-CC-HRCO-CF5MHB-20220606093712

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 384004573
Report Date: 05/25/2022
Date Signed: 06/06/2022 09:37:28 AM

Document Has Been Signed on 06/06/2022 09:37 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
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME:	L'ACADEMY LANGUAGE IMMERSION PS SF CPMC		FACILITY NUMBER:	384004573
ADMINISTRATOR:	GENG, HELENA		FACILITY TYPE:	830
ADDRESS:	1040 GEARY STREET		TELEPHONE:	(408) 916-7536
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94109
CAPACITY: 24	TOTAL ENROLLED CHILDREN: 24	CENSUS: 0	DATE:	05/25/2022
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Helena Geng & Padma Alamuru		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) Haydee Caliboso met with applicants Helena Geng (Manager) & Padma Alamuru (Director) today for a pre-licensing inspection. The applicants have requested 24 infants, ages birth to 24 months. The facility building that will be used for the program is on a commercial building and plans to operate Monday - Friday; 8:30AM to 5:30PM. The designated Director for the facility will be Padma Alamuru. The facility was inspected today, indoor and outdoor, for health and safety hazards, and was measured to calculate capacity. Indoor: There is one designated classroom for the infant program and was calculated for of 638.96 sq. ft., allowing for a capacity of 18 infants. The classroom is observed today to be equipped with a fire extinguisher, and both smoke and carbon monoxide detectors. The facility is adequately ventilated and free of insects and bugs. The classroom and furniture equipment are clean and in good condition. Children’s toys and supplies are orderly, in good condition, and age appropriate. There is storage space for children's personal belongings. The classroom has sinks and toilets available for children to use. The facility has a first aid kit in each classroom and a designated backpack with emergency supplies. Refrigerated medications will be stored separately from food. Medication will be administered with parental consent and will be kept in the child’s file for record. All medication will be logged when administered to children. The facility has a designated area with a working refrigerator. The program will provide morning and afternoon snacks and lunch daily for older infants. The parents will provide a sheets and blankets for the children. Bedding is to be washed twice per week or as needed. Cots will be used for older children and will be cleaned daily or as needed. Cont. 809-C pg. 2

SUPERVISORS NAME: Cindy Interiano
LICENSING EVALUATOR NAME: Haydee R Caliboso
LICENSING EVALUATOR SIGNATURE:	DATE: 05/25/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2022

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
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: L'ACADEMY LANGUAGE IMMERSION PS SF CPMC	FACILITY NUMBER: 384004573
	VISIT DATE: 05/25/2022

NARRATIVE

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Infant: The parents will provide diapers and wipes for the infant. The staff will ensure breastmilk and or milk formula is served fresh daily to the infant. The infant classroom has a designated refrigerator and bottle warmers. The bottle warmer is out of reach of the children. There are 3 cribs available for infant to use. Director stated additional cribs will be purchased as enrollment increases. Drinking water for the children will be provided by plastic baby water bottles or cups with lids provided by the program. LPA reminded the Director that commercially prepared baby food in jars shall be transferred to a dish before being fed to the infant. Bottles, dishes and containers of food brought by the parents shall be labeled with the child’s name and current date. Medications for infants will be stored in the classroom. All furnishings and equipment are observed to be safe, in good condition, and age appropriate. The diaper changing table area has a sink within arm’s reach. The infant classroom has 4 sinks and 2 toilets. Staff will meet and review the individual written needs and service plans quarterly with the parents. Plans will be kept in the children’s files.

There is one restroom available for staff to use. The isolation area for ill children is located at the staff office area. Staff bathroom will be used only for ill children, if needed, until parents arrive for pick-up. LPA reminded that supervision is required while children are waiting for parents to arrive for pick-up. Children in the program will be signed in and out daily by parents using an electronic signature. The facility will conduct and log fire drills once every six months, and the log will be available upon request. All cleaning supplies and hazardous items are stored in a locked cabinet made inaccessible to children.

Outdoor: The facility has no outdoor play area. The program has submitted and obtained an open space playground waiver to San Francisco Park and Recreation Department to use the children’s playground at Sergeant John Macaulay Park located on the corner of O’Farrell St. and Larkin St. which is 0.3 miles away from the facility. The program has obtained an approval of a permit from SF Park and Recreation Department for playground usage until 12/30/22. The program will ensure permit for park usage is current and up to date.
Cont. 809-C pg. 3

SUPERVISORS NAME: Cindy Interiano
LICENSING EVALUATOR NAME: Haydee R Caliboso
LICENSING EVALUATOR SIGNATURE:	DATE: 05/25/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2022

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
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: L'ACADEMY LANGUAGE IMMERSION PS SF CPMC	FACILITY NUMBER: 384004573
	VISIT DATE: 05/25/2022

NARRATIVE

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Children will be transported to the park using buggy baby stroller. LPA reminded the Director to ensure ratio and supervision are observed at all times. The park is shaded by trees. Director was reminded and instructed to use only one side of the playground that is age-appropriate for children in the program. Please see photos of playground structure kept in file. The program will provide field trip permission signed by all parents as part of enrollment agreement. Director will provide policy and procedure to ensure staff are stationed while at the park for best practices of supervision. Additionally, the program will provide water for outdoor time and portable potty for children to use while at the park. The park was inspected for health and safety hazards.

Applicant was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with applicants and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed [applicant, licensee, or facility representative] 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.

This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. A 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
Cont. 809-C pg. 4

SUPERVISORS NAME: Cindy Interiano
LICENSING EVALUATOR NAME: Haydee R Caliboso
LICENSING EVALUATOR SIGNATURE:	DATE: 05/25/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2022

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
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: L'ACADEMY LANGUAGE IMMERSION PS SF CPMC	FACILITY NUMBER: 384004573
	VISIT DATE: 05/25/2022

NARRATIVE

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LPA provided the applicant the LIC 311A, Records To Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

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 platform. To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

Exit interview conducted and report was reviewed with Helena Geng & Padma Alamuru.
An electronic copy of this 4 page report was emailed to Helena Geng. Applicant was asked to review the report and return a signed copy of the report to LPA Haydee Caliboso.

The following corrections need to be made and submitted for further review before a recommendation for licensure with a capacity of 18 children can be made:

· Obtain approval from SF Fire Department.
· Trash cans with tight fitting lids.
· Photo of posting requirements are posted.
· Policy and procedure to ensure children are supervised when transporting infant children to and from the park.
· Policy and procedure to ensure infant children are supervised while at the park.
· All clutter in the infant classroom must be cleaned, organized, and free of dust.
· All extra supplies must be stored properly.
· Photos of sleeping area physically separated from indoor activity space.

SUPERVISORS NAME: Cindy Interiano
LICENSING EVALUATOR NAME: Haydee R Caliboso
LICENSING EVALUATOR SIGNATURE:	DATE: 05/25/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2022

LIC809 (FAS) - (06/04)

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