384004582-9-27-2022-05-CC-SLOO-CJNPW5-20220927114011

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 384004582
Report Date: 09/27/2022
Date Signed: 09/27/2022 11:41:22 AM

Document Has Been Signed on 09/27/2022 11:41 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:	GARDEN SCHOOL, THE		FACILITY NUMBER:	384004582
ADMINISTRATOR:	PAN, MIRANDA		FACILITY TYPE:	850
ADDRESS:	4037 24TH STREET		TELEPHONE:	(415) 619-2293
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94114
CAPACITY: 30	TOTAL ENROLLED CHILDREN: 30	CENSUS: 0	DATE:	09/27/2022
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	08:54 AM
MET WITH:	Miranda Pan		TIME COMPLETED:	11:55 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	On September 27, 2022 at 9:00 AM, Licensing Program Analysts (LPA) Sheran Lo met with Applicant Miranda Pan today for a pre-licensing inspection. This inspection included a technical assistance inspection for COVID-19 guidance and support. The applicant is requesting 30 children (ages 2 years to entry into first grade). The facility will operate Monday - Friday; 8:00 AM to 6:00 PM. The designated director/site supervisor for the facility is also applicant. The facility was inspected today indoor for health and safety hazards and measured to calculate capacity. Indoor: There is one classroom with different sections that will be used for the program and the following square footage was calculated for each room: Section 1- 437.71 sq ft. , Section 2- 351.19 sq ft., Section 3- 18.75 sq ft., and Section 4- 63.44 sq ft. Total useable indoor square footage is 871.09 sq ft divided by 35 sq ft equals 24 children. The indoor space for children is observed today to be clean and all furnishing, toys and equipment observed to be safe and in good condition. There is storage space for children's personal belongings and mats to be utilized for napping children. Families will provide a sheets and blanket for children and bedding will sent home to be laundered weekly. Mats will be cleaned at least weekly or more often if needed. Children will be signed in and out with a tablet to use for electronically. The indoor space is equipped with a fire extinguisher, smoke and carbon monoxide detectors, garbage cans with tight-fitting lids, first aid and emergency supplies. The facility is adequately ventilated and free of insects and bugs. Windows are sealed up inaccessible to children. The program does not provide any meals. Back up food is available if necessary. Snack foods will be stored in the cabinet separately from any cleaning products or other hazards. Medications will be stored in the storage area inaccessible to the children; there is a refrigerator located in this area for refrigerated medications.

SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Sheran Lo
LICENSING EVALUATOR SIGNATURE:	DATE: 09/27/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2022

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: GARDEN SCHOOL, THE	FACILITY NUMBER: 384004582
	VISIT DATE: 09/27/2022

NARRATIVE

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There are _2 toilets (30 capacity) and 2 sinks (30 capacity) accessible for children's use. Bathrooms are located in the back of the classrooms. The bathrooms were observed to be clean and with no health and safety hazards. Sinks accessible to children deliver water that is no warmer than 120 degrees. The program will provide a water dispenser and cups for children to drink water indoors. All toxins and other hazardous items will be stored in a locked cabinet in the classroom and will be inaccessible to children. Isolation of ill children will be in the adult bathroom.

Outdoor: The facility does not have outdoor space. Applicant has applied for open space waiver to use Noe Valley Courts. Required postings were observed during today's inspection. Facility will conduct monthly disaster drills and a log will be maintained for review upon request. The fire inspection will be conducted tomorrow, and applicant will request for a copy if passed. The requirement for Lead Water Testing was discussed (H&S Code 1597.16). Information was provided to applicants during today's inspection. Advisory Note provided to applicants stating that the requirement for testing must be met by January 2023.

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.

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

Exit interview conducted and report was reviewed with the applicant Miranda Pan. LPA Lo will recommend licensure of this facility for a capacity of 24 children once the following is received:

-FIRE CLEARANCE (STD 850)

-Manager's review and approval.

SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Sheran Lo
LICENSING EVALUATOR SIGNATURE:	DATE: 09/27/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2022

LIC809 (FAS) - (06/04)

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