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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004582
Report Date: 01/10/2024
Date Signed: 01/10/2024 01:00:47 PM

Document Has Been Signed on 01/10/2024 01:00 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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:GARDEN SCHOOL, THEFACILITY NUMBER:
384004582
ADMINISTRATOR:EUNG, LAYLAYFACILITY TYPE:
850
ADDRESS:4037 24TH STREETTELEPHONE:
(415) 619-2293
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94114
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 24DATE:
01/10/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Jin Song (Annie)TIME COMPLETED:
01:20 PM
NARRATIVE
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On January 10, 2024, Licensing Program Analyst (LPA) Van conducted an unannounced required random inspection and was greeted by Jin Song (Annie). The purpose of the inspection was explained, and entry to the facility was granted by Ms. Jin. Ms. Jin stated the Director was on vacation, and Ms. Jin was not a lead teacher. Present today are 24 children supervised by 5 teachers (3 qualified and 2 teachers’ aides). The facility complies with the staff-children ratios today. All staff members present today have criminal clearance on file. The days and operations hours are Monday - Friday from 8:00 a.m. to 5:30 p.m.

During the inspection, LPA found that the Center did not have or made an arrangement to have a designated qualified teacher to act as a substitute Director. All three qualified teachers present during the visit stated they were not in charge or designated as Director substitutes. The supposed designated substitute Director, Man Chan (Sally) showed up at the Center. Ms. Chan stated she was in the staff room taking care of personal business. Ms. Chan stated that she did not leave the premises. LPA did not observe or see Ms. Chan until at least 11:10 AM.

LPA thoroughly examined the physical facility to identify potential health and safety hazards. The facility has an electronic sign-in/out record system using Brightwheel. The facility is in good condition, and the temperature and ventilation levels are adequately maintained. Age-appropriate toys and educational materials are available in each classroom. The furniture is sturdy and well-maintained. LPA observed that each child has their own cubby available. The facility has a centralized combination of carbon monoxide and smoke detectors, fully charged fire extinguishers, and a functioning telephone.
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SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Brendon Van
LICENSING EVALUATOR SIGNATURE: DATE: 01/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/10/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 5
Document Has Been Signed on 01/10/2024 01:00 PM - It Cannot Be Edited


Created By: Brendon Van On 01/10/2024 at 12:37 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: GARDEN SCHOOL, THE
FACILITY NUMBER: 384004582

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/10/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1597.16(a)(1)
Lead Testing
(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on the interview and record review, the licensee did not comply with the above-referenced section. Water fixtures were not tested for lead after the due date of January 1, 2023, which poses a potential health, safety, or personal rights risk to persons in care.
POC Due Date: 01/19/2024
Plan of Correction
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Facility completed lead water testing on October 19, 2023. Lead testing results show water fixtures to be below the 5.5 ppb threshold. Deficiency is cleared.
Type B
Section Cited
HSC
1596.7995(a)(1)
General Provisions and Definitions
(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.

This requirement is not met as evidenced by:
Deficient Practice Statement
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This requirement is not met, as evidenced by a records review. Three out of five teachers did not have complete immunizations on file. Not having updated immunizations on file for teachers could present health and safety risks to the children.
POC Due Date: 01/19/2024
Plan of Correction
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The Licensee must ensure that all immunization records for their employees are complete and on file before they start working. The immunization records of the four teachers should also be included in their personnel file by January 19, 2024. A follow-up visit will be conducted to verify that all necessary immunization records exist and that any deficiencies have been addressed.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Garfield Leung
LICENSING EVALUATOR NAME:Brendon Van
LICENSING EVALUATOR SIGNATURE:
DATE: 01/10/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/10/2024


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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: GARDEN SCHOOL, THE
FACILITY NUMBER: 384004582
VISIT DATE: 01/10/2024
NARRATIVE
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LPA noticed that emergency supplies are securely stored. All hazardous materials, including cleaning solutions and poisons, are kept out of the reach of children. Additionally, sleeping cots are appropriately stored. Medications were observed stored in a locked box. The toilets and handwashing sinks are in good working condition and regularly sanitized. Lastly, LPA observed no bodies of water on the premises.

The Center currently has a waiver approved to use the Noe Valley Court Playground located at 4320 24th Street for outdoor activities. LPA informed the Center’s staff to take necessary precautions to be taken, such as providing drinking water for the children and maintaining a maximum teacher-to-child ratio of one to six while going to or from the park. It is the responsibility of the staff to ensure that the playground is completely free of debris or any harmful materials before use. LPA has provided these reminders to the Director to ensure a safe and enjoyable experience for the children.

During the inspection, LPA reviewed records of children and personnel. The records for each child were found to be complete, including their names, addresses, and authorized representative telephone numbers. Each child's file also contains information about their immunization record, medical assessment, and admission agreement.

Staff members' records showed that all individuals requiring caregiver background checks had undergone criminal records and child abuse index clearances or exemptions. Furthermore, several staff members possess valid CPR certificates, and all staff maintain up-to-date Pediatric First Aid CPR. Several teachers have the educational qualifications as qualified teachers. However, there were four teachers who did not maintain complete immunization records. Some teachers were missing MMR, Tdap, and also TB clearance. Fire and earthquake drills log showed that drills were conducted at least once every six months with the most recently completed on 12/5/23.
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SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Brendon Van
LICENSING EVALUATOR SIGNATURE:

DATE: 01/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2024
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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: GARDEN SCHOOL, THE
FACILITY NUMBER: 384004582
VISIT DATE: 01/10/2024
NARRATIVE
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The facility had posted the required forms. (i.e., License, waivers, Notification of Parent's Rights, Notification of Personal Rights, Car Seat Law, Emergency Disaster Plan, and Daily activities). The Center only provides lunch to children. Per lead teacher, the children bring their water bottles from home, or the facility refills the bottles if needed for children indoors and outdoors. All storage containers for solid waste within the Center have a proper tight-fitting cover.

The staff 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.

Incidental Medical Services (IMS) policy was discussed. For IMS information, see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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)/ (800) 514-0383 (TTY) and link to the publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

The staff was informed about Mandated Reporter training AB 1207. The Mandated Reporter AB 1207 training must be completed every two years by the Licensee and for all staff hired. Training can be taken online at www.mandaterreporterca.com. Also, the Director was reminded of Pesticide training. Information on the DPR website at: www.cdpr.ca.gov/shoolipm/childcare
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SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Brendon Van
LICENSING EVALUATOR SIGNATURE:

DATE: 01/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2024
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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: GARDEN SCHOOL, THE
FACILITY NUMBER: 384004582
VISIT DATE: 01/10/2024
NARRATIVE
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The staff was informed of the MyChildCarePlan.org website, a consumer education website that helps families obtain child care by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

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).

CCC COMPLETED TESTING AND NO LEAD EXCEEDANCES:
The Center completed its lead testing after the January 1, 2023, due date.

LPA verified that the lead testing was completed in accordance with the Written Directives outlined in PIN 21-21.1-CCP.

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

During the inspection, LPA requested the following document be sent to the Licensing office by Jan 19, 2024, to complete the annual inspection.
1. An up-to-date Emergency Disaster Plan (LIC 610)
2. Personnel Report (LIC 500)
3. Designation of Administrative Responsibility (LIC 308)
4. Incidental Medical Services Plan
5. Basic Pest Management Training completion for all staff

A notice of site visit was given to the lead teacher and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

Exit interview was conducted, and the report and appeal rights were reviewed with the Lead teacher, Man Chan.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Brendon Van
LICENSING EVALUATOR SIGNATURE:

DATE: 01/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2024
LIC809 (FAS) - (06/04)
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