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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004605
Report Date: 10/28/2022
Date Signed: 10/28/2022 12:27:26 PM

Document Has Been Signed on 10/28/2022 12:27 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
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:BUILDING KIDZ SAN FRANCISCO AT SUNSETFACILITY NUMBER:
384004605
ADMINISTRATOR:CAPULI, LILIANFACILITY TYPE:
850
ADDRESS:2540 TARAVAL STREETTELEPHONE:
(949) 735-7470
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94116
CAPACITY: 45TOTAL ENROLLED CHILDREN: 45CENSUS: 0DATE:
10/28/2022
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Stephanie Yeap and Annie MaTIME COMPLETED:
01:00 PM
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Licensing Program Analyst (LPA) Marie Rodriguez conducted a scheduled pre-licensing inspection and met with applicant Stephanie Yeap and site director Annie Ma. This application is for a change of ownership. Facility is located at Grace United Methodist Church. Applicant is requesting a capacity of 45 preschool aged children. Facility will operate from Monday to Friday from 7:00 am to 6:00 pm. The designated site director will be Annie Ma. The facility was inspected today, indoor and outdoor, for health and safety hazards and measured to calculate capacity.

Indoor: Total useable indoor square footage measures at 1,784.80 sq ft divided by 35 sq ft equals
50 children. There are three toilets, one urinal, three sinks, and changing table accessible for children's use. Total allowable capacity for toilets is 60 and sinks is 45. Applicant has submitted an updated LIC 200A application to request a total of 49 preschool aged children.

Indoor space is separated into four classrooms using wall partitions. Each classroom is observed today to be clean, safe, and in good repair. All furniture, toys, and equipment are observed to be age appropriate and in good condition. There is a storage space for children's personal belongings and mats will be utilized for napping children. Parents will provide a sheet and blanket for their child and will be returned at the end of each week to be laundered. Indoor space is equipped with two fire extinguishers, smoke and carbon monoxide detectors, a fire alarm system, and a sprinkler system. Garbage cans have tight-fitting lids. There is a fully stocked first aid kit that is inaccessible to children. Indoor space is adequately ventilated and free of insects and bugs.

There are two bathrooms accessible for children's use. First bathroom (Alphabet bathroom) has two toilets, two sinks, and a changing table. Second bathroom (Fish bathroom) has one toilet, one urinal, and one sink. Bathrooms are observed to be clean and with no health and safety hazards. All sinks accessible to children deliver water that is no warmer than 120 degrees. There is a separate bathroom for staff usage on the premises. There will be a rotational schedule for bathroom use with each class.
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Marie Rodriguez
LICENSING EVALUATOR SIGNATURE: DATE: 10/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/28/2022
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 3
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: BUILDING KIDZ SAN FRANCISCO AT SUNSET
FACILITY NUMBER: 384004605
VISIT DATE: 10/28/2022
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Drinking water is available for children indoors and outdoors. Kitchen will be inaccessible to children and is observed to be clean, safe, and in good repair. All toxins and other hazardous items will be inaccessible to children. Isolation of ill children will be in the library area near the entrance of the facility and the Fish bathroom will be used for an ill child.

Facility will provide morning and afternoon snacks. Children will be bring their own lunch. The menu is posted at the entrance of the facility. Medications will be stored in a locked cabinet in the kitchen. Refrigerated medications will be stored in a locked box. 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. Required postings are observed to be posted at front entrance of the school during today's inspection.

Outdoor: Total useable outdoor square footage measures at 2,269.80 sq ft. divided by 75 sq ft allowing a total of 30 children. The outdoor area is enclosed by a fence at least four feet tall and observed to be clean, safe, and equipped with age appropriate toys and equipment for children. Resilient material is located on the ground of the play structure. Teachers will bring out a pitcher of water and disposable cups while outside. Shade for children will be provided by trees and neighboring buildings. Applicant has submitted a waiver requesting a rotational schedule for use of outdoor play area.

LPA will approve licensure of facility for the capacity of 49 children once fire clearance has been granted by the fire inspector. Fire clearance inspection was conducted on October 26, 2022. LPA will send revised STD 850 to fire inspector for approval.

Applicant was reminded about Mandated Reporter training available on CCLD website. Training must be completed every 2 years by all staff hired. Training can be taken online at www.mandatedreporterca.com. If training is not available in native language, a statement can be written stating exemption until the translation is available.

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.
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Marie Rodriguez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2022
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: BUILDING KIDZ SAN FRANCISCO AT SUNSET
FACILITY NUMBER: 384004605
VISIT DATE: 10/28/2022
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LPA discussed the safe sleep regulations with applicant 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 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.

LPA reviewed with 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 the applicant Stephanie Yeap and site director Annie Ma.
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Marie Rodriguez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2022
LIC809 (FAS) - (06/04)
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