384004837-3-28-2024-05-CC-CQUO-D3SVNM-20240328163522

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 384004837
Report Date: 03/28/2024
Date Signed: 03/28/2024 04:35:28 PM

Document Has Been Signed on 03/28/2024 04:35 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:	L'ACADEMY PRESCHOOL SF HAYES VALLEY		FACILITY NUMBER:	384004837
ADMINISTRATOR:	FENG, DANNI		FACILITY TYPE:	860
ADDRESS:	200 KANSAS STREET		TELEPHONE:	(415) 658-7817
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94103
CAPACITY: 90	TOTAL ENROLLED CHILDREN: 0	CENSUS: 0	DATE:	03/28/2024
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Helena Gang & Zhen Zhen Li		TIME COMPLETED:	05:00 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 March 28, 2024 at approximately 9:30am, Licensing Program Analysts (LPAs) Catrina Quimbo and Jamel Maiwandi conducted a scheduled pre-licensing inspection. LPAs met with applicants, Helena Gang and Zhen Zhen Li. Application was received on January 30, 2024. Application is a relocation and change of capacity application. L'Academy preschool and infant programs are currently operating at 384004481 and 384004150. The applicant is requesting for a total capacity of 120 children: 64 infants (4 months to 24 months) and 56 preschool children (2 years to entry into first grade). The facility will operate Monday through Friday 7:30am to 5:30pm. L'Academy program operates on the ground floor of multi-level building only. Infant program will operate in infant classrooms #1-#3. Preschool program will operate in preschool classrooms #5-#8. Facility also includes multiple multi-purpose rooms (dance studio, indoor play and evaluation room). Applicants plan for children to be signed in and out of facility with authorized representatives' electronic signatures. Printed paper sign in/out records will be made available as a backup option. The designated director will be Danni Feng. The facility was inspected indoors and outdoors, for health and safety hazards, and measured to calculate capacity. Indoors: Infant classrooms are made into two separate classrooms by dividers. Infant classroom #1 was measured for 641 sq. ft. allowing for a capacity of 18 children. Infant classroom #2 was measured for 704.79 sq. ft. allowing for a capacity of 20 children. Infant classroom #3 was measured for 1,012.97 sq. ft. allowing for a capacity of 28 children. Preschool classroom #5 was measured for 769.22 sq. ft. allowing for a capacity of 21 children. Preschool classroom #6 was measured for 684.84 sq. ft. allowing for a capacity of 19 children. Preschool classroom #7 was measured for 846.14 sq. ft. allowing for a capacity of 24 children. Preschool classroom #8 was measured for 681.41 sq. ft. allowing for a capacity of 18 children. Total indoor square footage equals 5,337.37 sq. ft. allowing for a total capacity of 152 children. LPA reminded applicants infant children and preschool children must be kept physically separate. Dance studio was measured for 456.84 sq. ft. allowing for a capacity of 13 children. Indoor play room was measured for 474.37 sq. ft. allowing for a capacity of 13 children. Evaluation room was measured for 389.66 sq. ft. allowing for a capacity of 11 children. Due to spaces being mutli-purpose rooms, spaces were not counted towards total indoor capacity. (Continue Report on Page 2...)

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE:	DATE: 03/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2024

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: L'ACADEMY PRESCHOOL SF HAYES VALLEY	FACILITY NUMBER: 384004837
	VISIT DATE: 03/28/2024

NARRATIVE

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LPAs observed classrooms to be well ventilated with appropriate temperature. Classrooms are equipped with furniture that are age appropriate and in good condition. Applicants plan to bring toys and materials currently being used from current licensed facilities to relocation facility. Flooring in classrooms were observed to be clean. Sufficient storage space for children's personal belongings are located inside the classrooms.

There is sufficient cabinet space in each classroom that can store poisons, cleaning supplies and hazardous materials. LPAs observed low cabinets to include child safety locks. Facility is equipped with multiple fire extinguishers, a smoke alarm system, fire sprinklers, and multiple carbon monoxide detectors. LPA tested carbon monoxide detectors during visit and observed them to be working. Medications with children’s individual names and required documentation will be stored in designated classrooms, inaccessible to children.

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) tollfree 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, available at: http://www.ada.gov/childqanda.htm.

Program plans to provide napping children with cribs and cots. Applicants stated infants capable of standing and climbing will utilize cots. Applicants stated they are aware cribs in use must be free of loose articles and materials. Children sleeping on cots will utilize blankets and sheets that will be provided by children's families. Per applicant, blankets will be sent home weekly or as needed and cots and cribs will be sanitized daily.

Applicant plans for isolation area to be in director's office in lobby area. Isolation area will be equipped with a cot and age appropriate toys. Program's discipline policy was discussed. Applicant plans for a behavioral management policy that includes calming the child down and communicating with families.

There are multiple bathrooms shared between preschool and infant classrooms. There are 11 toilets and 21 sinks. Total allowable capacity for sinks is 315 children. Total allowable capacity for toilets is 165 children. LPA observed sinks and toilets to be in proper working condition. Sinks children have access to do not provide water that is warmer than 120 degrees Fahrenheit. Applicants were reminded children must be supervised going to and from bathrooms.
(Continue Report on Page 3...)

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE:	DATE: 03/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2024

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 CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: L'ACADEMY PRESCHOOL SF HAYES VALLEY	FACILITY NUMBER: 384004837
	VISIT DATE: 03/28/2024

NARRATIVE

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Program plans to provide a food service that includes morning snack, lunch and afternoon snack for children over 12 months of age. Food will be prepared in facility's kitchen. Per applicants, stoves are not used.

Outdoor: There are two outdoor areas: infant and preschool outdoor area. The infant outdoor area was measured for 818.17 sq. ft. allowing for a capacity of 10 children. The preschool outdoor area measured for 2,437.19 sq. ft. allowing for a capacity of 32 children. Total outdoor area measures for 3,244.36 sq. ft. allowing for a capacity of 43 children.

Outdoor areas are entirely fenced and enclosed. Outdoor area is equipped with outdoor toys and materials. There is a play structure in the preschool outdoor area. Applicants plan to install resilient padding underneath. Outdoor area also includes a sandboxes that was observed to have a cover. Outdoor areas include shade from neighboring buildings and/or trees. LPA reminded applicants children must always be supervised going to and from the outdoor areas.

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.

LPA reminded applicant to conduct and document emergency disaster drills at least once every six months. The requirement for Lead Water Testing was discussed (H&S Code 1597.16). Applicant was reminded a facility licensed after July 1, 2022, must have their water fixtures tested for lead 180 days after licensure and every 5 years thereafter. LPA advised applicant to review PIN 21-21-CCP.

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, 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.

Applicant was informed of the MyChildCarePlan.org site, 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.
(Continue Report on Page 4...)

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE:	DATE: 03/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2024

LIC809 (FAS) - (06/04)

Page: 3 of 4

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: L'ACADEMY PRESCHOOL SF HAYES VALLEY	FACILITY NUMBER: 384004837
	VISIT DATE: 03/28/2024

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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-andresources/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.

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

Based on square footage, maximum number program can be licensed for is 152 children. LPA will approve for 66 infants and 86 preschool age children when following is completed:
-Fire clearance with updated capacity.
-Submission of LIC184C documents.
-LPA's approval of LIC184C re-submitted documents.
-Outdoor waiver request.
-Management approval.

Exit interview conducted and report was reviewed with the applicant, Helena Gang.

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE:	DATE: 03/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2024

LIC809 (FAS) - (06/04)

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