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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004930
Report Date: 12/10/2024
Date Signed: 12/10/2024 01:03:10 PM

Document Has Been Signed on 12/10/2024 01:03 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:HUNGRY CATERPILLARS EARLY EDUCATION CENTERFACILITY NUMBER:
384004930
ADMINISTRATOR/
DIRECTOR:		TERESA ALDAZFACILITY TYPE:
860
ADDRESS:3219A LAGUNA STREETTELEPHONE:
(415) 710-2019
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94123
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: DATE:
12/10/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Applicant Bryan Haberek, Director Mia AcunaTIME VISIT/
INSPECTION COMPLETED:
01:00 PM
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Centralized Application Bureau (CAB) Licensing Program Analyst (LPA) Jamel Maiwandi and Community Care Licensing Division (CCLD) Licensing Program Analyst Jonathan Tse met with applicant Bryan Haberek and Director Mia Acuna for the purpose of an announced pre-licensing inspection at 3219A Laguna Street, San Francisco, CA, 94123 on 12/10/2024 at approximately 10:15am. Applicant requests a preschool component to serve 24 preschool children from age two years to six years old. The program will operate Monday through Friday from 8:00 a.m. to 5:00 p.m. Fire clearance was granted on 10/15/2024.

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.

INDOOR ACTIVITY SPACE:
There is one preschool classroom located in the facility, and one staff restroom located next to the preschool play area. The isolation area for sick children will be located in the staff administrative area. The facility will be utilizing a food delivery program and does not have a food preparation area. Staff was reminded that all storage areas shall be kept clean and free of litter and rubbish, and measures shall be taken to keep all such areas free of rodents and other vermin. LPAs measured the classroom which includes a total of 720.75 square feet and will not accommodate the applicants request for 24 preschool children. LPA observed a sufficient amount of equipment, toys, tables, chairs, napping mats, and cubbies. There are two first aid kits located in the staff administrative area. Medications will be stored and inaccessible to children in locked storage cabinets and accordingly to each individual child in the staff administrative area. Cleaning and disinfectant agents will be stored in locked cabinets and will be inaccessible to children in the main classroom above the sink area. Drinking water will be provided for children via parents and the facility will provide filtered drinking water as well. LPAs observed a functional carbon monoxide detector in the main classroom. There are no firearms or poisons located on the premises.
Report continues on LIC 809 page 2
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Jamel Maiwandi
LICENSING EVALUATOR SIGNATURE: DATE: 12/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/10/2024
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 3
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: HUNGRY CATERPILLARS EARLY EDUCATION CENTER
FACILITY NUMBER: 384004930
VISIT DATE: 12/10/2024
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A digital sign in and sign out process will be used and a paper sign in and sign out process will be used as a backup. Parents will be responsible for providing sheets, blankets, and pillows for their children. There is a total of two toilets and two sinks available for children. There is a dedicated mobile line for the facility. Staff was informed facility shall be kept clean, safe, sanitary and in good conditions at all times to ensure the safety and well-being of children, employees and visitors.

OUTDOOR ACTIVITY SPACE:
There is one outdoor activity area located in the facility. LPAs measured the outdoor area, which includes a total of 368.25 square feet and will not accommodate the applicants request for 24 preschool children. Applicant was informed the outdoor play area needs to be fully complete and set up for use before a license will be used.

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) 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

LPAs discussed the following: 100% supervision is required at all times, including in the bathroom; personal rights; inspection authority; reporting requirements; staff to children ratios and capacity; staff qualifications; and maintaining buildings and grounds. LPA discussed with applicant and director that any changes that may occur regarding the director or an employee acting in the director's absence must be reported to department within 10 working days. Staff were 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.

Report continues on Lic 809 page 3

SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Jamel Maiwandi
LICENSING EVALUATOR SIGNATURE:

DATE: 12/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2024
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 CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: HUNGRY CATERPILLARS EARLY EDUCATION CENTER
FACILITY NUMBER: 384004930
VISIT DATE: 12/10/2024
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applicant and director were 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. 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.

Assembly Bill (AB) 2370, /chapter 676, Statues 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-year 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)

Exit interview conducted and report was reviewed with applicant Bryan Haberek and Director Mia Acuna

The following is required before a license will be issued:
1. Revised STD 850 fire clearance request form
2. Proof of step stool for indoor sink
3. Fully set up outdoor play area
4. Approved outdoor waiver
5. Department review of corrections
6. Final LPM approval
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Jamel Maiwandi
LICENSING EVALUATOR SIGNATURE:

DATE: 12/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2024
LIC809 (FAS) - (06/04)
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