Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 380504442
Report Date: 11/26/2019
Date Signed: 11/26/2019 11:21:52 AM

COMPREHENSIVE INSPECTION
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:SFUSD-NORIEGA EARLY EDUCATION SCHOOL (PS)FACILITY NUMBER:
380504442
ADMINISTRATOR:NG, IVYFACILITY TYPE:
850
ADDRESS:1775 - 44TH AVENUETELEPHONE:
(415) 759-2853
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94122
CAPACITY:136CENSUS: 48DATE:
11/26/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Daisy ChanTIME COMPLETED:
11:35 AM
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Licensing Program Analyst (LPA) Van met with Lead teacher, Daisy Chan for an unannounced annual random inspection. Director/Principal, Ivy Ng is on vacation. The purpose of the inspection was explained and was granted entry to the facility by the Lead Teacher. This is a preschool program. The facility operates in 5 classrooms, they are room #1, #2,#4,#5 and #6. Present today are 48 children with 13 teachers. Staff to children ratio are met. Days and hours of operations are from Monday - Friday 8:00 AM - 6:00 PM.

Per Lead teacher, there are no firearms, weapons or pets at the center. Sick children will be separated from the group and waited in the office for parents to pick up. Per Lead teacher, the center provides two snacks, breakfast, and lunch for children. Water bottles are brought from home and readily available for children. The food is prepared off site, by the school districts own facilities. Lead teacher stated Fire and Earthquake drills are done on monthly basis, the last fire drill was completed on 11/12/19.

With director, LPA inspected the day care areas for health and safety hazards. The following were observed the following;
  • Facility has a sign in / out record with full legal signatures from parent or authorized representative.
  • The facility is in good repair, free of any hazards, and has proper temperature and ventilation.
  • Variety of age appropriate toys and learning materials for children are available.
  • Furniture, equipment, sufficient amount of sleeping mats for children are available.
  • There are no pools, spas or other bodies of water at the facility.
  • There is sufficient storage available for the children's belongings
  • There are separate toilet and sinks available for staff & children. Toilets and sinks are reachable by children. Toilet paper, soap and towels are available and the bathrooms are clean.
  • Food preparation area is clean, organize, foods store appropriately, and the menu is observed to be posted.
  • Medication is stored in the classrooms in locked cabinets and also locked in backpack pouches
  • Facility has smoke detector, carbon monoxide detector, fully charged fire extinguisher and a working telephone in each classroom.
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon VanTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 11/26/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/26/2019
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 2
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: SFUSD-NORIEGA EARLY EDUCATION SCHOOL (PS)
FACILITY NUMBER: 380504442
VISIT DATE: 11/26/2019
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  • All cleaning solutions, poisons and other chemicals that are dangerous stored inaccessible to children.
  • Outdoor playground area is in good repair. Play structures are free of any loose parts.
  • Facility has posted the required forms (i.e. License, menus, waivers, Notification of Parent's Rights, Notification of Personal Rights, Car Seat Law, and Emergency Disaster Plan).

The following records were reviewed:
  • All staff have criminal record clearance through the SFUSD.
  • All staff have record of valid Pediatric FirstAid/CPR card in file.
  • Staff have the required immunization, and verification of the mandated child abuse reporting training as compliant with AB1207.
  • Incidental Medical Service (IMS), LPA reviewed medications storage, and discussed with director paperwork needed on the child's plan.
  • All children had a medical assessment and required licensing forms were completed. Medication Policies, Isolation of Sick Children, and Napping Requirements.

The following were discussed with Lead teacher:
  • Provider Information Notices (PINs) on CCLD website, Mandated Reporter Training, and Immunization (as of September 1, 2016, a person may not be employed or volunteer at a child care facility unless he or she has been immunized against influenza, pertussis, and measles or qualifies for an exemption pursuant to Health and Safety code 1596.7995 and 1597.662). 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. Pesticides training was also discussed (Information on the DPR website at: www.cdpr.ca.gov/shoolipm/childcare),
ยท LPA went over the Child Care Center checklist, and provided a copy to the Lead teacher during the inspection

No deficiencies are cited today. The copy of this report is reviewed and provided to the Lead teacher. Notice of site visit is posted and shall remain posted for next 30 days.
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon VanTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 11/26/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/26/2019
LIC809 (FAS) - (06/04)
Page: 2 of 2