Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384002539
Report Date: 11/15/2018
Date Signed: 11/15/2018 11:43:05 AM

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:ALEMANY CENTER-HEAD START (PS)FACILITY NUMBER:
384002539
ADMINISTRATOR:PETERSON, VALERIEFACILITY TYPE:
850
ADDRESS:956 ELLSWORTH STREETTELEPHONE:
(415) 635-0904
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94110
CAPACITY:18CENSUS: 15DATE:
11/15/2018
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Regional Education Manager - Eugenia JamesTIME COMPLETED:
11:30 AM
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Licensing Program Analyst (LPA) Manlutac performed an unannounced case management inspection at the facility at issue. LPA met with Eugenia James purpose of the inspection was explained, which was to follow up on an unusual incident reported on 10/11/2018. Present during the inspection were 15 preschool age children with three teaching staff. The facility was operating within licensed capacity and within ratio on this day.

The unusual incident was regarding the facility being closed from 10/11/2018 to 10/15/2018 due to a pest infestation. Eugenia states pest control came out and inside traps inside and outside. Pest control caught a raccoon and a cat, which pest control suspects fleas might have came from. Treatment is continued every weekend. Director states that the center performed a deep cleaning.

Since the center reopened there have been no more cases of pests.

No deficiencies were cited on this day. A copy of this report was reviewed and left with Eugenia along with a notice of site visit which is to be posted for 30 days
SUPERVISOR'S NAME: Suzanne Roman-ClarkTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Lorenzo ManlutacTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 11/15/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2018
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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