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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384001473
Report Date: 02/01/2024
Date Signed: 02/01/2024 12:56:42 PM

Document Has Been Signed on 02/01/2024 12:56 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:ROOM TO GROW PRESCHOOL, THEFACILITY NUMBER:
384001473
ADMINISTRATOR:KRIS TAYLORFACILITY TYPE:
850
ADDRESS:3786 MISSION STREETTELEPHONE:
(415) 826-9598
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94110
CAPACITY: 26TOTAL ENROLLED CHILDREN: 26CENSUS: 15DATE:
02/01/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Amy Shain, Oscar HarperTIME COMPLETED:
01:05 PM
NARRATIVE
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On 2/1/2024 at 8:50AM., Licensing Program Analyst (LPA), Luis Gomez and Lead Teacher, Amy Shain. Purpose of the inspection was explained and was for a unannounced, annual random inspection. The facility is licensed to operate a preschool program. Site director, Oscar Harper arrived during inspection. Present was the director and 4 staff supervising 15 children. Children present had been properly signed in by authorized representative. The childcare program utilizes one classrooms, and the outdoor play area. Program’s days and hours of operation: Monday - Friday, 8:00AM- 5:30PM. Per director, children care services are provided year-round. LPA inspected facility for health and safety hazards.

At 9:05AM., the following was observed: Classroom was clean and orderly, with age-appropriate materials available for the children. Facility classroom is made up of several adjoining rooms, with separate activity areas. LPA observed floor and ground surfaces were clear of obstructions or hazards. The off-limit areas had been made inaccessible.

At 9:10AM., Based on observations, LPA observed cans of beer stored in accessible refrigerator. Per director, items were gift by the families. Items were immediately moved to an off-limit area during inspection.

The facility had several child- sized tables and chairs. The facility was equipped with labelled bins and hangers for storage of children's belongings. Accessible furniture was free of any sharp corners or splinters. The children’s bathroom was observed clean with fixtures in operating condition.

The staff’s bathroom is located separately. For nap services, LPA observed foldable mats stored on top of cabinets. Per director, sheets are washed weekly by families.


(REFER TO 809c, FOR CONT.)
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE: DATE: 02/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/01/2024
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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Document Has Been Signed on 02/01/2024 12:56 PM - It Cannot Be Edited


Created By: Luis Gomez On 02/01/2024 at 11:43 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: ROOM TO GROW PRESCHOOL, THE
FACILITY NUMBER: 384001473

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/01/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
101170(e)
Criminal Record Clearance
(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility:

This requirement is not met as evidenced by:
Deficient Practice Statement
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At 10:30AM., Based on record review and observations, LPA confirmed staff member (S1) does not have criminal record clearance or association on file. This poses an immediate health and safety risk to children in care.
POC Due Date: 02/02/2024
Plan of Correction
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Facility will ensure staff, S1, receives criminal record clearance and association prior to presence in facility. Authorized representatives must the sign the, LIC9224, Acknowledgement of A-type deficiency issued.

Proof of correction will be submitted to the Department via email.


Civil Penalty of $300.00 was issued to facility.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Marie Rodriguez
LICENSING EVALUATOR NAME:Luis Gomez
LICENSING EVALUATOR SIGNATURE:
DATE: 02/01/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/01/2024


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 02/01/2024 12:56 PM - It Cannot Be Edited


Created By: Luis Gomez On 02/01/2024 at 11:43 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: ROOM TO GROW PRESCHOOL, THE
FACILITY NUMBER: 384001473

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/01/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101238(g)(1)
Buildings and Grounds
(g) Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children. (g) Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children. (1) Storage areas for poisons shall be locked.

This requirement is not met as evidenced by:
Deficient Practice Statement
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At 9:10AM., Based on observations, LPA observed cans of beer stored in accessible refrigerator. This poses a potential health and safety risk to children in care.
POC Due Date: 02/02/2024
Plan of Correction
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Items were removed during inspection.
Deficiency has been cleared.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Marie Rodriguez
LICENSING EVALUATOR NAME:Luis Gomez
LICENSING EVALUATOR SIGNATURE:
DATE: 02/01/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/01/2024


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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: ROOM TO GROW PRESCHOOL, THE
FACILITY NUMBER: 384001473
VISIT DATE: 02/01/2024
NARRATIVE
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The facility had adequate ventilation, lighting, and was a comfortable temperature. Facility was equipped with testable carbon monoxide detector, smoke detector (Built-in), telephone service, and fire extinguishers: 2A:10:BC, which is fully charged. LPA reviewed the available first aid kit during inspection.

At 9:30AM., LPA inspected the outdoor play area. The outdoor area was completely enclosed with a shaded rest area and benches available for the children. Outside playthings inspected were in good repair. An absorbent material had been installed on the ground surface and around play structure for added safety. LPA observed the sandbox had been properly covered. Per director, area is reviewed daily for foreign objects. Per director, water services are provided both inside and outside with refillable cups.

At 10:05AM., LPA reviewed facility records including 5 children’s files and 5 personnel files. Facility’s personnel files were reviewed and contained staff's: Teacher Qualifications and Personnel Records (LIC501).

At 10:30AM., Based on record review and observations, LPA confirmed staff member (S1) does not have criminal record clearance or association on file.

LPA reminded director to ensure staff's updated 'Mandated Reporter Training' Certification (AB1207), and proof of immunization, are stored in the facility records. Advisory Note: Technical Violation (LIC9102) was issued during inspection.

Facility’s children’s files were reviewed and contained the: Immunization Records, Identification and Emergency Information (LIC700); Notification of Parent’s Rights (LIC995); Personal Rights (LIC613A); and ‘Physician Report’.


(REFER TO 809c, FOR CONT.)
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2024
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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: ROOM TO GROW PRESCHOOL, THE
FACILITY NUMBER: 384001473
VISIT DATE: 02/01/2024
NARRATIVE
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(Page 3)
Personnel present had their current cardiopulmonary resuscitation / first aid certification on file, expiring on 7/2025.
The required emergency disaster drills are being conducted every six months, with last drill completed on 1/4/2024, properly logged.

LPA observed required postings are located near entryway and include the: Facility License; Notification of Parent’s Rights (PUB394); Passenger Safety Law (PUB269); and Emergency Disaster Plan (LIC610).

LPA reviewed food preparation area during inspection. Area was clean and free of rubbish. LPA reminded director post snack menu at least one week in advance for families. Advisory Note: Technical Violation (LIC9102) was issued.

Assembly Bill (AB) 2370, chapter 676, statues 2018 requires all licensed child care centers (CCC’s) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and every five years after the date of the first test.



LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21- CCP.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02CCP. When any IMS is provided, an updated 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 are available at: https://www.ada.gov/resources/child-care-centers/.

The director 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. (REFER TO 809c, FOR CONT.)
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2024
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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: ROOM TO GROW PRESCHOOL, THE
FACILITY NUMBER: 384001473
VISIT DATE: 02/01/2024
NARRATIVE
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(Page 4)
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 athttps://www.cdss.ca.gov/inforesources/community-carelicensing/subscribe and select the Child Care option to receive email communication.

Based on today's inspection, deficiencies were observed in the areas evaluated according to the Title 22 Division 12 Chap. 1 Ca. Code of Regulations and cited on 809D. Exit interview, plans for correction, and facility evaluation report was discussed with Director, Oscar Harper. The director’s signature on this form acknowledges receipt of these documents.



An Type “A” violation was issued today. Director was advised to provide a copy of the Facility Evaluation Report and all Type “A” Deficiencies cited, to parents and guardians of children currently enrolled in care and to parents of newly enrolled children during the next 12 months. A signed and dated LIC 9224 (Deficiency and Acknowledgment of Receipt of Licensing Reports) shall be maintained in each child’s files.

Civil Penalty of $300.00 was issued to facility.

This report must be made available in the facility for public review. Notice of site visit was provided and must remain posted for 30 days. Director was advised any additional questions to call office, M-F, 8am-5pm, 650-266-8800 or 1-844-538-8766. Website: www.ccld.ca.gov
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2024
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