384004192-1-27-2023-05-CC-NGAA-CNGQJW-20230127111327

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 384004192
Report Date: 01/27/2023
Date Signed: 01/27/2023 11:13:40 AM

Document Has Been Signed on 01/27/2023 11:13 AM - It Cannot Be Edited

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:	L'ACADEMY PRESCHOOL SF NOB HILL		FACILITY NUMBER:	384004192
ADMINISTRATOR:	ALAMURU, PADMA		FACILITY TYPE:	850
ADDRESS:	1868 VAN NESS AVENUE UNIT 1		TELEPHONE:	(415) 361-1879
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94109
CAPACITY: 26	TOTAL ENROLLED CHILDREN: 26	CENSUS: 11	DATE:	01/27/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:29 AM
MET WITH:	Sara Garcia		TIME COMPLETED:	11:30 AM

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On January 27, 2023 at approximately 9:20 AM, Licensing Program Analyst (LPA) Nathan Garcia met with Director, Sara Garcia for an unannounced annual inspection. Purpose of the inspection was explained. Present, in the facility are Director, and 3 teachers, including floaters, supervising 11 children during snack/breakfast time. Facility is operating within its capacity and is in compliance with staff/child ratio on this day. Facility operates day care from Monday - Friday 8:00am to 5:30pm.

With Director, LPA inspected day care room and the outdoor space. LPA observed facility has combined smoke detectors and carbon monoxide detectors, 2 fully charged fire extinguisher model 3A40BC located on multiple areas. The facility has a working telephone on site. All cleaning solutions, poisons, and other chemicals dangerous to the children are stored inaccessible to the children. Facility has age-appropriate furniture. Facility floor and rugs are in good repair and free of any hazards.

There are first aid supplies available in the classrooms and in the office. All bathrooms are in working condition. All food is stored properly to avoid contamination. Facility has enough sleeping cots/mats available and provides sheet/blankets from home. Brought every Monday and on Fridays to be washed. Individual items provided by the parents are labeled and stored appropriately. One AM snack, lunch and PM snacks are prepped and served at the facility. Per director, there are some food preferences such as vegetarian which is also served in the facility. Per director, the children are provided through kitchen sink as main source of drinking water. The water is filtered through Brita water pitchers and water bottles are brought home everyday. All foods must be nut-free and food preparation area is free of litter. Food is stored adequately to prevent contamination and properly labeled. There is water available for children in the yard as well as in the classrooms and emergency bags. According to the director, the facility utilizes a park nearby, within 10 minutes walk. The name of the parks are Helen Wills and Lafayette Playground with a permit.

Based on the interview with the director, the building was built in 2019, therefore the facility does not need to have their water tested for lead.

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SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Nathan Garcia
LICENSING EVALUATOR SIGNATURE:	DATE: 01/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/27/2023

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
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: L'ACADEMY PRESCHOOL SF NOB HILL	FACILITY NUMBER: 384004192
	VISIT DATE: 01/27/2023

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According to the director, the facility is using 1Core Application for sign in/out sheet. All authorized representatives have signed. Facility has license and all other required documents posted and visible for the public. Facility has an emergency drill log and last drill was conducted on December 14, 2022. Per Director, drills are done every other month.

The LPA reviewed the facility records. LPA reviewed 4 random children's files. All required files were available in folders. LPA reviewed 4 staff files with qualifying requirements such as ECE Units, CPR and Mandated Reporter Training. The facility has a set learning curriculum that includes story time, and movement posted in the classroom.

The Director was reminded that all adults 18 and over, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Facility was informed that as of September 1, 2016, a person may not be employed or volunteer at a childcare 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.

Director is aware that all staff is required to complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com. LPA observed the completion certificates on file.

LPA encourages the director to frequently visit our website at www.ccld.ca.gov for licensing regulations and new updates.

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SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Nathan Garcia
LICENSING EVALUATOR SIGNATURE:	DATE: 01/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/27/2023

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
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: L'ACADEMY PRESCHOOL SF NOB HILL	FACILITY NUMBER: 384004192
	VISIT DATE: 01/27/2023

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This facility provides Incidental Medical Services – IMS. According to the director, there are currently no children with allergies. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.The following information regarding 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: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

>No deficiencies were cited today under CCR, Title 22, Division 12, Chapter 3. This report must be available in the facility for public review.

Director was advised any additional questions to call Office, M-F, 8am-5pm, 650-266-8800 or 1-844-538-8766. Website: www.cdss.ca.gov

Report was reviewed and signed by director, Sara Garcia.

Today’s report, and notice of site visit will be printed and given to the director.

SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Nathan Garcia
LICENSING EVALUATOR SIGNATURE:	DATE: 01/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/27/2023

LIC809 (FAS) - (06/04)

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