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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
384004434
Report Date:
10/06/2021
Date Signed:
10/06/2021 02:30:57 PM
Document Has Been Signed on
10/06/2021 02:30 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
CCLD Regional Office
,
851 TRAEGER AVE., SUITE 360
SAN BRUNO
,
CA
94066
FACILITY NAME:
NOE VALLEY KIDS
FACILITY NUMBER:
384004434
ADMINISTRATOR:
TOLEDO, JORDAN
FACILITY TYPE:
830
ADDRESS:
3800 22ND STREET
TELEPHONE:
(415) 619-2293
CITY:
SAN FRANCISCO
STATE:
CA
ZIP CODE:
94114
CAPACITY:
36
TOTAL ENROLLED CHILDREN:
0
CENSUS:
0
DATE:
10/06/2021
TYPE OF VISIT:
Prelicensing
UNANNOUNCED
TIME BEGAN:
10:30 AM
MET WITH:
Miranda Pan
TIME COMPLETED:
11:00 AM
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L
icensing Program Analysts (LPA) Haydee Caliboso met with Miranda Pan today for a follow up pre-licensing inspection required prior to licensure during the initial Pre-Licensing inspection conducted on 9/16/21. LPA observed the following corrections have been completed:
·
The applicant has obtained public park usage from SF Parks and Recreation.
·
First Aid Kit is replenished and contains supplies that are available for children and staff usage. First aid supplies are accessible for staff but made inaccessible to children. All expired items have been removed.
·
Napping mats and cots are in safe condition with no exposed foam.
·
All garbage cans and recycle bins have tight fitting lids.
Portable warmers are available and made inaccessible to children.
LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep web page at
https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep
as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at
https://www.cpsc.gov/
and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.
LPA Caliboso will recommend licensure of this facility for a capacity of 32 children.
SUPERVISORS NAME
:
Cindy Interiano
LICENSING EVALUATOR NAME
:
Haydee R Caliboso
LICENSING EVALUATOR SIGNATURE
:
DATE:
10/06/2021
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
10/06/2021
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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