414004851-7-14-2023-05-CC-CQUO-CTQSDL-20230714134720

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414004851
Report Date: 07/14/2023
Date Signed: 07/14/2023 01:47:24 PM

Document Has Been Signed on 07/14/2023 01:47 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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME:	SORA INTERNATIONAL PRESCHOOL OF DALY CITY		FACILITY NUMBER:	414004851
ADMINISTRATOR:	AUNG, YIN		FACILITY TYPE:	850
ADDRESS:	58 HILL STREET		TELEPHONE:	(650) 756-1926
CITY:	DALY CITY	STATE: CA	ZIP CODE:	94014
CAPACITY: 36	TOTAL ENROLLED CHILDREN: 7	CENSUS: 7	DATE:	07/14/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Miho Eguchi		TIME COMPLETED:	02:00 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On July 14, 2023 at approximately 11:00am, Licensing Program Analyst (LPA) Catrina Quimbo conducted an unannounced, annual inspection. LPA met with teacher, T1, and explained the purpose of the inspection. During LPA's visit, director was not present. Per T1, director was out sick during LPA's visit. Present during LPA's visit included 2 teaching staff and 7 enrolled preschool age children. Facility is operating within teacher to child ratio during LPA's visit. Teaching staff present have criminal record clearance. Hours of operation are Monday through Friday 8:30am to 5:30pm. Program operates as a Japanese immersion program. LPA inspected the facility, indoors and outdoors, for health and safety hazards. Facility includes 2 classrooms, a multi-purpose area, and an outdoor area. LPA observed classrooms to be clean, equipped with age appropriate toys and materials. Storage for children's belongings are located near front entrance of center. Children's cubbies are labeled with their individual names. LPA observed facility to have an installation of a fire alarm system throughout the building, as well as multiple fully charged fire extinguishers. LPA spoke with regional manager, Mako Garcia, through a phone. Per regional manager, fire alarm system is a dual smoke/carbon monoxide detector system. LPA observed poisons, cleaning solutions and hazardous materials are stored inaccessible to children, in facility's high shelves or off limit area. Facility currently provides a food service that includes morning and afternoon snacks only. Lunch is provided by children's families. There is a kitchen area that is made inaccessible to children with child safety gates. There is an additional snack prep area in the classroom that was observed to be clean and neat. LPA did not observe any poisons or chemicals to be stored near snack prep area. Water is available to children indoors and outdoors with children's water bottles that can be refilled at the facility. Per phone conversation with regional manager, required lead water testing has not been completed for facility, but is scheduled for 07/21/2023. (Continue Report on Page 2...)

SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE:	DATE: 07/14/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2023

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
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: SORA INTERNATIONAL PRESCHOOL OF DALY CITY	FACILITY NUMBER: 414004851
	VISIT DATE: 07/14/2023

NARRATIVE

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Multi-purpose space was observed to be clean, equipped with a variety of indoor and outdoor toys and materials. LPA observed materials to be in good working condition. Flooring in multi-purpose area includes artificial turf that was in clean condition. Poles in the space were also observed to be padded for additional safety.

Outdoor area was observed to be fully fenced and enclosed. Outdoor area is equipped with sufficient outdoor materials that were in good working condition. There is a play structure in the outdoor area that was observed to have resilient padding underneath. There is a sandbox in the outdoor area that is appropriately covered when not in use.

LPA reviewed facility records that included 7 children's records and both teaching staff whom were present during LPA's visit. LPA observed children's and staff's records to be complete. Children's files have a record of emergency information on file. At least one staff member present on site has a current CPR/First Aid certification that will expire 06/2025. Both teaching staff on site have their required immunizations that were made available for review.

Children are signed in and out of facility by authorized representatives' electronic signatures. Facility has license documentation and information properly posted and available for review. Emergency drills are conducted and properly documented. Last emergency drill was conducted 03/20/2023.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at
www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Facility representative was reminded that all adults 18 and over, 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.
(Continue Report on Page 3...)

SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE:	DATE: 07/14/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2023

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
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: SORA INTERNATIONAL PRESCHOOL OF DALY CITY	FACILITY NUMBER: 414004851
	VISIT DATE: 07/14/2023

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Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care
Centers (CCCs) constructed before January 1, 2010, to test their water (used for
drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test.

For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP). CCC did not complete testing prior to their deadline. LPA referred facility representative to the Department website for lead: Lead Toxicity Prevention and Water Testing Information.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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/.

Facility representative was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California

Facility was cited a Type B citation for not completing requiring lead water testing requirements prior to due date. Appeal Rights were provided to facility representative.

A notice of site visit was given and must remain posted for 30 days. LPA read entire 3 page report and D page report to regional manager, Mako Garcia, via phone.

Exit interview conducted and report was reviewed with the facility representative, T1.

SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE:	DATE: 07/14/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 07/14/2023 01:47 PM - It Cannot Be Edited

Created By: Catrina Quimbo On 07/14/2023 at 01:31 PM

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: SORA INTERNATIONAL PRESCHOOL OF DALY CITY	FACILITY NUMBER: 414004851
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/14/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1597.16(a)(1)

(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010 shall have its drinking water tested for lead contamination levels on or after January 1, 2020 but no later than January 1, 2023, and every five years after the date of the initial test. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, interview, record review, the licensee did not comply with the section cited above in which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 08/14/2023
	Plan of Correction
1 2 3 4	Facility is scheduled to complete water testing 07/21/2023. Proof of water testing for lead levels to be submitted to LPA no later than 08/14/2023.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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:

Garfield Leung

LICENSING EVALUATOR NAME:

Catrina Quimbo

LICENSING EVALUATOR SIGNATURE:

DATE: 07/14/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2023

LIC809 (FAS) - (06/04)

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