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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004894
Report Date: 07/28/2022
Date Signed: 07/28/2022 01:18:29 PM

Document Has Been Signed on 07/28/2022 01:18 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:INTELLIGENT LEARNINGFACILITY NUMBER:
414004894
ADMINISTRATOR:YU, XIAOTIANFACILITY TYPE:
830
ADDRESS:374 CATHERINE DRIVETELEPHONE:
(650) 431-8919
CITY:SO. SAN FRANCISCOSTATE: CAZIP CODE:
94080
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
07/28/2022
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Shu "Irina" Yang & Xiaotian "Tara" YuTIME COMPLETED:
01:15 PM
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On July 28, 2022 at approximately 9:00am, Licensing Program Analyst (LPA) Catrina Quimbo conducted a pre-licensing inspection. LPA met with director, Xiaotian "Tara" Yu and explained the purpose of the inspection. Facility is already licensed with a preschool license. The applicant is requesting for a combination center with the addition of an infant license. Under the infant license, the applicant is requesting 8 infants (3 months to 24 months). Director is aware children from preschool program and infant program are not to co-mingle.

The facility will operate Monday through Friday from 8:30am to 5:30pm. Children will be signed in and out with an electronic signature. The designated director for the facility will be Xiaotian "Tara" Yu. The facility will operate as a Chinese immersion program. At approximately 9:30am, licensee, Shu "Irina" Yang, arrived to facility. LPA continued inspection with both licensee and director. The facility was inspected, indoors and outdoors, for health and safety hazards and measured to calculate capacity.

Indoors: There is one classroom that will be used for the infant program. Infant classroom was calculated for 330.64 sq ft allowing for a capacity of 9 children. There is one bathroom in the infant classroom that includes 1 adult toilet and 1 adult sink. Licensee will install appropriate children's toileting equipment for infants that will be potty training. Total allowable capacity for the toilet and sink is 15 children. Classroom also has 1 additional sink that is made accessible to children with children's stepping stool/stairs. All sinks that will be used by children do not provide water that is warmer than 120 degrees. Classroom is also equipped with a changing table that is within arm's reach to the sink.

The classroom used for the infant program was observed to be clean and equipped with a fully charged fire extinguisher and carbon monoxide detector. Facility maintains a fire alarm system. All furnishing, toys and equipment was observed to be safe, age appropriate and in good condition. Sufficient storage space for children's personal belongings is located inside the classroom.
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SUPERVISORS NAME: Cindy Interiano
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE: DATE: 07/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/28/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 4
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: INTELLIGENT LEARNING
FACILITY NUMBER: 414004894
VISIT DATE: 07/28/2022
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Licensee plans to utilize cribs and and mats for napping infants in care. Designated napping area is located inside classroom. Licensee plans to install wall partition to separate the infants' napping space from the infants' activity space. Infants' families will provide sheets that will be sent home weekly.

The facility is adequately ventilated and free of insects and bugs. First Aid Kits and emergency supplies will be located inside the classroom. Cleaning products, poisons and other hazardous materials will be stored in classroom's cabinets, locked behind child safety cabinets. LPA reminded licensee and director cleaning products and other chemicals are not to be stored with food.

The facility also contains a kitchen, staff lounge and office that will remain off limits to children. The isolation area will be the office. Director and licensee are aware children in isolation must always be supervised. At this time, infant program does not plan to provide a food service. Infants' bottles and food are to be brought from home, individually labeled, and properly stored in infant classroom. Water is available to children both indoors and outdoors.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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)/ (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

Outdoor: There are two designated areas for infants use. First section of outdoor area is located directly outside the front entrance of the infant classroom, designated for infants, crawling and "tummy time". Second section of the outdoor area is located at the side of the facility, on the Catherine Drive side. The outdoor area was calculated for 728.31 sq ft allowing for a capacity of 9 children. Entire outdoor area is enclosed with an at least 4ft high fence. Outdoor area was observed to be clean with appropriate toys and materials that were in good working condition. Infants' outdoor area is cushioned with turf that was observed to be clean.
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SUPERVISORS NAME: Cindy Interiano
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE:

DATE: 07/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2022
LIC809 (FAS) - (06/04)
Page: 2 of 4
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: INTELLIGENT LEARNING
FACILITY NUMBER: 414004894
VISIT DATE: 07/28/2022
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Licensee and director were reminded to conduct emergency disaster drills at least once every six months. Drills should be properly logged and documented.

Licensee and director were 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, 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.

LPA discussed the safe sleep regulations with licensee and director and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee and director 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 reviewed with licensee and director the LIC 311A, Records To Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

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 platform.
To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

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SUPERVISORS NAME: Cindy Interiano
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE:

DATE: 07/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2022
LIC809 (FAS) - (06/04)
Page: 3 of 4
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: INTELLIGENT LEARNING
FACILITY NUMBER: 414004894
VISIT DATE: 07/28/2022
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Prior to recommended licensure, following must be completed:
-Installation of wall partition, separating infant napping area from infant activity area.
-Installation of child safety lock on off limit areas including kitchen, office, and staff lounge.
-Submission of amended documents.
-Full review of application by LPA.
-Management approval.

Exit interview conducted and report was reviewed with licensee, Shu "Irina" Yang, and director, Xiaotian "Tara" Yu.
SUPERVISORS NAME: Cindy Interiano
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE:

DATE: 07/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2022
LIC809 (FAS) - (06/04)
Page: 4 of 4