Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384002210
Report Date: 08/04/2016
Date Signed 08/04/2016 11:02:10 AM

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:PIXIE HALL STUDIOS (PS)FACILITY NUMBER:
384002210
ADMINISTRATOR:KRISTIN SCAGLIOTTIFACILITY TYPE:
850
ADDRESS:649 DIAMOND STREETTELEPHONE:
(415) 400-4846
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94114
CAPACITY:10CENSUS: 9DATE:
08/04/2016
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Kristin ScagliottiTIME COMPLETED:
10:45 AM
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LPA Huang met with Director Kristin Scagliotti for a POC visit today at this facility. Present at the facility were two other staff with 9 children in care. LPA toured the facility for health and safety. Facility files were reviewed all children and staff files were completed; however the New Director's experience is from a Family Child Care Home, not qualify as a Center Director. Director have another Teacher submit the qualification to LPA Huang for review by next week.
SUPERVISOR'S NAME: Suzanne Roman-ClarkTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Karen HuangTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 08/04/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2016
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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