Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 410517130
Report Date: 05/31/2018
Date Signed 05/31/2018 04:30:13 PM

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:HILLSIDE CHRISTIAN ACADEMY (SA)FACILITY NUMBER:
410517130
ADMINISTRATOR:KERRAN, LINDAFACILITY TYPE:
840
ADDRESS:1415 HILLSIDE BLVDTELEPHONE:
(650) 588-6860
CITY:SOUTH SAN FRANCISCOSTATE: CAZIP CODE:
94080
CAPACITY:45CENSUS: DATE:
05/31/2018
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
02:20 PM
MET WITH:Christina ElliotTIME COMPLETED:
04:50 PM
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LPA Andrea Medlin met with staff for this plan of correction visit established on 3/28/18. Purpose of the visit explained. The following previously cited deficiencies were checked today:
  • Section 101216(f) Personnel Requirements. At least one person trained in CPR and Pediatric first aid shall be present when children are at the facility or offsite activities. Staff now have current Pediatric First Aid and CPR certification.
  • Health and Safety Code 1596.866 Additional health and safety training; For licenses issued on or after January 1, 2016, at least one director or teacher at each day care center, and each provides care, shall have at least one hour of childhood nutrition training day care licensee who as part of the preventive health practices course or courses. Director has the required 8 hours Health and Safety Training.
  • H&S Code 1596.8662(3) On and after January 1, 2018, a person who becomes an administrator or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a) within the first 90 days reporter training every wo years that he or she is employed at the facility. Staff now have the required child abuse training as mandated by AB 1207.
  • Section 101212(b) Reporting Requirements. The name of the child care center director or fully qualified teacher(s) designated to act in the director’s absence shall be reported to the Department with in 10 days of a change.

This report was reviewed with staff and a copy of this report must be made available for public review upon request.

Notice of site visit posted and shall remain posted for 30 days.
SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Andrea MedlinTELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 05/31/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/31/2018
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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