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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 010205758
Report Date: 07/03/2019
Date Signed: 07/03/2019 03:33:37 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:NIA HOUSE LEARNING CENTERFACILITY NUMBER:
010205758
ADMINISTRATOR:EVE UBERMANFACILITY TYPE:
850
ADDRESS:2234 - 9TH STREETTELEPHONE:
(510) 845-6099
CITY:BERKELEYSTATE: CAZIP CODE:
94710
CAPACITY:84CENSUS: 55DATE:
07/03/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:10 PM
MET WITH:Eve UbermanTIME COMPLETED:
03:50 PM
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An unannounced Annual/Random inspection visit was conducted by LPA Susan Neeson. Met with Eve Uberman, Director. All staff are fingerprint clear. There are 55 children present, 20 children in the toddler option portion of the facility and 35 preschoolers. . Opening and closing teachers all have the full 16-hour Health and Safety class. All staff have CPR and First Aid which are good until August 2019.

A health and safety tour of the facility was conducted. Each classroom was toured and was clean, safe and sanitary. The facility has adequate toys and equipment for the children in care. All toys and equipment are in good condition. There is shade on both yards for children. The play areas are completely fenced. The sandboxes were inspected and found to be free from hazards. There is a separate isolation bathroom in the hall beside the children's bathroom. Bathrooms are clean and hazard free. Diaper changing takes place in the Toddler option children's bathrooms. Parents provide diapers as needed. Required forms are posted. The menu is posted. The kitchen is inaccessible to children in care and no toxins are being stored with the food. There is a first aid kit available in each classroom. There are sufficient cots for each child in care. Personal bedding is stored in a separate plastic container. Correct ratios were observed throughout the visit. Drinking water is available on yard and in each classroom. There is no body of water. Records are being maintained. This program has currently charged fire extinguisher, smoke alarm and carbon monoxide detector. Copy of current LIC 500 was received during visit. The facility has the following pets: 3 chickens, 2 bunnies, one tortoise and some fish.

Licensee is reminded that ALL assistants, volunteers, frequent visitors that are 18 years of age or older must be fingerprint cleared and associated to this facility prior to being in the presence of children in care or an immediate civil penalty will be assessed from $100 to $3000 per person, per incident. Licensee was reminded of the responsibility as a mandated reporter. All forms can be downloaded at www.ccld.ca.gov and for day care updates visit www.myccl.gov
SUPERVISOR'S NAME: Antranette RobinsonTELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Susan NeesonTELEPHONE: (510)622-2630
LICENSING EVALUATOR SIGNATURE:

DATE: 07/03/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2019
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
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: NIA HOUSE LEARNING CENTER
FACILITY NUMBER: 010205758
VISIT DATE: 07/03/2019
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This facility is not planning on Incidental Medical Services at this point. Should it become necessary, a Plan of Operation will be submitted. For IMS information, see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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

The following documents were issued: Safe Sleep Concepts for infants; Safe and healthy diapering information; Licensee Rights; Fire and earthquake drill information; Car Seat information; Quarterly updates for Winter and Spring 2019; AB 1207 information and blue immunization form.

No deficiencies are observed. An exit interview was given.

SUPERVISOR'S NAME: Antranette RobinsonTELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Susan NeesonTELEPHONE: (510)622-2630
LICENSING EVALUATOR SIGNATURE:

DATE: 07/03/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2019
LIC809 (FAS) - (06/04)
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