010206141-5-21-2019-02-CC-PPEN-BCDSVL-20190521141254

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 010206141
Report Date: 05/21/2019
Date Signed: 05/21/2019 02:13:24 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:	MERRITT COLLEGE CHILDREN'S CENTER		FACILITY NUMBER:	010206141
ADMINISTRATOR:	ERICA HARRELL		FACILITY TYPE:	850
ADDRESS:	12500 CAMPUS DRIVE		TELEPHONE:	(510) 436-2436
CITY:	OAKLAND	STATE: CA	ZIP CODE:	94619
CAPACITY:	98	CENSUS: 31	DATE:	05/21/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	10:05 AM
MET WITH:	Asia Capers		TIME COMPLETED:	02:15 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	Licensing Program Analyst (LPA) Paul Petersen conducted an unannounced random annual site inspection for this Title 5 facility on 05/21/19 at 1005. LPA met with clerical assistant, Asia Capers, and toured all areas currently utilized by children in care for a health and safety inspection. There were 31 preschool age children in care along with five teaching staff (all five qualified teachers), two work study assistants, and one outside agency consultant. The facility is within ratio and capacity. Per clerical assistant, there are no firearms present or stored on the premises. The caterpillar room, butterfly room, and dining room were inspected including furnishings, equipment and bathrooms. There is age appropriate furniture, play items and equipment which are free of broken pieces/hazardous conditions. Surfaces including counter tops, floors and shelves are kept free of toxins. There were no hazardous items/toxins observed to be accessible to children in care. Toilets are age appropriate and in working conditions. There are working faucets and water fountains available in both classrooms. Sleeping cots and linens are stored individually and identified by child. There are individual storage cubbies for children's personal belongings. Children were directly supervised by staff. The facility has a centralized fire alarm system which includes carbon monoxide detector. There are multiple fully charged fire extinguishers present. First aid supplies were inspected. Per clerical assistant, the most recent fire department inspection was within the past year. This facility serves breakfast, lunch and snack to children in care. The meals/snacks are prepared on site by kitchen staff. Food prep and storage areas were inspected for cleanliness and absence of pests. There are menus posted for public review. Required postings are present. The outside play are is fully fenced and available for children in care. The separately fenced, farthest back play area is off limits to children in care and per clerical assistant is not used by children in care. There are no pools or other accessible bodies of water present. The slides/swings/high climbing equipment are securely anchored and have cushioning under/around. LPA reviewed the facility, personnel and children's records including staff background clearances and qualifications, children's emergency ID forms, parent's rights forms and immunization records. Two teacher qualification forms were completed during this inspection. Continued on Page 2*******************************************************************************************************

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Paul Peterson	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 05/21/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2019

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 2

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: MERRITT COLLEGE CHILDREN'S CENTER	FACILITY NUMBER: 010206141
	VISIT DATE: 05/21/2019

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
26
27
28
29
30
31
32

Page 2*************************************************************************************************************************

This facility provides Incidental Medical Services-IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children's, personnel, and administrative records. For IMS information see Evaluator Manual-Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. The following information 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

There were no deficiencies cited during this inspection. A copy of the appeal rights was provided and a notice of site visit was printed and is to remain posted for a period of 30 days. This report is to remain in the facility records and available for review for three years from today's date.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Paul Peterson	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 05/21/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2019

LIC809 (FAS) - (06/04)

Page: 2 of 2