010209453-9-28-2023-02-CC-ILOA-CW4TK3-20230928144715

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 010209453
Report Date: 09/28/2023
Date Signed: 09/28/2023 02:47:28 PM

Document Has Been Signed on 09/28/2023 02:47 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, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME:	BERKELEY HILLS NURSERY SCHOOL		FACILITY NUMBER:	010209453
ADMINISTRATOR:	BERLAND, KATHLEEN		FACILITY TYPE:	850
ADDRESS:	1161 STERLING AVENUE		TELEPHONE:	(510) 849-1216
CITY:	BERKELEY	STATE: CA	ZIP CODE:	94708
CAPACITY: 40	TOTAL ENROLLED CHILDREN: 40	CENSUS: 10	DATE:	09/28/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:05 AM
MET WITH:	Kathleen Berland		TIME COMPLETED:	02:54 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	On September 28, 2023 at 11:05am Licensing Program Analyst (LPA) Indira Loza met with Director Kathleen Berland for an unannounced 1-year required visit. Present for the inspection were 10 children and 4 fingerprint cleared staff. During today's visit the LPA collected a children's roster. The facility was toured for a health and safety check. The hours of operation are 9am - 3pm, Monday - Friday CLASSROOMS: The preschool consists of two classrooms which were inspected. There were play and learning materials available for the children. The floors, furniture, and equipment are age appropriate and in good repair. There is adequate heating/air conditioning, ventilation and lighting. There is proper individual storage space for each child. The center has a combined smoke detector and carbon monoxide detector, working telephone, and a fully charged 2A10BC fire extinguisher. This facility has separate bathrooms for the children and the staff. The sinks and faucets are in safe and sanitary operating condition. The children can reach the sinks and toilets. There were supplies available to the children. FOOD SERVICE AREAS: This facility provides a morning snack and an afternoon snacks. The facility had a monthly snack menu available upon request. LPA observed the kitchen to be clean and free from debris, combustibles, and chemicals. The center has completed the required lead testing of the water used for drinking and food preparation and there were no exceedances. Drinking water is available inside and outside of the center in pitchers filled with tap water and the children bring their own water bottles from home. OUTDOOR PLAY AREAS: LPA observed two outdoor play areas, used by the children based on their age group. There were plenty of age appropriate activities to promote gross motor skills. There were enough activities and space for the children to play comfortably. ISOLATION AREA: The Director's office is the isolation area. RECORDS: All staff subject to criminal record review have a clearance or exemption. Mandated Reporter Training was current for all staff. All but one staff had a current CPR training certificate. LPA reviewed 4 staff files and 6 children files. All files reviewed were complete. All children present during today's visit were properly signed in. All required documents are posted in a publicly accessible area. ****************************************************Page 1 of 3***************************************************

SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Indira Loza
LICENSING EVALUATOR SIGNATURE:	DATE: 09/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2023

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: BERKELEY HILLS NURSERY SCHOOL	FACILITY NUMBER: 010209453
	VISIT DATE: 09/28/2023

NARRATIVE

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California Law requires Child Care Centers report unusual incidents or injuries to children in care to child's parents and to the Department of Social Services using the Unusual Incident/Injury form (LIC 624). Incidents must be reported within 24 hours by phone, fax, or electronic mail. Roster of the children must be properly maintained, and fire/disaster drill every six months must be documented.

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 PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication. Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

Director was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for
drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP). LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

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SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Indira Loza
LICENSING EVALUATOR SIGNATURE:	DATE: 09/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2023

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: BERKELEY HILLS NURSERY SCHOOL	FACILITY NUMBER: 010209453
	VISIT DATE: 09/28/2023

NARRATIVE

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Director was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

There were no deficiencies issued during today's visit.

A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

Exit interview conducted with Director Kathleen Berland.

Report and appeal rights provided

****************************************************End of Report****************************************************

SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Indira Loza
LICENSING EVALUATOR SIGNATURE:	DATE: 09/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2023

LIC809 (FAS) - (06/04)

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