010211875-9-12-2023-02-CC-DCAS-CVM273-20230912170803

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 010211875
Report Date: 09/12/2023
Date Signed: 09/12/2023 05:08:06 PM

Document Has Been Signed on 09/12/2023 05:08 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:	KIDS IN MOTION		FACILITY NUMBER:	010211875
ADMINISTRATOR:	THOMPSON, TROY		FACILITY TYPE:	840
ADDRESS:	2955 CLAREMONT AVENUE		TELEPHONE:	(510) 549-9247
CITY:	BERKELEY	STATE: CA	ZIP CODE:	94705
CAPACITY:	70	CENSUS: 59	DATE:	09/12/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	03:00 PM
MET WITH:	Troy Thompson		TIME COMPLETED:	05:15 PM

NARRATIVE

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On 9/12/2023 at 03:00 PM Licensing Program Analyst (LPA) Diana Campos conducted an unannounced Annual Required Inspection at Kids in Motion. LPA met with Center Director, Troy Thompson and explained the purpose of today's inspection. LPA was granted inspection authority to enter the facility. The facility was toured to conduct a Health and Safety Inspection. Facility's operating days and hours are Monday-Friday 7:30 AM- 6:00 PM.

The physical plant was inspected. LPA toured the premises with the Director.
Indoor space: Facility operates in one large room (cafeteria). Center operates on elementary school premises after regular school hours. Center serves children K-5.
The classroom, restrooms, food storage areas and spaces accessible to children were inspected. Disinfectants, cleaning solutions, poisons and other items that are dangerous to the health and safety of children in care were stored in places inaccessible to them during today's inspection.

File Review: Children sign in/out procedures and logs were reviewed. A sample of five (5) Children's files were reviewed.

Facility 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.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02CCP. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. 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/.

Due to time constraints LPA will return to continue the annual inspection at a later time.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Program Director Troy Thompson.

SUPERVISOR'S NAME: Sherelle Johnson	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Diana Campos	TELEPHONE: (510) 873-6322
LICENSING EVALUATOR SIGNATURE:	DATE: 09/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2023

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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