010211960-8-12-2021-52-CC-MOTI-C5TRX9-20210812132421

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 010211960
Report Date: 08/12/2021
Date Signed: 08/12/2021 01:24:32 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 STE 1102
OAKLAND, CA 94612

FACILITY NAME:	EXTENDED DAY CHILD CARE - MURRAY SCHOOL		FACILITY NUMBER:	010211960
ADMINISTRATOR:	RONNINGEN, SAMANTHA		FACILITY TYPE:	840
ADDRESS:	8435 DAVONA DRIVE		TELEPHONE:	(925) 829-4043
CITY:	DUBLIN	STATE: CA	ZIP CODE:	94568
CAPACITY:	145	CENSUS: 0	DATE:	08/12/2021
TYPE OF VISIT:	Required - 1 Year	ANNOUNCED	TIME BEGAN:	11:15 AM
MET WITH:	Vanessa Sinclair & Samantha Ronningen		TIME COMPLETED:	01:32 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	(1) On 8/12/2021, Licensing Program Analyst (LPA) Melanie Otsuji arrived to the facility announced to conduct a ROOM ADDITION AND REQUIRED 1 YEAR INSPECTION. LPA was met by Executive Director, Vanessa Sinclair and Site Director Samantha Ronningen. No children were present as facility is on summer break. Children will return on August 16, 2021. LPA conducted a health and safety inspection of the facility. Facility resides on MURRAY ELEMENTARY SCHOOL CAMPUS. An application was submitted for the Addition of a Room (EDCC 2) The program is utilizing 2 portables on school grounds as well as the Multi-Purpose Room. Hours of operation are from 7:00AM to 6:00PM Monday through Friday. The facility is exempt from measuring, bathroom, and isolation requirements. INDOORS: EXEMPT OUTDOORS: EXEMPT Facility utilizes Murray Elementary playground, blacktop and field for outdoor space. Facility understands not to commingle with Elementary School children. Drinking water is available inside and outside by way of water fountains and bottles brought from home. Menus are posted. A sample of the sign in and out logs were reviewed. Facility has a functioning carbon monoxide detector. All licensing required documents are posted. There are no pools, spas or other bodies of water accessible to children in care. Disinfectants and other dangerous items are kept inaccessible. Furniture and equipment were observed to be in good condition, free of sharp, loose, or pointed parts. Playground equipment was observed to be in good repair and free of hazards. Areas under high climbing equipment are cushioned with material that absorbs a fall. Toilets, hand washing stations are kept in safe and sanitary operating conditions. Food prep areas were kept clean, free of litter and rubbish. Storage containers for solid waste have tight-fitting covers that are kept on and in good repair. Fire/Evacuation Drill is documented and conducted at least once every six months with the last drill conducted on July 2021. Facility utilizes the office and staff bathroom for isolation should a child fall ill while in care. LPA reviewed 5 children files and 3 staff files.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Melanie Otsuji	TELEPHONE: (510) 622-2613
LICENSING EVALUATOR SIGNATURE:	DATE: 08/12/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2021

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 STE 1102
OAKLAND, CA 94612

FACILITY NAME: EXTENDED DAY CHILD CARE - MURRAY SCHOOL	FACILITY NUMBER: 010211960
	VISIT DATE: 08/12/2021

NARRATIVE

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Openers/Closers have current Pediatric CPR/First Aid. This facility plans to provide Individual Medical Services – IMS. An updated Plan of Operation that includes IMS must be submitted to the Department when any changes are made. 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.

Mandated reporter and appeal rights, civil penalties, unusual incident reporting and fingerprint requirements were discussed today. Licensee is also being informed of the web address (www.ccld.ca.gov) for downloading child care forms, and the director is encouraged to email ChildCareAdvocatesprogram@dss.ca.gov to be included in the Child Care Quarterly Updates distribution list. The director is also reminded that mandated reporter training is required for all staff and is to be renewed every 2 years at www.mandatedreporterca.com.

Zero Tolerance policies were explained.
The center was found to be clean, safe, sanitary and in good repair.

There are no deficiencies cited during today's visit. A license for 145 school age children operating out of three rooms (Multi-Purpose Room, EDCC 1 and EDCC 2), will be issued pending approved fire clearance.

An exit interview was conducted.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Melanie Otsuji	TELEPHONE: (510) 622-2613
LICENSING EVALUATOR SIGNATURE:	DATE: 08/12/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2021

LIC809 (FAS) - (06/04)

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