010213008-7-10-2019-52-CC-BPLY-BDXNVJ-20190710104801

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 010213008
Report Date: 07/10/2019
Date Signed: 07/10/2019 10:48:09 AM

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:	YMCA OF THE EAST BAY Y-KIDS MARSHALL		FACILITY NUMBER:	010213008
ADMINISTRATOR:	CINDY AGERS		FACILITY TYPE:	840
ADDRESS:	20111 MARSHALL ST.		TELEPHONE:	(510) 581-4996
CITY:	CASTRO VALLEY	STATE: CA	ZIP CODE:	94546
CAPACITY:	60	CENSUS: 33	DATE:	07/10/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	08:00 AM
MET WITH:	Cindy Alvarez- Director		TIME COMPLETED:	11:00 AM

NARRATIVE

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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 07/10/19, LPA Briana Plumboy met with center Director Cindy Alvarez for an unnanounced annual/random inspection. Present are 33 children and 4 staff in this school age program. The center is located inside the cafeteria and portable in room 30. The center operates as a before and after school program, and offers a summer program. The center operates on the campus of Marshall Elementary School. The center currently operates from 7am until 6pm, Monday through Friday. The center utilizes the playground on the campus of Marshall Elementary School. Sign-in/sign-out sheets list the time and full signature. There is a working phone. The last fire/emergency drill was 05/29/19 at 1:30pm. Proper posting requirements were met. Classroom furniture is in good condition. There are toys and educational supplies available. Floors were clean and safe. There is adequate heating, ventilation, and lighting. Bathroom The center utilizes the bathrooms located on the Marshall Elementary School, Staff is aware the staff may not share restrooms with the children in care. There are adequate bathroom supplies. Kitchen area (including storage areas for food) were clean. No insects or pests were seen. There were storage containers with lids for solid waste in the classroom and one stored outside. A sample of food product was examined for freshness and expiration dates. The center supplies breakfast, snack and pm snack during the summer and during the school year the center provides pm snack. Menus were posted. Inside, there is proper storage areas for each child with cubbies. The children do not nap at the center. There is drinking water available at all times through the water fountain. There were no bodies of water or firearms on the premises during today's inspection. There is a first aid kit located at the center. Cleaning supplies are inaccessible to children and located inside a locked cabinet inside the office. The medications are stored inaccessible to the children in care and inside a locked box with a code on top of the refrigerator. Outside play area is on the play structure and blacktop on the Marshall Elementary School Campus. The play structure is anchored into the ground. The area around the See 809-C for continuance

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Briana Plumboy	TELEPHONE: (510) 725-7005
LICENSING EVALUATOR SIGNATURE:	DATE: 07/10/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2019

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 STE 1102
OAKLAND, CA 94612

FACILITY NAME: YMCA OF THE EAST BAY Y-KIDS MARSHALL	FACILITY NUMBER: 010213008
	VISIT DATE: 07/10/2019

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climbing playground equipment is cushioned with material that absorbs a fall. All staff have received CPR/ First Aid training. All individuals subject to a criminal record review have obtained clearance or a criminal record exemption.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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)/ (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

California Law requires Child Care Centers to 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.

For licensing updates email childcareadvocatesprogram@dss.ca.gov and ask to be added to the email list

Director was encouraged to frequently visit our website at www.ccld.ca.gov for licensing regulations and updates.

Licensee is reminded that ALL Staff must be fingerprint cleared 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.

There are no deficiencies cited. This report shall remain on file for 3 years. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Briana Plumboy	TELEPHONE: (510) 725-7005
LICENSING EVALUATOR SIGNATURE:	DATE: 07/10/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2019

LIC809 (FAS) - (06/04)

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