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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 010214465
Report Date: 03/24/2023
Date Signed: 03/24/2023 11:54:33 AM


Document Has Been Signed on 03/24/2023 11:54 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612



FACILITY NAME:FUSD - DURHAM STATE PRESCHOOLFACILITY NUMBER:
010214465
ADMINISTRATOR:VERA, MARIAFACILITY TYPE:
850
ADDRESS:40292 LESLIE STREETTELEPHONE:
(510) 656-6360
CITY:FREMONTSTATE: CAZIP CODE:
94538
CAPACITY:24CENSUS: 15DATE:
03/24/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Esmeralda MagallanesTIME COMPLETED:
11:55 PM
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On March 24th, 2023 at approximately 9:30am, Licensing Program Analyst (LPA) April Wright arrived for an unannounced Required-1 Year inspection, and met with Lead Teacher/Site Director Esmeralda Magallanes. Present today were 15 preschool children and fingerprint cleared Para educator Anitha Manmen. The facility was toured for a health and safety inspection. The facility is in ratio today. Hours of operation are Monday through Friday, 9:00am to 12:00pm.
CLASSROOMS: Center is located on the Durham Elementary School campus in Classroom 4. There are adequate play and learning materials available. The floors, furniture, and equipment are age appropriate and in good repair. There is adequate heating/air conditioning, ventilation and lighting for safety and comfort. Drinking water is available inside and outside of the center. There is proper individual storage space for each child. The isolation area for sick children is the library/reading area, away from other children in care. The center has smoke detectors, working telephone, and fully charged 4A80BC fire extinguisher located right across the classroom in the hallway. At least one person trained in CPR/First aid is present at the facility when children are at the facility.
BATHROOMS: The staff's bathroom is separate from the classroom and are clean, sanitary and in good condition. Bathrooms for children are at Durham Elementary School located across from classroom. All sinks and faucets are in safe and sanitary operating condition.

FOOD SERVICE AREAS: This facility provides snack only to children in care. Program is half day only ending at 12:00pm. All storage containers for solid waste have tight fitting covers that are in good repair Facility has a refrigerator which is clean and free of evidence of rodents, vermin or insects.

OUTDOOR PLAY AREAS: Shared play structure with Durham Elementary school Kindergarten has 3 slides with wood chips for cushioning to absorb falls and that is anchored for stability. There's also a canopy that provides shade to children while at play. There are no pools, hot tubs or other accessible bodies of water.
See LIC809-C for continuance
SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: April WrightTELEPHONE: (510) 542-4257
LICENSING EVALUATOR SIGNATURE:
DATE: 03/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/24/2023
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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: FUSD - DURHAM STATE PRESCHOOL
FACILITY NUMBER: 010214465
VISIT DATE: 03/24/2023
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RECORDS: All individuals subject to criminal record review have a clearance or exemption and have been associated to the facility. Eight (8) children's files and two (2) staff files were reviewed, including director's file. All staff files have required health screening and Employee Rights and all children files contain Identification & Emergency, Personal Rights, and Medical Consent forms. LPA reviewed the facility roster and obtained a copy. Mandated Reporter Training and CPR and First Aid certificates were reviewed and are up to date. The center is in compliance with the sign in and out procedure via Learning Genie. Disaster drills are being conducted at least once every 6 months and the last one conducted was on 2/24/2023. All required documents are posted in a public accessible area.

HEALTH RELATED SERVICES: IMS IS NOT PROVIDED AT THIS FACILITY at time of inspection. 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

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/inspection-process .

Facility Representative was reminded that all adults 18 and over, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

There are no deficiencies cited today. Notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report reviewed with the facility representative Esmeralda Magallanes.

SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: April WrightTELEPHONE: (510) 542-4257
LICENSING EVALUATOR SIGNATURE:

DATE: 03/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2023
LIC809 (FAS) - (06/04)
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