010214552-8-26-2019-52-CC-LDYN-BFET6X-20190826142752

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 010214552
Report Date: 08/26/2019
Date Signed: 08/26/2019 02:27:56 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:	HUSD CHILD DEV. PROGRAM - BOWMAN		FACILITY NUMBER:	010214552
ADMINISTRATOR:	REED, FRANCESCA		FACILITY TYPE:	850
ADDRESS:	520 JEFFERSON STREET		TELEPHONE:	(510) 582-1743
CITY:	HAYWARD	STATE: CA	ZIP CODE:	94544
CAPACITY:	24	CENSUS: 19	DATE:	08/26/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Vivian Williams		TIME COMPLETED:	02:45 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 8/26/19 at 9:45am, Licensing Program Analyst (LPA) Loretta Dyson arrived at the center for an unannounced random inspection. LPA met with Vivian Williams. There were 19 children, 1 additional staff member and two parent volunteers also present. The center is in classroom 5 on the campus of Bowman Elementary School and operates in two sessions Monday - Friday, 8:15-11:15am and 12:15-3:15pm. LPA toured the classroom and playground to conduct a health and safety inspection. The classroom floors, surfaces and equipment are clean and in good repair, and appear to be toxic free. There are an ample supply of storage, furniture, toys and activities that are age appropriate and in good condition. The heating, ventilation, and lighting are sufficient to provide for the safety and comfort of children and staff. All solid waste containers have tight fitting covers, which are in good repair. The toilets and sinks in the classroom are in sanitary operating condition, and staff have a separate bathroom. The playground surfaces and equipment are in good condition and LPA did not observe any hazardous conditions. The playground structure has sufficient cushioning underneath to absorb a fall. There is sufficient shade on the playground. LPA did not observe any bodies of water, hazardous items or toxins accessible today. All required forms are posted and visible for public review, including the menu which is dated at least a week in advance. Food is prepared and brought to the center ready to serve. The center is in compliance with the sign in and out procedure. The center conducts fire and earthquake drills at least once every six months, at the same time as the elementary school, and the last drills were completed in July 2019. The center has a fully charged 3A40BC fire extinguisher, working carbon monoxide detector, pull down fire alarm and wired smoke detectors installed, working telephone and first aid supplies. LPA reviewed the files of 4 children. A copy of the current facility roster was provided. Staff files are maintained and stored in the Hayward Unified School District (HUSD) Human Resources Office, and all licensing requirements for personnel are met as a condition of employment with the school district. At least one opening/closing staff member has a current CPR/First Aid certificate. Staff are reminded of their responsibility as mandated reporters. continued on 809C

SUPERVISOR'S NAME: Anika Evans	TELEPHONE: (510) 286-4350
LICENSING EVALUATOR NAME: Loretta Dyson	TELEPHONE: (510) 695-0243
LICENSING EVALUATOR SIGNATURE:	DATE: 08/26/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2019

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: HUSD CHILD DEV. PROGRAM - BOWMAN	FACILITY NUMBER: 010214552
	VISIT DATE: 08/26/2019

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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. 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. HUSD has already submitted an updated Plan of Operation that includes an IMS plan to Licensing. Ms. Williams stated that there are no children currently enrolled that require medication.

There are no deficiencies being cited today. This report shall remain on file for 3 years. A notice of site visit was given and Ms. Williams was reminded that it must remain posted for 30 days. An exit interview was conducted with Ms. Williams.

SUPERVISOR'S NAME: Anika Evans	TELEPHONE: (510) 286-4350
LICENSING EVALUATOR NAME: Loretta Dyson	TELEPHONE: (510) 695-0243
LICENSING EVALUATOR SIGNATURE:	DATE: 08/26/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2019

LIC809 (FAS) - (06/04)

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