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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 010214801
Report Date: 10/02/2019
Date Signed: 10/02/2019 01:28:09 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 - FREDERIKSENFACILITY NUMBER:
010214801
ADMINISTRATOR:SILVA, KRISTINFACILITY TYPE:
840
ADDRESS:7243 TAMARACK DRIVETELEPHONE:
(925) 833-0127
CITY:DUBLINSTATE: CAZIP CODE:
94568
CAPACITY:180CENSUS: 30DATE:
10/02/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Rosamaria OchoaTIME COMPLETED:
01:30 PM
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1/ LPA Dayna Collier met today with Center Director Rosamaria Ochoa for an annual RANDOM visit. LPA toured the facility and play yard for a health and safety inspection. A review of staff records on 10/2/19 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. Personnel file were reviewed and found to be complete. The teacher/child ratio was being met. The classroom(s) and play yard were age appropriate and in good repair. Bathrooms were clean and in working order. Snacks are provided by the facility; snack menu was posted. The kitchen area was maintained in a clean manner and was inaccessible to children in care. The storage of blankets for the younger children that nap are in plastic bins. Children are signed in by staff and signed out by parents in the afternoon. All posting requirements are being met. Outdoor play area was free of hazards and provided a shaded area for the children and access to drinking water. Medications, when dispensed, are stored on a high shelf in a cabinet inside of a locked box which is inaccessible to children in care. There is a working telephone at the facility. Opening and closing staff have current CPR and first aid training.

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

As a result of this inspection, there are no deficiences cited.
This report must be available for public review for 3 years. An exit interview was conducted and a site visit notice was posted.
SUPERVISOR'S NAME: Diane PerezTELEPHONE: (510) 622-2590
LICENSING EVALUATOR NAME: Dayna CollierTELEPHONE: (510) 725-7021
LICENSING EVALUATOR SIGNATURE:

DATE: 10/02/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2019
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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