010214801-10-19-2023-52-CC-JSAI-CWRUHH-20231019153555

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 010214801
Report Date: 10/19/2023
Date Signed: 10/19/2023 03:36:00 PM

Document Has Been Signed on 10/19/2023 03:36 PM - 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:	EXTENDED DAY CHILD CARE - FREDERIKSEN		FACILITY NUMBER:	010214801
ADMINISTRATOR:	OCHOA, ROSAMARIA		FACILITY TYPE:	840
ADDRESS:	7243 TAMARACK DRIVE		TELEPHONE:	(925) 833-0127
CITY:	DUBLIN	STATE: CA	ZIP CODE:	94568
CAPACITY:	180	CENSUS: 25	DATE:	10/19/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	drector, Rosamaria Ochoa		TIME COMPLETED:	03:40 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	Licensing Program Analyst (LPA) Jyoti Saini met with director Rosamaria Ochoa for an unannounced Annual Random Inspection. LPA disclosed the purpose of the inspection and was granted entry into the facility by the director. In addition to the director, 25 children and nine (9) staff members are present today. The program consists of two sessions: 7:00 am to 8:15 am and 11:30am to 6:00 pm Monday - Friday in room EDCC #1 (AKA Minnows, ages TK-1st grade) and room # EDCC 2 (AKA Shark, ages 2nd grade to 5th grade) on the Frederiksen Elementary School campus. The facility was inspected indoors and outdoors today for health and safety hazards, and the following was observed. No bodies of water, firearms, or weapons are on the premises. The Center is in good condition with proper temperature and ventilation, and is free of hazards. All furniture is in good repair. The Center has age-appropriate toys and equipment. A first aid kit and a first aid backpack are available. The outdoor play area is fenced for supervision. The play structure is age-appropriate and in good condition, with sufficient cushioning underneath. There are separate bathrooms for boys and girls. The staff has separate bathrooms. The bathrooms are safe, sanitary, and free of any hazardous items. There is drinking water readily available for children. Per the director, the facility refills children’s water bottles with a Brita water jug. The program provides daily snacks, and children bring their lunch. LPA reviewed storage of food and observed all food is in original packaging or labeled with expiration date. The classroom has appropriate postings. The last Emergency Drill was conducted on 09/25/2023 and is properly logged.All the medications are stored on a high shelf made inaccessible to the children. LPA reviewed the sign-in and out sheet. The Center has a complete record of sign-in/out sheets by an authorized pick-up person. The facility uses the Kangro Time app to sign in/out the children. There is a working fire alarm system at the facility. The room has a working smoke and carbon monoxide detector, a fully charged fire extinguisher, and a working telephone available. Seven children’s records reviewed were complete. All children have a record of emergency identification information on file. The staff records reviewed were complete. All staff members have a criminal record clearance on file. The site Director and staff have a current Pediatric First Aid/CPR certificate. All staff has taken Mandated Reporter training. see next page..

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Jyoti Saini	TELEPHONE: 510-298-7052
LICENSING EVALUATOR SIGNATURE:	DATE: 10/19/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/19/2023

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: EXTENDED DAY CHILD CARE - FREDERIKSEN	FACILITY NUMBER: 010214801
	VISIT DATE: 10/19/2023

NARRATIVE

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During inspection,

Criminal Record Clearance -

Facility representative was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Childcare Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Incidental Medical Services (IMS)
This facility provides Incidental Medical Services –LPA reviewed storage of “medication and equipment/supplies, and reviewed children’s, personnel, and administrative records.
For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication. Commonly Asked Questions about Childcare Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

MyChildCarePlan.org
Facility representative was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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.

No deficiency is cited today.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the facility representative, Rosamaria Ochoa.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Jyoti Saini	TELEPHONE: 510-298-7052
LICENSING EVALUATOR SIGNATURE:	DATE: 10/19/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/19/2023

LIC809 (FAS) - (06/04)

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