010214949-8-7-2019-52-CC-BPLY-BETRJH-20190807130357

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 010214949
Report Date: 08/07/2019
Date Signed: 08/07/2019 01:04:03 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:	NEWARK COMMUNITY CENTER ANNEX		FACILITY NUMBER:	010214949
ADMINISTRATOR:	DIANA PRATT		FACILITY TYPE:	850
ADDRESS:	35501 CEDAR BOULEVARD		TELEPHONE:	(510) 578-4434
CITY:	NEWARK	STATE: CA	ZIP CODE:	94560
CAPACITY:	48	CENSUS: 37	DATE:	08/07/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	11:45 AM
MET WITH:	Diana Pratt		TIME COMPLETED:	01:15 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 08/07/19, LPA Briana Plumboy met with Director Diana Pratt for an unannounced random inspection. The center was toured to conduct a Health and Safety inspection. There were 37 preschool age children present during the visit. Also present for the visit was 4 fingerprint clear and associated staff. The facility currently operates from 7am until 6pm. The center consists of 2 rooms which are safe, clean and in good repair during today's inspection. There is adequate storage for children's belongings. There is adequate furniture, toys, equipment, activities, and learning materials. The heating and lighting is adequate. There is drinking water readily available to children. The children bring their own water bottles from home, and the center also has a working drinking fountain located between the two classrooms across from the bathrooms. There is a separate bathroom for boys and girls. All toilets flush properly, and there is running water, soap, and paper towels available for children to wash and dry their hands. There is a separate bathroom for staff. There are no bodies of water, or free standing water, accessible to children during today's inspection. The food preparation area is clean, free from hazards and adequately equipped during today's inspection. There is a menu posted for snack upon entrance into the center, and there are no cleaning supplies stored with food. The lunches are provided each day from the children's homes. There are mats and sheets available for children's use, and they are stored properly. The playground which children utilize is located at the park. Per Director, it is maintained by the maintenance department and checked daily. All required documents are posted for public review. The center is in compliance with the sign in and out procedure. Disaster drills are being conducted at least once every 6 months, and the log indicates the last one done was on 06/19/19. The center is equipped with a fully stocked first aid Kit, working telephone, 2 carbon monoxide detectors (1 in each classroom), pull down fire alarm and fire extinguishers. LPA observed the interaction between the staff and children in care, and found it to be in compliance with the Title 22 Regulations during today's inspection. 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: 08/07/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2019

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: NEWARK COMMUNITY CENTER ANNEX	FACILITY NUMBER: 010214949
	VISIT DATE: 08/07/2019

NARRATIVE

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The center roster was reviewed, and a copy was obtained. A REVIEW OF RECORDS TODAY INDICATE THAT ALL STAFF OR OTHER INDIVIDUALS WHO REQUIRE CAREGIVER BACKGROUND CHECKS HAVE CRIMINAL RECORD & CHILD ABUSE CLEARANCES. All staff have provided proof of immunization against pertussis and measles, and influenza, or provided a note declining the influenza immunization. All staff have received certificates in mandated reporter training. All staff members have current CPR/First Aid certificates.

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. Roster of the children must be properly maintained and fire/disaster drill every six months must be documented.

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 and encouraged to watch the videos on the departments website.

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: 08/07/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2019

LIC809 (FAS) - (06/04)

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