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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 010215639
Report Date: 12/13/2019
Date Signed: 12/13/2019 02:38:40 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:BAY AREA CHILD CARE - MILLARDFACILITY NUMBER:
010215639
ADMINISTRATOR:SILVEIRA,E & MUJEEB,ANJUMFACILITY TYPE:
840
ADDRESS:5200 VALPEY PARK DRIVETELEPHONE:
(510) 683-8810
CITY:FREMONTSTATE: CAZIP CODE:
94538
CAPACITY:50CENSUS: 13DATE:
12/13/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:07 PM
MET WITH:Farida MujeebTIME COMPLETED:
03:00 PM
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Licensing Program Analyst (LPA) Melanie Otsuji arrived to the facility unannounced to conduct an Annual/Random inspection. LPA met with Licensee Farida Mujeeb. Present during today's visit are 13 children and 3 staff members. Facility also has a preschool on site.

LPA conducted a health and safety inspection of the facility. Disinfectants and cleaning solution were observed to be kept in areas which are inaccessible to children in care during today's inspection. Classroom, furniture, and outside play equipment are in safe condition. The toilets, and hand washing facilities are in safe and sanitary operating condition. The children have access to drinking water both indoors and outdoors. Each staff member who currently works at this facility has the proper criminal record clearance. Opening/Closing staff have current pediatric CPR/First Aid certificate. LPA reviewed the 3 staff files who are currently employed at this facility. Each staff file contained documentation on their provider immunization's as well as the mandated reporter training certificates. Each child’s file reviewed contained the proper emergency identification information. Fire/Earthquake Drill was last conducted on 11/14/2019. The center is equipped with a first aid Kit, working telephone, carbon monoxide detector, 3A40BC fire extinguisher, and smoke detectors. This facility provides Incidental Medical Services (IMS). LPA reviewed the storage of medication and equipment and supplies, and reviewed children’s, personnel, and administrative records. LPA discussed the need to update the centers plan of operation to reflect IMS plan. Specifics on the plan can be found in the child care center evaluator manual (CCC EM) Policy 101173. The following information regarding ADA was provided to Director. US DOJ toll free ADA Information Line (800) 514-0301 and the link to FAQ about child care and ADA http://www.ada.gov/childqanda.htm

There are no deficiencies cited during today's visit. This report must be available for public review for 3 years. LPA provided Notice of Site visit and staff posted visit notice in LPAs presence. Notice must remain posted for 30 consecutive days.
SUPERVISOR'S NAME: Wynn NoronaTELEPHONE: (510) 622-2593
LICENSING EVALUATOR NAME: Melanie OtsujiTELEPHONE: (510) 341-5559
LICENSING EVALUATOR SIGNATURE:

DATE: 12/13/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2019
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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