010216398-5-20-2019-02-CC-MMEA-BCCPBB-20190520111003

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 010216398
Report Date: 05/20/2019
Date Signed: 05/20/2019 11:11:42 AM

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, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME:	MONTCLAIR COMMUNITY PLAY CENTER		FACILITY NUMBER:	010216398
ADMINISTRATOR:	JOLIE MCRAE		FACILITY TYPE:	850
ADDRESS:	5815 THORNHILL DRIVE		TELEPHONE:	(510) 339-9149
CITY:	OAKLAND	STATE: CA	ZIP CODE:	94611
CAPACITY:	25	CENSUS: 19	DATE:	05/20/2019
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME BEGAN:	08:35 AM
MET WITH:	Jolie Mcrae		TIME COMPLETED:	11:19 AM

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	A Case Management Visit was conducted on this date 5/20/19 by Licensing Program Analysts (LPAs), Mayla Mendoza and Chandra Charles. LPAs met with center director, Jolie Mcrae. Child care center is a parent-cooperative. The center has submitted an application for an increase in capacity from 25 children to 30. Rooms are being remeasured. Hours of operation are from 9:00am- 4:00pm, Monday through Friday. This is a half day program, but do allow children to extend day care hours. Proper teacher-adult ratio was observed during this visit. A health and safety inspection was conducted inside and outside. The following is the total overall measurement: INDOORS: 1189.855 square feet = 33 children OUTDOORS: 5687.125 square feet = 75 children Playground equipment is in good condition. Drinking water is available inside and outside. All toilets and handwashing facilities are in safe and sanitary operating conditions. There is a kitchen inaccessible to children. Menus are posted. Snacks are provided and prepared on site. There is adequate variety and quantity of foods to meet the children's needs. Mats are available for children who would like to rest. The sign in and out logs were reviewed. Facility has a functioning carbon monoxide detector. This facility plans to provide Incidental Medical Services – IMS. For IMS information, see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. A 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.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Mayla Mendoza	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 05/20/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2019

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, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: MONTCLAIR COMMUNITY PLAY CENTER	FACILITY NUMBER: 010216398
	VISIT DATE: 05/20/2019

NARRATIVE

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A review of staff records on 5/20/19 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. The center has obtained an approved fire safety inspection from the Oakland Fire Department on 5/15/19. All licensing required documents are posted.

Mandated reporter and appeal rights, civil penalties, unusual incident reporting and fingerprint requirements were discussed today. Licensee is also being informed of the web address (www.ccld.ca.gov) for downloading child care forms, and the director is encouraged to email ChildCareAdvocatesprogram@dss.ca.gov to be included in the Child Care Quarterly Updates distribution list. The director is also reminded that mandated reporter training is required for all staff and is to be renewed every 2 years at www.mandatedreporterca.com.

Zero Tolerance policies were explained. Notice of Site Visit form was provided and posted.
The center was found to be clean, safe, sanitary and in good repair. There are no deficiencies cited during this visit. A license for 30 preschool children will be issued effective today 5/20/19.

An exit interview was conducted.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Mayla Mendoza	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 05/20/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2019

LIC809 (FAS) - (06/04)

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