013415065-2-3-2020-02-CC-BNEN-BLFPTD-20200203103543

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013415065
Report Date: 01/28/2020
Date Signed: 02/03/2020 10:35:47 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:	DRESSMAN, ELLEN & GILLIES, KIMIKO		FACILITY NUMBER:	013415065
ADMINISTRATOR:	DRESSMAN, ELLEN		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 525-2566
CITY:	BERKELEY	STATE: CA	ZIP CODE:	94703
CAPACITY:	14	CENSUS: 10	DATE:	01/28/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:40 PM
MET WITH:	Licensee Kimiko Gillies		TIME COMPLETED:	04:05 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 01/28/2020, Licensing Program Analyst (LPA) Brittany Newton made an unannounced visit for the purpose of conducting a required annual inspection. LPA was met by Licensee Kimiko Gillies, assistant R. Roach, and assistant G. Mori. Present for this visit was 10 preschool age children with 2 assistants and the licensee. The home was toured to conduct a health and safety inspection. The home is a split level home, which is neat and clean with heating and ventilation for safety and comfort. The on limit areas are the front living room, dining room, family room, one bedroom on first level, bathroom, and kitchen. The off limit areas are made inaccessible by closed and/or locked doors and visual supervision. The isolation area is the book corner. The outdoor play area is fenced and free from defects or dangerous conditions. There are ample age appropriate toys that appear to be safe and in good condition. Additionally there is a garden in the backyard. There are no pools, hot tubs or any other bodies of water. LPA did not observe any toxins or hazardous items accessible today. LPA observed napping equipment and consulted with licensee about the importance of ensuring the sheets are not touching to ensure cross contamination won't happen. The home has a fully charged 3A40BC fire extinguisher, working smoke detector, carbon monoxide detector, telephone, and fully stocked First supplies. The licensee states they have not gotten to conduct a fire drill since 01/2019. LPA consulted and stated the importance of ensuring they are conducting them. CPR and First Aid certificates are current and expires 10/20/21. The fireplace is screened to prevent access by children. Per licensee, there are no firearms in the home. All required forms are posted and visible for public review. LPA reviewed children files which were found in compliance. The licensee participates in a food program. LPA reviewed the food storage which was found in compliance. Incidental Medical Services (IMS) policy was discussed. When any IMS is provided, a Plan for Providing 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)

SUPERVISOR'S NAME: Sherelle Johnson	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Brittany Newton	TELEPHONE: (510) 622-2594
LICENSING EVALUATOR SIGNATURE:	DATE: 01/28/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2020

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: DRESSMAN, ELLEN & GILLIES, KIMIKO	FACILITY NUMBER: 013415065
	VISIT DATE: 01/28/2020

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and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

Licensee is reminded that ALL assistants, volunteers, frequent visitors, or adults living in the home, that are 18 years of age or older must be fingerprint cleared and associated to this facility 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. Licensee was reminded of the responsibility as a mandated reporter and the requirement to complete it every two years.

A child care roster was obtained.

No deficiencies observed at this visit. A Notice of Site visit was given and facility was reminded that it is required to be posted for 30 days. Exit interview conducted, appeal rights provided, and a copy of this report was left with licensee Kimiko Gillies.

SUPERVISOR'S NAME: Sherelle Johnson	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Brittany Newton	TELEPHONE: (510) 622-2594
LICENSING EVALUATOR SIGNATURE:	DATE: 01/28/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2020

LIC809 (FAS) - (06/04)

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