013415472-11-10-2022-52-CC-AWRT-CL2S89-20221110123846

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013415472
Report Date: 11/10/2022
Date Signed: 11/10/2022 12:38:55 PM

Document Has Been Signed on 11/10/2022 12:38 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:	FUSD - GRIMMER STATE PRESCHOOL		FACILITY NUMBER:	013415472
ADMINISTRATOR:	PITTS, DONNA		FACILITY TYPE:	850
ADDRESS:	43030 NEWPORT DRIVE		TELEPHONE:	(510) 668-1543
CITY:	FREMONT	STATE: CA	ZIP CODE:	94538
CAPACITY:	24	CENSUS: 15	DATE:	11/10/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:05 AM
MET WITH:	Donna Pitts		TIME COMPLETED:	12:45 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 November 10th 2022 @ 10:10AM, Licensing Program Analyst (LPA) April Wright arrived for an unannounced Required-1 Year inspection, and met with Site Director Donna Pitts. Present today during the inspection were 15 preschool children and 1 fingerprint cleared staff member Nohely Ramirez. The facility is in ratio today. The facility was toured a health and safety inspection. Hours of operation are Monday through Friday, 8:45Am to 11:45am. CLASSROOMS: Center has 1 classroom which is located on the EM Grimmer Elementary school campus in Room 5A. Program has AM only session this school year. There are adequate play and learning materials available. The floors, furniture, and equipment are age appropriate and in good repair. There is adequate heating/air conditioning, ventilation and lighting for safety and comfort. Drinking water is available inside and outside of the center. There is proper individual storage space for each child. The isolation area for sick children is the library area, away from other children in care. The center has smoke/carbon detectors, working telephone, and 1 fully charged 4A60BC fire extinguisher. At least one person trained in CPR/First aid is present at the facility when children are at the facility BATHROOMS: The children's and staff's bathroom is separate from the classroom and are clean, sanitary and in good condition. Bathrooms are shared with the elementary school and are located opposite the classroom. All sinks and faucets are in safe and sanitary operating condition. . FOOD SERVICE AREAS: This facility provides snack only to children in care. There are weekly menus posted at the facility. All storage containers for solid waste have tight fitting covers that are in good repair. OUTDOOR PLAY AREAS: There are 2 play structures, one with a slide that has cushioning (wood chips) to absorb falls and that is anchored for stability. The building has an overhang that provides shade to children while at play. There are no pools, hot tubs or other accessible bodies of water. Per Director, no firearms and weapons are present at the center. See LIC809-C for continuance

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: April Wright	TELEPHONE: (510) 542-4257
LICENSING EVALUATOR SIGNATURE:	DATE: 11/10/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/10/2022

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: FUSD - GRIMMER STATE PRESCHOOL	FACILITY NUMBER: 013415472
	VISIT DATE: 11/10/2022

NARRATIVE

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RECORDS: All individuals subject to criminal record review have a clearance or exemption and have been associated to the facility. Seven (7) children's files and two (2) staff files were reviewed, along with director's file. All staff files have required health screening and Employee Rights and all children files contain Identification & Emergency, Personal Rights, and Medical Consent forms. LPA reviewed the facility roster and obtained a copy. Mandated Reporter Training and CPR and First Aid certificates were reviewed and are up to date. The center is in compliance with the sign in and out procedure via Learning Genie. Disaster drills are being conducted at least once every 6 months and the last one conducted was on 10/20 and 10/26/2022 for fire and earthquake. All required documents are posted in a public accessible area.

HEALTH RELATED SERVICES: NO IMS PROVIDED AT THIS FACILITY. 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

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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 .

Site Director was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center.

There are no deficiencies 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 Director Donna Pitts

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: April Wright	TELEPHONE: (510) 542-4257
LICENSING EVALUATOR SIGNATURE:	DATE: 11/10/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/10/2022

LIC809 (FAS) - (06/04)

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