013416472-9-11-2019-52-CC-MOTI-BFWQFM-20190911120809

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013416472
Report Date: 09/11/2019
Date Signed: 09/11/2019 12:08:15 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:	FUSD - ALVIRDA HYMAN LEARNING CENTER		FACILITY NUMBER:	013416472
ADMINISTRATOR:	GREENHOUSE, CAROLINA		FACILITY TYPE:	850
ADDRESS:	4700 CALAVERAS AVENUE		TELEPHONE:	(510) 797-0128
CITY:	FREMONT	STATE: CA	ZIP CODE:	94538
CAPACITY:	24	CENSUS: 16	DATE:	09/11/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:09 AM
MET WITH:	Carolina Greenhouse		TIME COMPLETED:	12:15 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 09/11/2019, Licensing Program Analyst (LPA) Melanie Otsuji met with Director Carolina Greenhouse for an unannounced random inspection. The center and playground were toured to conduct a Health and Safety inspection. There were 16 children present during the visit. Also present for the visit was a teacher assistant. This center operates an AM/PM session and is a Title V center. The facility is located in the rear of Alvirda Hyman Learning Center. LPA reviewed the sign in/out sheet and crossed referenced it with the children present today. PHYSICAL PLANT: The facility appears to be safe, sanitary and in good repair during today's inspection. All the cleaning products are made inaccessible to the children during today's inspection. Furniture and playground equipment are in good condition during today's inspection. The bathroom was toured and toilets flush properly and all faucets are in working order during today's inspection. There is a separate staff bathroom. The food preparation area and storage areas are clean and in sanitary condition during today's inspection. There is a menu posted and there are no cleaning supplies stored with food. AM and PM snacks are provided by the center and children bring their lunch from home. Drinking water is available to children in care both indoors and outdoors. The facility has a working carbon monoxide detector. LPA inspected and verified that there are fully charged fire extinguishers. INSPECTION of OUTDOOR PLAY AREA: Outdoor play can be accessed through the preschool classroom. Playground equipment is in good condition and outdoor activity space is maintained. Climbing equipment has adequate and appropriate cushioning material to absorb falls. RECORD REVIEWS: LPA reviewed 7 children records. Director Carolina Greenhouse has CPR and first aid training which expires 09/2020. POSTING REQUIREMENTS: License and other relevant notices are visible for public views and correctly posted on the wall. Fire and disaster drills are being conducted at least once every six months with the last drill conducted in June 2019. Incidental Medical Services were discussed with Director Carolina Greenhouse and at this time there are no children requiring IMS services.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2593
LICENSING EVALUATOR NAME: Melanie Otsuji	TELEPHONE: (510) 341-5559
LICENSING EVALUATOR SIGNATURE:	DATE: 09/11/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/11/2019

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: FUSD - ALVIRDA HYMAN LEARNING CENTER	FACILITY NUMBER: 013416472
	VISIT DATE: 09/11/2019

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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

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.

For licensing updates email childcareadvocatesprogram@dss.ca.gov and ask to be added to the email list.

Licensee was encouraged to frequently visit our website at www.ccld.ca.gov for licensing regulations and updates.

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 and appeal rights provided.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2593
LICENSING EVALUATOR NAME: Melanie Otsuji	TELEPHONE: (510) 341-5559
LICENSING EVALUATOR SIGNATURE:	DATE: 09/11/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/11/2019

LIC809 (FAS) - (06/04)

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