013416472-9-22-2022-52-CC-AWRT-CJHT77-20220922142817

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013416472
Report Date: 09/22/2022
Date Signed: 09/22/2022 02:30:28 PM

Document Has Been Signed on 09/22/2022 02:30 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 - 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: 11	DATE:	09/22/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:55 AM
MET WITH:	Fanny Luo		TIME COMPLETED:	02:40 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 September 22nd, 2022, Licensing Program Analyst (LPA) April Wright arrived at 10:55am for an unannounced Required-1 Year inspection, and met with AM Director Fanny Luo. There were twelve (12) preschool children and one (1) fingerprint cleared staff member (substitute) Erika Chipres-Mascorro present during the inspection. The facility is in ratio today. The facility was toured for a health and safety inspection. Hours of operation are Monday through Friday, 8:45am to 11:45am (AM Program). CLASSROOMS: The facility is located in the rear of Alvirda Hyman Learning Center and has one (1) classroom. There are adequate play and learning materials available. The floors, furniture, and equipment are age appropriate, clean 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 reading area away from other children in care. The center has smoke detectors, working telephone, and one(1) fully charged 3A40BC fire extinguisher. BATHROOMS: Children's Bathroom has two 2 toilets that are sanitary and in working condition. The staff's bathroom is separate from the classroom. All sinks and faucets are in safe and sanitary operating condition. FOOD SERVICE AREAS: . Center only provides snacks for PM program and AM brings own snacks. Am program bring healthy snacks from home. All storage containers for solid waste have tight fitting covers that are in good repair. OUTDOOR PLAY AREAS: There's a play structure that has three (3) slides that has cushioning to absorb falls and is anchored for stability. There's also a canopy play area that is also cushioned and provides shade to children while at play. Yard also has a shed that is locked and inaccessible to children. There are no pools, hot tubs or other accessible bodies of water present. See LIC 809C for continuance

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: April Wright	TELEPHONE: (510) 542-4257
LICENSING EVALUATOR SIGNATURE:	DATE: 09/22/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2022

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 - ALVIRDA HYMAN LEARNING CENTER	FACILITY NUMBER: 013416472
	VISIT DATE: 09/22/2022

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. Twelve (12) children's 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. Substitute File is present at FUSD facility and verified by Program Director Beverly Taub. Phone call to Program Director was made to also verify Teacher employment status and records. 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 4/22/2022. All required documents are posted in a public accessible area.

AM Director Fanny Luo 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.

Incidental Medical Services (IMS) policy was discussed. No IMS provided at facility during AM Session. 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

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 facility representative AM Director Fanny Luo.

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: April Wright	TELEPHONE: (510) 542-4257
LICENSING EVALUATOR SIGNATURE:	DATE: 09/22/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2022

LIC809 (FAS) - (06/04)

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