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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013416659
Report Date: 10/01/2019
Date Signed: 10/01/2019 12:34:07 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:REDWOOD FOREST PRESCHOOLS, INC.FACILITY NUMBER:
013416659
ADMINISTRATOR:MONTEZ, LAURIEFACILITY TYPE:
850
ADDRESS:19200 REDWOOD ROADTELEPHONE:
(510) 537-0222
CITY:CASTRO VALLEYSTATE: CAZIP CODE:
94546
CAPACITY:127CENSUS: 98DATE:
10/01/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Laurie MontezTIME COMPLETED:
12:45 PM
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On 10/01/19, Licensing Program Analysts (LPAs) Briana Plumboy and Elimika Woods met with center Director Laurie Montez for an unannounced random inspection. The center and playground were toured to conduct a Health and Safety inspection. There were 98 preschool age children present during the visit, 14 fingerprint cleared and associated staff, and 1 therapist. The center currently operates from 6:30am until 6:30pm.

The center consists of 4 classrooms for children's use which are safe, clean and in good repair during today's inspection. The upper campus consist of 3 rooms which are the Little Foxes, Honey Bears, and Ringtailed Raccoons. The lower campus consist of 1 room which is divided into two classrooms which are named Busy Bunnies and Bustling Beavers. There is adequate storage for children's belongings. There is adequate furniture, toys and activities, which are age appropriate and in good condition. The heating and lighting is adequate. There is drinking water readily available to children. There is a separate bathroom for boys and girls. All toilets flush properly, and there is running water, soap, and paper towels available for children to wash and dry their hands. There is a separate bathroom for staff. There are no bodies of water, or free standing water, accessible to children at the center today. Per Director, there are no firearms on the premises of the child care center. The food preparation area is clean, free from hazards and adequately equipped. There is a menu posted, and there are no cleaning supplies stored with food. The center provides am/pm snack, and the lunches are brought in each day by the children's individual family. There are ample mats and sheets available for children's use, and the bedding is stored properly. The playground has safe and age appropriate equipment during today's inspection. All required documents are posted for public review. The center is in compliance with the sign in and out procedure. Disaster drills are being conducted at least once every 6 months, and the log indicates the last one done was on 10/10/19. The center is equipped with a fully stocked first aid Kit, working telephone, carbon monoxide detector, pull down fire alarm and fully charged fire extinguishers. LPA's observed the interaction between the staff and children in care, and found it to be in compliance with the Title 22 Regulations during today's inspection.
The center roster was reviewed, and a copy was obtained. A review of 9 children's files and 4 staff files was completed. All staff have provided proof of immunization against pertussis, measles, and influenza or provided a note declining the influenza immunization. At least one opening/closing staff member has a current CPR/First Aid certificate. All staff have received certificates in mandated reporter training.
Continued on 809C
SUPERVISOR'S NAME: Wynn NoronaTELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Briana PlumboyTELEPHONE: (510) 725-7005
LICENSING EVALUATOR SIGNATURE:

DATE: 10/01/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 2
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: REDWOOD FOREST PRESCHOOLS, INC.
FACILITY NUMBER: 013416659
VISIT DATE: 10/01/2019
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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
Center keeps a log which consist of child's name, medication, and expiration date. LPA's inspected medication for expiration dates.

California Law requires Child Care Centers to report unusual incidents or injuries to children in care to child's parents and to the Department of Social Services using the Unusual Incident/Injury form (LIC 624). Incidents must be reported within 24 hours by phone, fax, or electronic mail. Roster of the children must be properly maintained and fire/disaster drill every six months must be documented.

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

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



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.

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.
SUPERVISOR'S NAME: Wynn NoronaTELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Briana PlumboyTELEPHONE: (510) 725-7005
LICENSING EVALUATOR SIGNATURE:

DATE: 10/01/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2019
LIC809 (FAS) - (06/04)
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