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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013418167
Report Date: 08/24/2022
Date Signed: 08/24/2022 10:33:09 AM

Document Has Been Signed on 08/24/2022 10:33 AM - It Cannot Be Edited

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:CAPE - BESS PLATTFACILITY NUMBER:
013418167
ADMINISTRATOR:FERREIRA, LILIAMFACILITY TYPE:
850
ADDRESS:1401 ALMOND AVETELEPHONE:
(925) 447-8710
CITY:LIVERMORESTATE: CAZIP CODE:
94550
CAPACITY: 60TOTAL ENROLLED CHILDREN: 20CENSUS: 0DATE:
08/24/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Liliam FerreiraTIME COMPLETED:
10:40 AM
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On August 24, 2022 at approximately 8:15 a.m., Licensing Program Analyst (LPA) Simerjit Kaur met with center Director Liliam Ferreira for an UNANNOUNCED ANNUAL RANDOM 1 YEAR INSPECTION. This is a Title 5 center. Present for this inspection was 6 staff members and no preschool age children. The children will start preschool on 9/6/22. The facility was toured by LPA with director to conduct a Health and Safety Inspection. The center operates Monday - Friday from 8:30 A.M. - 3:00 P.M.

There are 2 rooms designated for preschool age children (Rooms:12 and 13). The Center is equipped with fully stocked first aid kits, fully charged fire extinguishers, carbon monoxide, fire alarm system, refrigerators and telephones. The staff restroom and children restrooms are located inside of room 13. There was no standing water on the floor observed during today's inspection. Classrooms have furniture and equipment for the use of children in care. Their adequate heating and lighting in facility.
There are adequate storage hooks and cubbies for children's belongings. The facility appears to be safe, and sanitary. It was observed that there are no toxins or hazardous items accessible to children in care during today's inspection. All toilets, hand washing and cleaning areas are in safe and sanitary operating condition during today's inspection. All storage containers for solid waste had a tight-fitting lids. All surfaces accessible to children are clean and toxic free. Cots are available for use of children. The bedding is washed weekly by facility. Breakfast, lunch and AM/PM snacks are provided by center. Breakfast is prepared at the facility. The center receives prepared lunch from Stanford Hospital. There is a menu posted inside room 12. The center has conducted and documented a fire/disaster drill on 6/9/22.
See 809-C for continuance
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Simerjit Kaur
LICENSING EVALUATOR SIGNATURE: DATE: 08/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/24/2022
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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: CAPE - BESS PLATT
FACILITY NUMBER: 013418167
VISIT DATE: 08/24/2022
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The outdoor play structure has adequate and appropriate cushioning material to absorb falls. There is drinking water available in the classrooms and outdoor. The center roster was reviewed, and a copy was obtained. LPA reviewed of staff files. The staff have CPR/First Aid and immunization. The required Community Care Licensing forms are posted and visible for review.

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.

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. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

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


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/process.

No deficiencies cited today. Notice of site visit must remain posted for 30 days. Exit interview conducted

SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Simerjit Kaur
LICENSING EVALUATOR SIGNATURE:

DATE: 08/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2022
LIC809 (FAS) - (06/04)
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