013418177-10-26-2022-02-CC-RHAR-CKL2D2-20221026171737

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013418177
Report Date: 10/26/2022
Date Signed: 10/26/2022 05:17:45 PM

Document Has Been Signed on 10/26/2022 05:17 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
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME:	CHATHAM SCHOOL - REDWOOD CAMPUS		FACILITY NUMBER:	013418177
ADMINISTRATOR:	VASQUEZ, MAUREEN		FACILITY TYPE:	830
ADDRESS:	4500 REDWOOD RD.		TELEPHONE:	(510) 531-1302
CITY:	OAKLAND	STATE: CA	ZIP CODE:	94619
CAPACITY:	30	CENSUS: 27	DATE:	10/26/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Maureen Vaquez		TIME COMPLETED:	05:27 PM

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On October 26, 2022 at approximately 8:30am, LPA Haderer arrived unannounced for an annual inspection for compliance to Health and Safety. The new CARE tool was used for the inspection. Present for the inspection was the site director Maureen Vasquez,12 teachers and 27 infant children in care. The center location has a preschool and an infant center license. The physical inspections were done simultaneously.

The infant center has 3 classroom, Lady Bugs; Caterpillar; and Grasshoppers. Infant Sleep logs were available for all infants up to 24 months old to track and monitor their sleep. There are 8 cribs present in the infant sleeping area. Sleeping pads are available for older infants. Linens are kept clean and any soiled linens are washed at the facility.

Changing tables are available in each classroom (within arm’s length of the sink). There are enough towels and soap supplies. The staff have separate adult bathroom located near the school office.

Disaster drills are conducted at least once every six months, the last drill was conducted October 10, 2022. The facility has multiple fully charged 3A40BC and fire extinguishers throughout the building. The last annual inspection was completed November 4, 2021. On August 22, 2022 Detect All Security and Fire completed an annual full system test of the fire alarm and all responded during inspection. Carbon monoxide detectors were available and tested. Heating and ventilation in the classroom are acceptable.

The children share the playground with the preschool. A waiver is in place and posted restricting the use to ensure there is no comingling with older children. All equipment was inspected and is in safe condition and free from sharp, loose or pointed parts. Areas around or under high climbing equipment has appropriate cushioned material that absorbs a fall.

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell Haderer	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 10/26/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/26/2022

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, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: CHATHAM SCHOOL - REDWOOD CAMPUS	FACILITY NUMBER: 013418177
	VISIT DATE: 10/26/2022

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There is ample shade available through large shade structures. Access to drinking water is available
in every classroom and outside playground provided by the school in red water jugs and teachers are always present. The children’s playground area is surrounded by a secure fence.

The facility is clean and well organized with ample age appropriate furnishings and equipment. Surfaces including floors and counter tops are clean and toxic free. Hazardous items/toxins are kept in staff storerooms out of the access of children. There are no bodies of water accessible to children in care. The facility provides snacks (including formula and milk) for the children, menus were appropriately posted. Any milk/formula bottles brought from home were properly labeled.

The sign in/out sheets were reviewed and found to be accurate. Classrooms have trash cans with tight fitting cover for the disposal of solid waste.

Children's records were reviewed, 2 of 6 files checked were missing the LIC9227 Infant Safe Sleep Plan, see LIC809D for deficiency. All other records were complete and in good order. Safe sleep logs are maintained and found to be complete. Staff files were reviewed. Opening and closing staff have current CPR and first aid training. All staff subjected to criminal review have been cleared and associated to the facility.

All documents required to be posted were appropriately posted on the walls: License; Emergency Disaster Plan; Earthquake Preparedness checklist; Notification of Parents Rights; Personal rights; Child seatbelt laws; menus; daily activity schedules.

First aid kit and ample supplies available in the facility office.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.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

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell Haderer	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 10/26/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/26/2022

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, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: CHATHAM SCHOOL - REDWOOD CAMPUS	FACILITY NUMBER: 013418177
	VISIT DATE: 10/26/2022

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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. 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.

LPA discussed the safe sleep regulations with site director and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed assistant site director of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

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.

There was 1 deficiency issued today, see LIC809D for details: LIC9227 Infant Safe Sleep Plan not filled out and signed by parent.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with Site Director Maureen Vasquez.

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell Haderer	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 10/26/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/26/2022

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 10/26/2022 05:17 PM - It Cannot Be Edited

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, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: CHATHAM SCHOOL - REDWOOD CAMPUS	FACILITY NUMBER: 013418177
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/26/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101419.2(b)(2)

Infant Needs and Services Plan

(b) The needs and services plan shall be in writing and shall include the following: (2) Infants up to 12 months of age shall have a completed Individual Infant Sleeping Plan [LIC 9227 (3/20)], which is incorporated by reference. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above in that 2 of 6 children's files did not contain the completed, signed and dated LIC9227 Infant Safe Sleep Plan which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 10/28/2022
	Plan of Correction
1 2 3 4	Site director to inventory 100% of the infant children's files and ensure all LIC9227 forms are present, completed, signed and dated. Going forward, welcome package materials for infants will contain the LIC9227 form to be completed prior to acceptance of the child into care.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell Haderer	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 10/26/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/26/2022

LIC809 (FAS) - (06/04)

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