013418183-1-30-2020-02-CC-PDYR-BLC4F6-20200130180324

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013418183
Report Date: 01/30/2020
Date Signed: 01/30/2020 06:03:29 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, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME:	BETTY'S CHILDREN'S ACADEMY - SCHOOL AGE PROGRAM		FACILITY NUMBER:	013418183
ADMINISTRATOR:	HUMPHREY, NINI		FACILITY TYPE:	840
ADDRESS:	11200 GOLF LINKS RD.UNIT F		TELEPHONE:	(510) 430-8789
CITY:	OAKLAND	STATE: CA	ZIP CODE:	94605
CAPACITY:	14	CENSUS: 10	DATE:	01/30/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	03:15 PM
MET WITH:	Betty McGhee		TIME COMPLETED:	06:10 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	LPA Dyer met with Director Betty McGhee for an Unannounced Annual/Random inspection. Present with the director is 1 teacher, 1 aid and 10 school-age children. There is 1 classroom with an attached bathroom and small kitchen. Sign-in/sign-out sheets list the time and parents' full signature. Director and Designation of Facility Responsibility will be updated. Proper posting requirements were met. There is a carbon monoxide detector, pull alarm system and a fire extinguisher. Classroom furniture is in good condition, and free of sharp, loose or pointed parts. Furniture is also of appropriate size. There are toys, books, and educational supplies available. Floors are carpeted, and are clean and safe. There is adequate heating, ventilation, and lighting. Bathroom toilets and sinks are working properly. There were adequate bathroom supplies. Kitchen area (including storage areas for food) was clean. No insects or pests were seen. There were storage containers with lids for solid waste. A sample of food product was examined; there was adequate food for children who did not bring their own and for emergencies. The center supplies snack only. Menus were posted. There is drinking water available at all times through dispensers and paper cups. Director stated that there were no bodies of water or firearms on the premises. Cleaning supplies are inaccessible to children, placed in the kitchen. New Regulations were discussed: Required Lead Testing for Drinking Water - A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test. (2) (A) A licensed child day care center subject to paragraph (1) shall collect and submit drinking water samples to a laboratory accredited pursuant to Article 3 (commencing with Section 100825) of Chapter 4 of Part 1 of Division 101. A laboratory receiving a drinking water sample pursuant to this paragraph shall, in a timely manner, electronically submit its test results to the State Water Resources Control Board using lead data submission methods that are acceptable to the State Water Resources Control Board. If the test results show elevated lead levels, the State Water Resources Control Board shall, in a timely manner, report the results for the affected licensed child day care center to the department. (continued)

SUPERVISOR'S NAME: Ann Robinson	TELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Phyllis Dyer	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 01/30/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2020

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: BETTY'S CHILDREN'S ACADEMY - SCHOOL AGE PROGRAM	FACILITY NUMBER: 013418183
	VISIT DATE: 01/30/2020

NARRATIVE

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Director has emergency earthquake supplies. Emergency supplies were discussed in detail. There is a working phone. The last fire/emergency drill was November 2019. LPA did not observe any child left without visual supervision or unattended during the inspection.

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.

Outside play area (securely fenced) is safe and free of hazards. There were toys and play materials such as a basketball court, net, basketballs and other outdoor games.

Children's files (sample of 8) were examined at 4:37 p.m. They list emergency information, a medical assessment, and an Admission Agreement. A roster was obtained. Staff records (sample of 3) contain a health screening assessment, immunization records, and Mandated Reporter Training certificates. Required training (http://www.mandatedreporterca.com - Child Care Provider Module) is required every 2 years.

The director stated that at least one person trained in CPR/First Aid is always present. All individuals subject to a criminal record review have obtained clearance or a criminal record exemption. Director's First Aid/CPR Card expires October 2020. The director was reminded of the Department's Inspection authority, and the need to comply when notified that termination of an employee is necessary. The handout, "A Child Care Provider's Guide to Safe Sleep" was provided and discussed. Also discussed with the director: adult immunizations, qualifying teachers, substitutes; smoking; on-limit areas; and pest management. Director was encouraged to frequently visit the website at www.ccld.ca.gov for licensing regulations, forms and updates.

No deficiencies cited.

Exit interview conducted. Notice of site visit must remain posted for 30 days. This report must be kept available for public review for 3 years.

SUPERVISOR'S NAME: Ann Robinson	TELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Phyllis Dyer	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 01/30/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2020

LIC809 (FAS) - (06/04)

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