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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013418966
Report Date: 05/18/2023
Date Signed: 05/18/2023 01:55:43 PM


Document Has Been Signed on 05/18/2023 01:55 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:UCB - HASTE STREET CHILD DEVELOPMENT CENTERFACILITY NUMBER:
013418966
ADMINISTRATOR:DARRELL WHITACREFACILITY TYPE:
830
ADDRESS:2339 HASTE STREETTELEPHONE:
(510) 642-8426
CITY:BERKELEYSTATE: CAZIP CODE:
94720
CAPACITY:18CENSUS: 16DATE:
05/18/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:07 AM
MET WITH:Moises RomanTIME COMPLETED:
02:01 PM
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On May 18, 2023, at 9:07am, Licensing Program Analyst (LPA) Indira Loza met with Director Moises Roman for an unannounced annual inspection. The infant center was inspected to conduct a health and safety check. Present during the inspection were 16 infants and 10 additional finger print cleared staff members. The teacher/child ratio was being met today. This center operates Monday through Friday 8:15am to 5:15pm.

The day care operates out of two rooms on the first floor. A preschool component is on the opposite side of the building (#013418965). The infant component operates out of two classrooms. This program has a waiver to be able to use Montessori beds. The furniture, equipment and activities appear to be age appropriate for the children in care. The heating and lighting is adequate. The changing table is within arms reach of the sink. LPA did not observe cleaning supplies or toxic items accessible to children during todays inspection. This center provides breakfast, lunch, and a snack from a University vendor. There are menus posted in the kitchen. Each classroom has its own outdoor play yard. LPA observed a shaded area and age appropriate toys, that appear to be in good repair. All required documents are posted for public review. Disaster drills are being conducted at least once every 6 months, the last drill was recorded on April 28, 2023. The center is equipped with a fully stocked first aid kit, working cell phone, carbon monoxide detector located in the main area of the day care. The fire system is hardwired and there are multiple 2A10BC fire extinguishers throughout the center. A review of six infant records and six staff files were reviewed. No IMS is being provided as of right now. There is at least one staff member with current CPR during all hours of the day.

LPA Loza provided an infant sleeping plan checklist. 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

**********************************************Report Continues on LIC809-C********************************************

SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 292-9724
LICENSING EVALUATOR NAME: Indira LozaTELEPHONE: 510-368-3672
LICENSING EVALUATOR SIGNATURE:
DATE: 05/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/18/2023
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: UCB - HASTE STREET CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 013418966
VISIT DATE: 05/18/2023
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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.

Director Riman 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 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 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.

There were no deficiencies cited during today's visit.

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


Exit interview conducted and report was reviewed with the Director Moises Roman
SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 292-9724
LICENSING EVALUATOR NAME: Indira LozaTELEPHONE: 510-368-3672
LICENSING EVALUATOR SIGNATURE:

DATE: 05/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/18/2023
LIC809 (FAS) - (06/04)
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