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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013418992
Report Date: 01/31/2020
Date Signed: 01/31/2020 11:03:07 AM

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:CEDAR CREEK MONTESSORI SCHOOLFACILITY NUMBER:
013418992
ADMINISTRATOR:OFFRIL, PRIMAFACILITY TYPE:
850
ADDRESS:1600 SACRAMENTO ST.TELEPHONE:
(510) 525-1377
CITY:BERKELEYSTATE: CAZIP CODE:
94702
CAPACITY:40CENSUS: 31DATE:
01/31/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Director Prima OffrilTIME COMPLETED:
11:30 AM
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On 01/31/2020, Licensing Program Analyst (LPA) Brittany Newton made an unannounced visit for the purpose of conducting a required annual inspection. LPA was met by Director Prima Offril. There are two classrooms for the entire program. Present in the facility were 31 children and six staff members including center director. The center was toured for a health and safety inspection. Sign-in and sign-out sheets were reviewed for accuracy of children present and were found in compliance. CLASSROOMS: The entire center was inspected. There are adequate play and learning materials available. Furniture and equipment is age appropriate and in good repair. There is adequate heating, ventilation and lighting. Drinking water is available inside and outside the center. Water bottles are brought by the parents and the facility provides the water. There is a working telephone on site. There is proper individual storage space for each child. There are mats and individual storage bags for the blankets/sheets during nap time. LPA reviewed storage of napping equipment and consulted with Director about ensuring the napping equipment does not touch in order to reduce the risk of cross contamination. There are separate bathrooms for staff and children. The isolation area for sick children is in the directors office. The isolation bathroom is the staff bathroom which is located upstairs in the sanctuary. The center has fish and two birds in the classroom. .BATHROOMS AND TOILETING AREAS: Two bathrooms are available for use by children. Toilets and faucets work properly. Sink and toilets are accessible sizes for children in care. Toilet paper, soap, and paper towels are all available to the children. Adequate lighting is provided in both bathrooms. The school only has cold water available to the children. INSPECTION OF FOOD SERVICE AREA: The school provides two snacks a day. All parents provide their children with daily lunches. Food was inspected for freshness and quantity and found in compliance. INSPECTION OF OUTDOOR PLAY AREA: There are age appropriate toys and materials for the children. There is a play house, 2 large play structures, large sandbox and many other play structures available for use. LPA additionally observed a garden which the center plants with children ranging from oranges, tomatoes, and more. HEALTH RELATED SERVICES: Site Director states that there are
SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Brittany NewtonTELEPHONE: (510) 622-2594
LICENSING EVALUATOR SIGNATURE:

DATE: 01/31/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2020
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: CEDAR CREEK MONTESSORI SCHOOL
FACILITY NUMBER: 013418992
VISIT DATE: 01/31/2020
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medications stored at the center. Medications are stored in a top cabinet in the kitchen. There is a locked box in the refrigerator. LPA Newton reviewed storage of medicine and it was found in compliance. Earthquake emergency items are available in ample quantity. A first aid kit is available on site and complete. Center has been conducting fire drills with the last one being 1/15/2020. The 2A10BC fire extinguisher on site was observed to be overcharged. LPA Newton consulted with center about taking the fire extinguisher in as soon as possible to get it back appropriate standing for usage in case of an emergency. RECORDS: Staff members and children's files were reviewed and found in compliance. CPR and First Aid certificates are current and expire on 08/2021. Required forms were posted in an public accessible area.


Incidental Medical Services (IMS) policy was discussed. The facility currently has children that require administration of epinephrine injections, inhaler, and a nebulizer. The facility has a Incidental Medical Service plan in place which LPA Newton received a copy of. LPA consulted about the need to have individual IMS plans for each child requiring medicine. 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.

Facility is reminded that ALL assistants, volunteers, frequent visitors, or adults living in the home, that are 18 years of age or older must be fingerprint cleared and associated to this facility 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. Licensee was reminded of the responsibility as a mandated reporter and the requirement to complete the training every two years.


A child care roster and personnel report was obtained.

No deficiencies observed at this visit. A Notice of Site visit was given and facility was reminded that it is required to be posted for 30 days. Exit interview conducted, appeal rights provided, and a copy of this report was left with Director Prima Offril.

SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Brittany NewtonTELEPHONE: (510) 622-2594
LICENSING EVALUATOR SIGNATURE:

DATE: 01/31/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2020
LIC809 (FAS) - (06/04)
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