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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013419399
Report Date: 10/06/2022
Date Signed: 10/06/2022 01:52:13 PM


Document Has Been Signed on 10/06/2022 01:52 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 STE 1102
OAKLAND, CA 94612



FACILITY NAME:ROOM TO GROWFACILITY NUMBER:
013419399
ADMINISTRATOR:NATTRASS, KARENFACILITY TYPE:
850
ADDRESS:678 ENOS WAYTELEPHONE:
(925) 454-5307
CITY:LIVERMORESTATE: CAZIP CODE:
94551
CAPACITY:30CENSUS: 17DATE:
10/06/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:57 AM
MET WITH:Gwendolyn RamosTIME COMPLETED:
01:51 PM
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On 10/6/2022 at 10:57am Licensing Program Analyst (LPA) Morgan Pringle met with Assistant Director Gwendolyn Ramos for an Unannounced Annual Inspection. This facility is a parent co-op. Present during the inspection were four (4) staff members, three (3) parents and seventeen (17) preschool age children. The facility consists of three (3) conjoined rooms, an art studio and outside play yard. The facility operates from 8:45am – 12:30pm, Monday – Friday. LPA toured the entire facility for a health and safety inspection.

The facility has ample age appropriate materials in the classrooms that were observed to be clean and in good condition. All toxins, medications, cleaning products, and hazardous materials were observed to be in inaccessible areas. The children’s bathroom is clean and in proper working order. There is one (1) separate adult bathroom on site as well. All children have access to clean drinking water in and outside of the classrooms. There is a working smoke/carbon monoxide detector in the middle room and fully charged fire extinguishers as well. There is one (1) dog at the facility that belongs to the Assistant Director, and one (1) snake that is in a fully enclosed terrarium.



The outside play yard is fully fenced, clean, and free from hazards with plenty of shade. The play structure, swings and boat are sturdy and anchored into the ground. There is a garden and wood working station in the outside play yard. LPA observed all wood working equipment is locked in outside storage. Assistant Director informed LPA that the wood working is only done with an instructor present. There is a chicken coop that is fully enclosed. Assistant Director stated that children have access to the chickens only when fully supervised with an adult. All of the sand in the play yard is free from hazards and properly maintained. LPA observed a water fountain in the outside play yard. The fountain creates a stream and does not collect water, making it no hazard to the children in care.

Continued on LIC809-C
SUPERVISOR'S NAME: Jason JangTELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Morgan PringleTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:
DATE: 10/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/06/2022
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: ROOM TO GROW
FACILITY NUMBER: 013419399
VISIT DATE: 10/06/2022
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All proper postings are made visible by the entrance door of the facility. All food provided by the facility is properly stored and labeled. The kitchen and food preparation areas are clean and free from all hazards. LPA observed that the facility was serving 2% milk. LPA informed staff that only 1%, lowfat, or nonfat milk can be served (See LIC9102TV). The fire/disaster drill log is complete with the last drill logged 4/15/2022. All staff have obtained a criminal record clearance and are associated to the facility. LPA obtained the facilities files, children’s files and staff files. During LPA’s file review is was found that one (1) staff member is missing the mandated reporter training (See LIC9102TV). All other files are complete.

Assistant Director was reminded that EMSA approved Pediatric CPR & First Aid training must be completed every two (2) years. Personnel Roster must be properly maintained, and fire/disaster drill must be conducted every six (6) months and documented. Assistant Director was reminded that California Law requires all facilities to report unusual incidents or injuries to children in care, to child's parents, and to the Department of Social Services using the Unusual Incident/Injury form (LIC 624). Incidents must be reported within 24 hours by phone, fax, or email. LPA informed Assistant Director that all forms can be downloaded at www.ccld.ca.gov. Assistant Director was also informed that Mandated Reporter Training ("General" and "Child Care Providers") is required for all staff and is to be renewed every 2 years by visiting www.mandatedreporterca.com.



LPA discussed the safe sleep regulations with Licensee 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 Licensee 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.

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: Jason JangTELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Morgan PringleTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2022
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 STE 1102
OAKLAND, CA 94612
FACILITY NAME: ROOM TO GROW
FACILITY NUMBER: 013419399
VISIT DATE: 10/06/2022
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Assistant 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.

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.

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

Exit interview conducted and report was reviewed with Assistant Director Gwendolyn Ramos.

SUPERVISOR'S NAME: Jason JangTELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Morgan PringleTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2022
LIC809 (FAS) - (06/04)
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