013419400-5-3-2019-52-CC-SKAR-BBTUD7-20190503152904

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013419400
Report Date: 05/03/2019
Date Signed: 05/03/2019 03:29:09 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 STE 1102
OAKLAND, CA 94612

FACILITY NAME:	SUNOL GLEN PRESCHOOL		FACILITY NUMBER:	013419400
ADMINISTRATOR:	COLLIER, KIRSTEN		FACILITY TYPE:	850
ADDRESS:	11601 MAIN ST.		TELEPHONE:	(925) 580-9306
CITY:	SUNOL	STATE: CA	ZIP CODE:	94586
CAPACITY:	24	CENSUS: 9	DATE:	05/03/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:50 PM
MET WITH:	Angeli Sala		TIME COMPLETED:	03:50 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	0n 05/03/19, Licensing Program Analyst (LPA) Simerjit Kaur met with center Teacher Angeli Sala for an UNANNOUNCED ANNUAL RANDOM INSPECTION. This center is located on campus of Sunol Glen Elementary School K-8th grade. Present for this inspection were 3 staff members and 9 preschool age children. The facility was toured by LPA conduct to Health and Safety Inspection. The center operates Monday - Friday from 8:30 A.M. - 3:00 P.M. There are 1 room designated for preschool age children in room 201. The Center is equipped with fully stocked first aid kits, fully charged fire extinguishers, refrigerator in located in the classroom. The staff restroom is located main office building. There was no standing water on the floor observed during today's inspection. Classroom have furniture and equipment for the use of children in care. The heating and lighting is adequate. There is drinking water is available in the classrooms and outdoor. Outdoor play structure has adequate and appropriate cushioning material to absorb falls. There are adequate storage hooks for children's belongings. The facility appears to be safe, and sanitary. It was observed that there are no toxins or hazardous items accessible to children in care during today's inspection. All toilets, hand washing and cleaning areas are in safe and sanitary operating condition during today's inspection. All surfaces accessible to children are clean and toxic free. Mats are available for use of children. The bedding is sent home weekly to be washed by the child's family. AM snacks are provided by center for children. There is a menu posted. The center is in compliance with the sign in and out procedure. The center has conducted and documented a fire/disaster drill on 12/20/18. The center roster was reviewed, and a copy was obtained. LPA reviewed of 4 random children's files and 3 random staff files. Safe Sleep Regulations was provided and discussed. See 809-C for continuance

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2593
LICENSING EVALUATOR NAME: Simerjit Kaur	TELEPHONE: (510) 292-7241
LICENSING EVALUATOR SIGNATURE:	DATE: 05/03/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2019

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: SUNOL GLEN PRESCHOOL	FACILITY NUMBER: 013419400
	VISIT DATE: 05/03/2019

NARRATIVE

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The facility is incompliance with immunization law, current First Aid/CPR and Mandated Reporter Training. Activity schedule is posted in each classroom. All required Community Care Licensing forms are posted and visible for review.

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.

For licensing updates email childcareadvocatesprogram@dss.ca.gov and ask to be added to the email list and encouraged to frequently visit our website at www.ccld.ca.gov for licensing regulations and updates. LPA informed licensee of Assembly Bill 1207, the mandated reporter training which can be found at www.mandatedreporterca.com.

California Law requires Child Care Center personnel staff to Report Unusual Incidents or injuries to children in care to the child's parents and to the Department of Social Services using the Unusual Incident/Injury form (LIC 624). Do not leave an Unusual Incident Report on the Licensing Program Analyst voice mail.

Licensee is reminded that ALL staff must be fingerprint cleared and associated to this facility prior to being in the presence of children in care, or an immediate civil penalty can be assessed from $100 to $3000 per person, per incident.

No deficiency cited today. Notice of site visit form must remain posted for 30 days. Exit interview conducted.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2593
LICENSING EVALUATOR NAME: Simerjit Kaur	TELEPHONE: (510) 292-7241
LICENSING EVALUATOR SIGNATURE:	DATE: 05/03/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2019

LIC809 (FAS) - (06/04)

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