013419436-3-8-2023-02-CC-ILOA-CPQU9A-20230308142249

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013419436
Report Date: 03/08/2023
Date Signed: 03/08/2023 02:22:55 PM

Document Has Been Signed on 03/08/2023 02:22 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:	BUSD - FRANKLIN PRESCHOOL		FACILITY NUMBER:	013419436
ADMINISTRATOR:	CARRIEDO, MARIA		FACILITY TYPE:	850
ADDRESS:	1460 - 8TH STREET		TELEPHONE:	(510) 644-4533
CITY:	BERKELEY	STATE: CA	ZIP CODE:	94710
CAPACITY:	192	CENSUS: 77	DATE:	03/08/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:21 AM
MET WITH:	Maria Carriedo		TIME COMPLETED:	02:27 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	On March 8, 2023 at 9:21am, Licensing Program Analyst (LPA) Indira Loza met with Director Maria Carriedo for an Unannounced Required Annual Inspection. There were 77 preschool age children and 22 additional fingerprint cleared teachers. The teacher / child ratio was being met today. The center was toured for a health and safety inspection. The facility operates from 8am – 5pm Monday through Friday. The preschool operates out of six classrooms. The facility has age appropriate materials in all classrooms that are observed to be clean and in good condition. All toxins, cleaning products, and hazardous materials were observed to be in inaccessible areas. Children have individual water bottles for drinking water. Each classroom has a fully charged 2A10BC fire extinguisher and the carbon monoxide detectors are connected to the smoke detector which is hardwired. All sinks and toilets are observed to be clean and in proper working order. There are two separate outdoor play areas; both are clean with ample age appropriate materials for the children. There is a play structure that is anchored into the ground in each play yard. The yards are fully fenced in and have plenty of shade for the children. LPA did not observe any harmful or unattended bodies of water in or around the facility. The isolation area will be in the Administration office. The facility is operating within its licensed capacity and is in ratio. All proper postings are made visible. The school provides breakfast, lunch, and two snacks for the children. The food is prepared outside of the facility and delivered by the school district. The fire/disaster drill log was complete with the last drill logged February 23, 2023. A physical census of the children and staff were taken and cross referenced with the sign-in and out log. All children were accounted for and properly signed in. All staff have obtained a criminal record clearance. LPA reviewed six staff files and twelve children's files. All files were complete and current. 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. 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. *****************************************Report Continues on 809-C******************************************

SUPERVISOR'S NAME: Mayla Mendoza	TELEPHONE: (510) 292-9724
LICENSING EVALUATOR NAME: Indira Loza	TELEPHONE: 510-368-3672
LICENSING EVALUATOR SIGNATURE:	DATE: 03/08/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2023

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: BUSD - FRANKLIN PRESCHOOL	FACILITY NUMBER: 013419436
	VISIT DATE: 03/08/2023

NARRATIVE

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using the Unusual Incident/Injury form (LIC 624). Incidents must be reported within 24 hours by phone, fax, or email. LPA informed Director that all forms can be downloaded at www.ccld.ca.gov. 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.

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. The center is providing IMS and has the proper documentation for the child.

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.

There was one Type B citation issued, see 809-D for the citation.

A notice of site visit was given and must remain posted for 30 days.
Exit interview conducted and report was reviewed with Director Maria Carriedo.
Report and appeal rights provided

SUPERVISOR'S NAME: Mayla Mendoza	TELEPHONE: (510) 292-9724
LICENSING EVALUATOR NAME: Indira Loza	TELEPHONE: 510-368-3672
LICENSING EVALUATOR SIGNATURE:	DATE: 03/08/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2023

LIC809 (FAS) - (06/04)

Page: 2 of 3

Document Has Been Signed on 03/08/2023 02:22 PM - It Cannot Be Edited

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: BUSD - FRANKLIN PRESCHOOL	FACILITY NUMBER: 013419436
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/08/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101226(e)(2)

Health-Related Services

(2) All prescription and nonprescription medications shall be maintained with the child's name and shall be dated. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and record review, the licensee did not comply with the section cited above in two children's epi-pens were expired which poses a potential health and safety risk to children in care.
	POC Due Date: 03/31/2023
	Plan of Correction
1 2 3 4	Director shall email the LPA a picture of two current epi-pens for the two children.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Mayla Mendoza	TELEPHONE: (510) 292-9724
LICENSING EVALUATOR NAME: Indira Loza	TELEPHONE: 510-368-3672
LICENSING EVALUATOR SIGNATURE:	DATE: 03/08/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2023

LIC809 (FAS) - (06/04)

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