013419485-7-2-2019-02-CC-PPEN-BDPPQ5-20190702113033

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013419485
Report Date: 07/02/2019
Date Signed: 07/02/2019 11:30:59 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:	TUDORKA TOTS INFANT AND PRESCHOOL CENTER		FACILITY NUMBER:	013419485
ADMINISTRATOR:	BRAXTON, VICKI		FACILITY TYPE:	830
ADDRESS:	12000 CAMPUS DRIVE		TELEPHONE:	(510) 531-2223
CITY:	OAKLAND	STATE: CA	ZIP CODE:	94619
CAPACITY:	28	CENSUS: 13	DATE:	07/02/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:40 AM
MET WITH:	Vicki Braxton		TIME COMPLETED:	11:45 AM

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	Licensing Program Analyst (LPA) Paul Petersen conducted an unannounced random annual site inspection for this infant care facility at 0940. This infant care program operates upstairs at this facility in four rooms, the crib room, the napping room, the play room and the common room. There is also a preschool which operates at this facility in the lower level of the building and is separate to the infant program with no commingling of infant and preschool children. LPA met director Vicki Braxton and toured all areas of the program licensed for use by children. Also present during this inspection were 13 infant age children in care and five additional teaching staff. All staff present are qualified teachers with the required infant course work and are background cleared. The facility is within ratio and capacity. Per facility director, there are no firearms present or stored at this facility. The classroom was inspected for cleanliness, age appropriate furnishings and equipment, and absence of broken or sharp pieces. There are five cribs present for crib age children. There were no toxins or hazardous items observed to be accessible to children. Non-crib age children have sleeping mats with individual linens for each child. There are multiple working carbon monoxide detectors and centralized fire alarm/smoke detectors. The fully fenced outdoor patio area is being used for outdoor play. There are no hazardous/broken/sharp items observed in the outdoor area. There are no pools or other accessible bodies of water present at this facility. Preschool outdoor play areas are distinctly separate to infant care program outdoor play spaces. Breakfast, lunch and snacks are served to older infants and younger infants receive milk/formula individually per there feeding plans. Feeding bottles from home are labeled, dated and refrigerated. Individual feeding formulas are labeled. Food storage and prep areas appear free of pests. Continued on Page 2**************************************************************************************

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Paul Peterson	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 07/02/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2019

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, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: TUDORKA TOTS INFANT AND PRESCHOOL CENTER	FACILITY NUMBER: 013419485
	VISIT DATE: 07/02/2019

NARRATIVE

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Staff certification in CPR and First Aid is current and valid for multiple staff present today. The facility has a portable air conditioner and has installed portable air coolers to ensure adequate room temperature management. Facility, staff and children's files were reviewed including staff infant course work qualifications and background clearances, children's admission agreements, Infants Needs and Services Plan and Emergency ID forms. Sign in, sign out logs were reviewed.

This facility provide 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 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 forms and updates visit www.ccld.ca.gov. To sign up for quarterly updates contact: childcareadvocatesprogram@dss.ca.gov

There were no deficiencies cited today. An exit interview was conducted and a copy of the appeal rights was provided.. A Notice of Site Visit was printed and is to be posted for 30 consecutive days at this facility. A copy of this report is to be maintained for 3 years in the facility records and available for public review upon request.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Paul Peterson	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 07/02/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2019

LIC809 (FAS) - (06/04)

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