013420589-12-19-2023-02-CC-MDOY-CYNSYM-20231219131746

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013420589
Report Date: 12/19/2023
Date Signed: 12/19/2023 01:18:21 PM

Document Has Been Signed on 12/19/2023 01:18 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
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME:	ALAMEDA CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	013420589
ADMINISTRATOR:	HUNT, VIRGINIA		FACILITY TYPE:	850
ADDRESS:	500 PACIFIC AVENUE		TELEPHONE:	(510) 748-4001
CITY:	ALAMEDA	STATE: CA	ZIP CODE:	94501
CAPACITY:	120	CENSUS: 79	DATE:	12/19/2023
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Jill Hunter		TIME COMPLETED:	01:45 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 Tuesday December 19, 2023, Licensing Program Analyst, (LPA) M. Domantay met with Interim Director, Jill Hunter, for the purpose of an unannounced case management inspection for an application that was submitted for a change of capacity and room change. Facility is requesting to decrease preschool capacity to 84 children and increasing toddler program to 36 toddlers. Facility is also requesting to change room 9 from preschool to toddler classroom and facility is removing Room 6 from the preschool program. Facility operates Monday through Friday from 7:00 AM to 5:00 PM. The fire clearance was granted on 7/27/2023. INDOOR ACTIVITY SPACE: There are 4 classrooms designated for the Preschool program, all measurements for Room 1, 2, 3, and 12 remain the same from previous inspection. There are 3 classrooms designated for the Toddler program: Classroom 7, 8, and 9. LPA observed a sufficient amount of equipment, toys, tables, chairs, cubbies, and napping mats and cots. LPA observed cleaning disinfectants are appropriately stored and inaccessible to children. Applicant stated there are no poisons or firearms on the premises. LPA observed a functional carbon monoxide detector in the classrooms. LPA observed a manual sign-in/sign-out system. LPA measured the new room being added to the Toddler program, Room 9. The total classroom space contains a total of 564.66 square feet, which will accommodate Applicant's request for the additional 12 toddler children. There are 1 sink available for children's use in Room 9 and a separate private restroom for the staff is located in the main office building, in the hallway. Individual measurements are recorded on the Capacity Worksheet (LIC 9024). Children who become ill during the day will be isolated in the Director's office area and will use the staff restroom, if necessary.

SUPERVISOR'S NAME: Mai Lor	TELEPHONE: (916) 491-0182
LICENSING EVALUATOR NAME: Melissa Domantay	TELEPHONE: (510) 725-7021
LICENSING EVALUATOR SIGNATURE:	DATE: 12/19/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2023

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
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: ALAMEDA CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 013420589
	VISIT DATE: 12/19/2023

NARRATIVE

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OUTDOOR ACTIVITY SPACE:
There is one toddler outdoor area on the property and is separate from the preschool outdoor space. The toddler outdoor play area is fenced with a chain linked fence that is at least four feet tall. LPA observed a sufficient amount of equipment and toys. There is no play structure present in the outdoor play yard area. There are shaded areas supplied by trees and wooden awning. The playground is free of debris and other hazards. There are no pools, hot tubs, or other bodies of water present.

LPA measured the toddler outdoor activity space. The outdoor total measurements contain a total of 1445.43 square feet, which will not accommodate Applicant’s request for 36 children. Individual measurements are recorded on the Capacity Worksheet (LIC 9024).

LPA notified Applicant will need to submit a request for a waiver for the outdoor play area to accommodate the maximum capacity of 19 Toddler children outdoors at any given time with a set schedule in place.

LPA discussed 100% supervision is always required in all areas that children have access to including the
bathroom. Personal Rights, inspection authority, reporting requirements, maintaining buildings and grounds
was reviewed. Staff Qualifications, Staff to Children’s ratios and Capacity was explained to ensure
compliance. LPA discussed with Applicant any changes that may occur regarding the director or an employee acting in the director’s absence must be reported to the department within 10 working days.

Applicant was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs)

throughout California.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and
stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other
important information communication platforms.

SUPERVISOR'S NAME: Mai Lor	TELEPHONE: (916) 491-0182
LICENSING EVALUATOR NAME: Melissa Domantay	TELEPHONE: (510) 725-7021
LICENSING EVALUATOR SIGNATURE:	DATE: 12/19/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2023

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
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: ALAMEDA CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 013420589
	VISIT DATE: 12/19/2023

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To receive important licensed related information to licensed facilities, visit the CCLD Important Information
website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

Exit interview conducted and report was reviewed with Interim Director, Jill Hunter.

The following items are required before a license will be issued:

1. Licensing Program Manager (LPM) final file review.
2. Updated LIC200A to be revised.
2. Waiver Request for Outdoor Play Area with schedule for 2 rotations to accommodate maximum capacity of 19 children outdoors at any given time with a set schedule.

SUPERVISOR'S NAME: Mai Lor	TELEPHONE: (916) 491-0182
LICENSING EVALUATOR NAME: Melissa Domantay	TELEPHONE: (510) 725-7021
LICENSING EVALUATOR SIGNATURE:	DATE: 12/19/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2023

LIC809 (FAS) - (06/04)

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