013421354-12-14-2022-02-CC-ILOA-CM526L-20221214160718

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013421354
Report Date: 12/14/2022
Date Signed: 12/14/2022 04:48:06 PM

Document Has Been Signed on 12/14/2022 04:48 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:	MI MUNDO PRESCHOOL		FACILITY NUMBER:	013421354
ADMINISTRATOR:	LOPEZ, LINA		FACILITY TYPE:	850
ADDRESS:	1866 ALCATRAZ AVE		TELEPHONE:	(510) 395-4614
CITY:	BERKELEY	STATE: CA	ZIP CODE:	94703
CAPACITY:	29	CENSUS: 23	DATE:	12/14/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:10 AM
MET WITH:	Lina Lopez and Maria		TIME COMPLETED:	02:55 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 December 14, 2022 at 9:10am, Licensing Program Analyst (LPA) Indira Loza met with Director/Licensee Lina Lopez for an Unannounced Required Annual Inspection. There were 23 preschool age children and six 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 8:00am – 5:15pm Monday through Friday. The preschool operates out a large classroom with two toilets and four sinks. All sinks and toilets are observed to be clean and in proper working order. 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 labeled water bottles for drinking water. The classroom has a working carbon monoxide detector and a fully charged 3A40BC fire extinguisher. The fire system is hard wired along with the smoke detector. The outdoor play area is clean with ample age appropriate materials for the child. There is a play structure that is anchored into the ground. The yard is fully fenced in and has 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 front of the classroom next to the Director's desk. The facility is operating within its licensed capacity and is in ratio. All proper postings are made visible. The school does provides snacks for the children, and lunch is brought from home. In the event a child forgets a meal or snack, or does not have enough, the facility will provide a small snack and inform the parent/guardian right away. The fire/disaster drill log was complete with the last drill logged 11/30/2022. A physical census of the children and staff were taken and cross referenced with the electronic sign-in and out log. All staff have obtained a criminal record clearance. LPA reviewed all of the current staff records and seven 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 ****************************************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: 12/14/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/14/2022

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, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: MI MUNDO PRESCHOOL	FACILITY NUMBER: 013421354
	VISIT DATE: 12/14/2022

NARRATIVE

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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 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.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
There were no deficiencies cited during today's visit.
A notice of site visit was given and must remain posted for 30 days.
Exit interview conducted and report was reviewed with Director Lina Lopez
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: 12/14/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/14/2022

LIC809 (FAS) - (06/04)

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