013421389-1-24-2020-52-CC-MESA-BL5VFC-20200124152342

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013421389
Report Date: 01/24/2020
Date Signed: 01/24/2020 03:23:50 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:	PRIMROSE SCHOOL OF PLEASANTON		FACILITY NUMBER:	013421389
ADMINISTRATOR:	PAI, JENNY		FACILITY TYPE:	830
ADDRESS:	7110 KOLL CENTER PARKWAY		TELEPHONE:	(925) 600-7745
CITY:	PLEASANTON	STATE: CA	ZIP CODE:	94566
CAPACITY:	35	CENSUS: 21	DATE:	01/24/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:15 PM
MET WITH:	JENNY PAI		TIME COMPLETED:	03:45 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 01/24/2020 at 01:15PM, Licensing Program Analyst’s (LPA’s) Manel Estoesta, Jonathan Williams and Licensing Program Manager (LPM) Wynn Norona met with the Director JENNY PAI for an unannounced Annual/Random inspection. The facility was toured for health and safety inspection. Hours of operation day care is from 06:30 AM to 6:30 PM. The facility has age appropriate furniture and napping equipment which was observed to be in good condition. The indoor and outdoor activity space for the infant program is physically separate from the preschool component (Preschool license # 013421388). Disinfectants, cleaning solutions, poisons and other items that are dangerous to children were inaccessible during the visit. The changing tables is within arms reach of each sinks and were observed to be sanitary and in operable condition. The floors are free of tripping hazards. The kitchen/food preparation and storage areas was observed to be clean and free. Food is protected against contamination. All storage containers for solid waste have tight-fitting covers that are in good repair. Drinking water is available both indoors and outdoors. Menus are posted and visible for parents to review. There are no pools or similar bodies of water at this facility. Outdoor activity space and playground equipment are safe and free of hazards. There is a shaded area provided for the children. The facility is operating within its licensed capacity. The facility is within ratio today with one teacher supervising no more than 4 Infants. LPA's and LPM did not observe any child left without visual supervision during the inspection. LPA's and LPM verified both opening and closing staff have current, Mandated Reporter, CPR/First aid training. A physical census was taken of all children present and crossed referenced with the sign in and out sheets. Continued on LIC809C.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Manel Estoesta	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 01/24/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2020

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: PRIMROSE SCHOOL OF PLEASANTON	FACILITY NUMBER: 013421389
	VISIT DATE: 01/24/2020

NARRATIVE

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The director understands that prior to working or volunteering in a licensed child care facility, all individuals subject to criminal record review shall obtain a clearance or criminal record exemption.

This facility provides incidental medical services and has updated the plan of operation. Individual Medical Services (IMS) policy was discussed. US DOJ toll free ADA Information Line (800)514-0301 FAQ and ADA http://www.ada.gov/childqanda.htm LPA discussed the requirement to create a plan of operation when needed.

A sample of children’s records were reviewed and obtained a copy of children's roster . Files reviewed contained emergency information and health assessments. Percentage of staff records were also reviewed. Fire/Disaster drill are conducted at least once every six months, last fire drill dated 12/19/2019.

The director is receiving to email from ChildCareAdvocatesProgram@dss.ca.gov to be included in the Child Care Quarterly Updates distribution list.

There were no deficiencies cited during today’s inspection.

Exit interview conducted with the director.

The director was provided a copy of the appeal rights.

Notice of Site visit was provided at the time of the inspection and must be posted for 30 days.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Manel Estoesta	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 01/24/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2020

LIC809 (FAS) - (06/04)

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