013422059-12-10-2021-52-CC-LDBX-C9KSHS-20211210125400

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013422059
Report Date: 12/10/2021
Date Signed: 12/10/2021 12:54:11 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:	PUSD - STEAM PRESCHOOL		FACILITY NUMBER:	013422059
ADMINISTRATOR:	PETERSON, TRACI		FACILITY TYPE:	850
ADDRESS:	4667 BERNAL AVE		TELEPHONE:	(925) 462-4700
CITY:	PLEASANTON	STATE: CA	ZIP CODE:	94566
CAPACITY:	48	CENSUS: 16	DATE:	12/10/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:			TIME COMPLETED:	01:15 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 10, 2021 at approximately 09:30 AM LPA Breaux arrived unannounced for an 1 year required annual inspection for compliance to Health and Safety. The new CARE tool was used for the inspection. Present for the inspection was Blanca Neumann Lead Teacher/Site Supervisor, and 4 teachers and 17 children in care. The center currently operates from 7:00am to 6:00pm. CLASSROOMS: The facility is a single-story building with a playground in the front, side and back. There are two classrooms (room 1 not in use) (Room 1 and Room 2). Rooms 2 in operation. The sign in/out process was reviewed and electronic application is in use the EZTrack system. Classrooms have trash cans with tight fitting cover for the disposal of solid waste. Heating and ventilation was acceptable. The floors, furniture, and equipment are age appropriate and in good repair. There are adequate play and learning materials available. Drinking water is available inside and outside of the center. There is proper individual storage space for each child. The isolation area for sick children is in the director's office, away from other children in care. The center has a wired smoke detector, a carbon monoxide detectors, working telephone, pull down fire alarm system, and fully charged 3A40BC fire extinguishers. OUTDOOR PLAY AREAS: There's a play structure with a slide that has cushioning to absorb falls. There are trees that provides shade to children while at play. There is filter water to keep the children hydrated. BATHROOMS AND TOILETING AREAS: The staff's bathroom is separate from the children's bathroom. All sinks and faucets are in safe and sanitary operating condition. The children can reach the sinks and toilets. Supplies are available to the children.

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Lorraine Dacanay-Breaux	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 12/10/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2021

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: PUSD - STEAM PRESCHOOL	FACILITY NUMBER: 013422059
	VISIT DATE: 12/10/2021

NARRATIVE

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FOOD SERVICE AREAS: There are weekly menus posted at the facility and the facility provides snacks for the children. The kitchen area has a refrigerator is clean and free of evidence of rodents. There are no pesticides and other similar toxic substances stored in cabinets that contains food. All storage containers for solid waste have tight fitting covers that are in good repair.

There is IMS plan in place, medication is locked and is inaccessible to children in care. Children's records were reviewed: LPA requested and reviewed facility roster. All files selected were complete and up to date.

Staff files were reviewed. Opening and closing staff have current CPR and first aid training. All staff subjected to criminal review have been cleared and associated to the facility. All documents required to be posted were appropriately posted on the wall at the main entrance.

California Law requires Child Care Centers licensees 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 electronic mail. Roster of the children must be properly maintained, and fire/disaster drill every six months must be documented.

Site supervisor 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.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. 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

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Lorraine Dacanay-Breaux	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 12/10/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2021

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: PUSD - STEAM PRESCHOOL	FACILITY NUMBER: 013422059
	VISIT DATE: 12/10/2021

NARRATIVE

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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/inspection-process

No infants in this facility, Safe Sleep was not covered in depth but was discussed and booklet provided.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Site Supervisor Blanca Neumann

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Lorraine Dacanay-Breaux	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 12/10/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2021

LIC809 (FAS) - (06/04)

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