013422426-8-10-2022-52-CC-SKAR-CH6U9D-20220810152259

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013422426
Report Date: 08/10/2022
Date Signed: 08/10/2022 03:23:09 PM

Document Has Been Signed on 08/10/2022 03:23 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 STE 1102
OAKLAND, CA 94612

FACILITY NAME:	KIDDIE ACADEMY		FACILITY NUMBER:	013422426
ADMINISTRATOR:	BRUCE, SHANNON		FACILITY TYPE:	840
ADDRESS:	1400 N VASCO RD		TELEPHONE:	(925) 292-1948
CITY:	LIVERMORE	STATE: CA	ZIP CODE:	94551
CAPACITY:	14	CENSUS: 20	DATE:	08/10/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:00 AM
MET WITH:	Ebnoee Lucero		TIME COMPLETED:	03:30 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 August 10, 2022, at approximately 8:00 am, Licensing Program Analysts (LPAs) Simerjit Kaur and Julia Placencia arrived to conduct UNANNOUNCED RANDOM REQUIRED 1 YEAR SITE INSPECTION and met with Director Ebnoee Lucero. Present during the inspection are 20 school age children and 2 fingerprint cleared staff members. The facility was toured for a health and safety inspection. The hours of operation are Monday through Friday, 7:00am to 6:30pm. The center consists of 2 rooms (Room Wise Owls, and Room Ravens), combined bathroom for boys and girls, outside play ground, and kitchen. The facility has adequate heating and lighting. There is running water, soap, and paper towels available for children to wash and dry their hands. The center provide snack, breakfast, lunch and the weekly menu is posted outside the door. Disinfectants, cleaning solutions, poisons and other items that are dangerous to children were inaccessible during the inspection today. The center is equipped with working telephone, carbon monoxide detector, pull down fire alarm and fire extinguishers. There is drinking water readily available to children indoors and outdoors. The floors were free of tripping hazards during today's inspection. The storage containers for solid waste have tight-fitting covers. The classrooms are equipped with age appropriate tables and chairs. There is adequate storage for children's belongings. There are school materials and art supplies stored in the storage cabinet. The facility utilize the outdoor playground with preschool component. Outdoor activity space and playground equipment was observed to be safe during today's inspection. There is cushioning underneath the anchored play structure. The center is in compliance with the sign in and out procedure. Children records were reviewed. Staff records were reviewed and LPA qualified a teacher. All required documents are posted for public review. The director also has conducted and documented fire/disaster drill training on 5/5/22. Continued on LIC809C

SUPERVISOR'S NAME: Jason Jang	TELEPHONE: (510) 622-2631
LICENSING EVALUATOR NAME: Simerjit Kaur	TELEPHONE: (510) 622-2632
LICENSING EVALUATOR SIGNATURE:	DATE: 08/10/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2022

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 STE 1102
OAKLAND, CA 94612

FACILITY NAME: KIDDIE ACADEMY	FACILITY NUMBER: 013422426
	VISIT DATE: 08/10/2022

NARRATIVE

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Assistant Director Eobnee Lucero has current CPR/First Aid certificate (expires on 8/17/22). There are no bodies of water at this facility during today's inspection. The facility is operating within its licensed capacity.

This facility plans to provide Incidental Medical Services – IMS. The facility has properly stored medications and required documentation. For IMS information, see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. A 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

Director is reminded that ALL assistants, volunteers, and staff, that are 18 years of age or older must be fingerprint cleared and associated to this facility prior to being in the presence of children in care or an immediate civil penalty will be assessed from $100 to $3000 per person, per incident. Director was reminded of the responsibility as a mandated reporter.

Director was encouraged to frequently visit our website at www.ccld.ca.gov for licensing regulations and updates, and to also email childcareadvocatesprogram@dss.ca.gov to be included in the Child Care Quarterly Updates distribution list. All forms can be downloaded at www.ccld.ca.gov
This report shall remain on file for 3 years. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted.

SUPERVISOR'S NAME: Jason Jang	TELEPHONE: (510) 622-2631
LICENSING EVALUATOR NAME: Simerjit Kaur	TELEPHONE: (510) 622-2632
LICENSING EVALUATOR SIGNATURE:	DATE: 08/10/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2022

LIC809 (FAS) - (06/04)

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