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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013422457
Report Date: 07/07/2021
Date Signed: 07/07/2021 03:42:44 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:LITTLE STEAMERSFACILITY NUMBER:
013422457
ADMINISTRATOR:FIGONE, CHERRYLFACILITY TYPE:
850
ADDRESS:43531 MISSION BLVD.TELEPHONE:
(510) 557-3337
CITY:FREMONTSTATE: CAZIP CODE:
94539
CAPACITY:25CENSUS: 7DATE:
07/07/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Cherryl FigoneTIME COMPLETED:
04:02 PM
NARRATIVE
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An unannounced REQUIRED - 1 YEAR inspection was conducted today, July 7, 2021, by Licensing Program Analyst (LPA) Melanie Otsuji. LPA met with Director Cherryl Figone. Present during today's visit were two fingerprint cleared staff and 7 preschool aged children. Also on site was a school age summer camp utilizing two preschool rooms. The center operates Monday-Friday from 8:30am to 6pm.

Due to the presence of a school age summer camp, preschool age classrooms/bathrooms have temporarily changed causing a reduction in capacity. When summer camp is over, facility will revert back to original licensed rooms/capacity. Licensing was not notified of these changes to licensed space therefore a TYPE B deficiency is being cited on today's date. Facility will need to reduce capacity to 15 preschool aged children while School Age summer camp is present. No more than 8 children can reside on outdoor play yard at any time. Temporarily there is 1 sink and 1 toilet (located in gross motor room/yellow room) available for children use. Staff will temporarily utilize bathroom next to Director's office which will also serve as an isolation bathroom for ill children.

There are no bodies of water nor any firearms or weapons in the premises. Storage for cleaning supplies are locked and made inaccessible to children. Furniture and equipment are free of any hazards. The classrooms are equipped with age appropriate materials and equipment. There is a carbon monoxide detector, smoke detector, and fire extinguishers are available all throughout the center. Heating, lighting, and air conditioner are adequate. First Aid Kit is available. Each child has individual storage for their belongings. Napping equipment are stored properly. Individual Medical Services (IMS) Plan of Operation was submitted with the application. The play yard is fenced in all around. The center will bring water during play time. The center will provide am/pm snacks and the parents will provide breakfast and lunch. Cherryl Figone is a fully qualified director and has completed 8 hours of pediatric CPR and First Aid training and 8 hours of preventive health and safety training. Licensing postings are visible for public views and correctly posted on the wall. There is an approved waiver for electronic sign in/out.
SUPERVISOR'S NAME: Wynn NoronaTELEPHONE: (510) 622-2593
LICENSING EVALUATOR NAME: Melanie OtsujiTELEPHONE: (510) 341-5559
LICENSING EVALUATOR SIGNATURE:

DATE: 07/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 3
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: LITTLE STEAMERS
FACILITY NUMBER: 013422457
VISIT DATE: 07/07/2021
NARRATIVE
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On today's date, 7/7/2021 LPA observed the following deficiencies at approximately 1:40PM:
- Facility made changes to staff/children bathroom and useable classroom space (summer camp is using preschool rooms Blue and Green, and Preschool is using Gross Motor Activity room as a classroom) without notifying Community Care Licensing.

See 809D for Type B deficiencies.

An exit interview was conducted. The licensee was provided a copy of their appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights.
SUPERVISOR'S NAME: Wynn NoronaTELEPHONE: (510) 622-2593
LICENSING EVALUATOR NAME: Melanie OtsujiTELEPHONE: (510) 341-5559
LICENSING EVALUATOR SIGNATURE:

DATE: 07/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2021
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: LITTLE STEAMERS
FACILITY NUMBER: 013422457
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/07/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/21/2021
Section Cited

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Reporting Requirements. The items below shall be reported to the Department within 10 working days following their occurrence: Any changes in the plan of operation that affect services to children.

This requirement is not being met as evidence by:
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Facility made changes to staff/children bathroom and useable classroom space (summer camp is using preschool rooms Blue and Green, and Preschool is using Gross Motor Activity room as a classroom) without notifying Community Care Licensing. This poses a potential risk to the health and safety of children in care.
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affect services to child (including but not limited to, any changes to indoor/outdoor space) within 10 days. Licensee is to also state they are aware no more than 15 preschool aged children can be in care between rooms (Yellow and Gray) while summer camp is in session. POC to be submitted to LPA no later than 7/21/2021.

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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Wynn NoronaTELEPHONE: (510) 622-2593
LICENSING EVALUATOR NAME: Melanie OtsujiTELEPHONE: (510) 341-5559
LICENSING EVALUATOR SIGNATURE:
DATE: 07/07/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/07/2021
LIC809 (FAS) - (06/04)
Page: 3 of 3