013422500-3-3-2020-02-CC-BNEN-BMCVKK-20200303153030

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013422500
Report Date: 03/03/2020
Date Signed: 03/03/2020 03:30:34 PM

COMPREHENSIVE INSPECTION

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:	PIXAR CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	013422500
ADMINISTRATOR:	FORTICH, HAZELLE		FACILITY TYPE:	830
ADDRESS:	2600 10TH STREET		TELEPHONE:	(510) 665-3904
CITY:	BERKELEY	STATE: CA	ZIP CODE:	94710
CAPACITY:	36	CENSUS: 19	DATE:	03/03/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	12:45 PM
MET WITH:	Director Hazelle Fortich		TIME COMPLETED:	04:15 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 03/03/2020 Licensing Program Analyst (LPA) Brittany Newton made an unannounced annual inspection at the above facility. LPA was met by director Hazelle Fortich. Present for the inspection was 5 infants and 14 toddlers with 5 teachers. The entire facility was toured to conduct a health and safety inspection. The facility operates in 4 rooms: Boo’s Room (4-12 months), Jack Jack’s Room (4-12 months), Sally’s Room (12-18 months) and Nemo’s Room (18-24 months). Each classroom was inspected. Crib areas were found in appropriate safe sleep environment. LPA reviewed daily plans for infants which were found to be completed as the day is proceeding. Bottles were observed labeled and stored properly. The facility provides a morning and an afternoon snack for the toddlers. LPA inspected the food for quantity and freshness and found it in compliance. Age appropriate toys were available in each classroom. Each child has individual storage space. Sign in/out was reviewed for accuracy of children present and found in compliance. At 12:55-1:15PM, LPA observed 4 fully charged 2A10BC fire extinguishers. At 1:25PM, a carbon monoxide detector was tested and found operable. Each classroom has a smoke detector in each room. The detectors were tested and found operable. Napping equipment was found stored properly to prevent cross-contamination. Furniture was observed free of defects or sharp edges. The fenced outdoor play area was inspected. The area has a sandbox, toys, and other activities available for children. There is resilient material that provides cushioning to absorb a fall. Water is available by water bottles, and the facility provides water as needed. LPA did not observe any bodies of water on this visit. Facility has been conducting fire drills with the last one being 01/13/2020. CPR and first aid is current for staff on site, expiring 06/15/2021. Children and staff files were reviewed and found in compliance. Facility is reminded to ensure they are completing the needs and services plan quarterly for infants. Individual Medical Services (IMS) policy was discussed. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. Currently, there aren’t any kids in care requiring the administration of

SUPERVISOR'S NAME: Sherelle Johnson	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Brittany Newton	TELEPHONE: (510) 622-2594
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2020

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, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: PIXAR CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 013422500
	VISIT DATE: 03/03/2020

NARRATIVE

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medicine. 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.

Facility is reminded that ALL assistants, volunteers, frequent visitors, or adults 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. Facility was reminded of the responsibility as a mandated reporter and the requirement to complete the training every 2 years.

A child care roster and personnel report was obtained.

No deficiencies observed at today’s visit. A Notice of Site visit was given to facility, and facility was reminded that it is required to be posted for 30 days. Exit interview conducted, appeal rights provided and a copy of this report was left with Director Hazelle Fortich.

SUPERVISOR'S NAME: Sherelle Johnson	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Brittany Newton	TELEPHONE: (510) 622-2594
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2020

LIC809 (FAS) - (06/04)

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