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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013422500
Report Date: 10/24/2023
Date Signed: 10/24/2023 05:14:09 PM


Document Has Been Signed on 10/24/2023 05:14 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, SUITE 1102
OAKLAND, CA 94612



FACILITY NAME:PIXAR CHILD DEVELOPMENT CENTERFACILITY NUMBER:
013422500
ADMINISTRATOR:SUSAN STEVENSONFACILITY TYPE:
830
ADDRESS:2600 10TH STREETTELEPHONE:
(510) 665-3904
CITY:BERKELEYSTATE: CAZIP CODE:
94710
CAPACITY:36CENSUS: DATE:
10/24/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:14 AM
MET WITH:Ebony BellTIME COMPLETED:
05:25 PM
NARRATIVE
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On October 24, 2023 at 9:16am, Licensing Program Analyst (LPA) Indira Loza arrived unannounced for an annual inspection and met with Assistant Director Ebony Bell. Present for the inspection were 10 fingerprint cleared staff and 19 infants in care. The center location has a preschool and an infant center license. The physical inspections were done simultaneously. The days and hours of operation are: Monday through Friday 8am-6pm.

The Infant component is currently operating out of three classrooms. The facility is clean and well organized with ample age appropriate furnishings and equipment. All classrooms have furniture that is free from sharp, loose or pointed parts. All classrooms had a changing table within arms reach to a sink. The activities in the class are age appropriate and there were plenty of activities for the infants. Surfaces including floors and counter tops are clean and toxic free. Hazardous items/toxins are kept out of the access of children. There are no bodies of water accessible to children in care. Classrooms have trash cans with tight fitting cover for the disposal of solid waste. The classrooms are well ventilated and heated.



Infant Safe Sleep: The nap area had cribs for the crib-age infants and is separate from the indoor activity area. The cribs have transparent walls to ensure the children are easily viewed. Each infant has their own crib with clean sheets. There were sleep logs maintained for the infants documenting the time of each 15 minute check and the condition of the infant.

Records: A sample of children and staff files were reviewed. There is a at least one opening and closing staff who has a current CPR certificate. 3 of 6 staff files reviewed did not have a current "Mandated Reporter - Childcare Providers" Certificate. Sign in and out procedures and logs were reviewed and accurate. No children require any use of Incidental Medical Services (IMS). Disaster drills are conducted at least once every six months and documented. The last drill was conducted October 4, 2023. The facility has a 3A10BC fire extinguisher. There is a working combined Smoke/Carbon Monoxide Detector and telephone in the facility. All documents required to be posted were appropriately posted on the walls: License; Emergency Disaster Plan ;Notification of Parents Rights; Personal rights; Child Seat Belt Laws; menus; and daily activity schedules.
********************************See LIC809-C for report continuance****************************
SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 292-9724
LICENSING EVALUATOR NAME: Indira LozaTELEPHONE: 510-368-3672
LICENSING EVALUATOR SIGNATURE:
DATE: 10/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/24/2023
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 5


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: 10/24/2023
NARRATIVE
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Food Services: The infants under 12 months old bring their own formula/breast milk and pureed food. The facility provides a morning and afternoon snack to infants 12-24 months old; and they bring their own lunch. The facility has completed the lead testing, and there were no outlets with a lead exceedance.

Outdoor Space: The infants have their own outdoor play area. The entire infant outdoor space is fully fenced. There are plenty of toys and activities for the infants to interact with. There is a two-story wooden house with a deck, the wooden play structure has absorbing rubber material underneath and is anchored to the ground.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For childcare center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1CCP). LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP. PIN 22-05-CCP

Director was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed director of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02CCP. 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 throughout California.
*********************************Report Continues on LIC809-C*********************************
SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 292-9724
LICENSING EVALUATOR NAME: Indira LozaTELEPHONE: 510-368-3672
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2023
LIC809 (FAS) - (06/04)
Page: 2 of 5
Document Has Been Signed on 10/24/2023 05:14 PM - It Cannot Be Edited

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

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/24/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in 3 out of 6 files reviewed did not have a current Mandated Reporter Certificate which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/24/2023
Plan of Correction
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The Director shall send the LPA a current Mandated Reporter Certificate for Y. Kim, G. Flores, and Z. Meles by November 24, 2023.
Type B
Section Cited
CCR
101419.2(b)(2)
Infant Needs and Services Plan
(b) The needs and services plan shall be in writing and shall include the following: (2) Infants up to 12 months of age shall have a completed Individual Infant Sleeping Plan [LIC 9227 (3/20)], which is incorporated by reference.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in 3 out of 3 infants 12 months or younger did not have an LIC9227 in their file, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/24/2023
Plan of Correction
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The Director shall send the LPA the completed form for all infants 12 months and younger, no later than November 24, 2023.
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: Mayla MendozaTELEPHONE: (510) 292-9724
LICENSING EVALUATOR NAME: Indira LozaTELEPHONE: 510-368-3672
LICENSING EVALUATOR SIGNATURE:
DATE: 10/24/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/24/2023
LIC809 (FAS) - (06/04)
Page: 3 of 5


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: 10/24/2023
NARRATIVE
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Director was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs)

There were two Type B citations issued during today's visit. See LIC809-D for details.

A notice of site visit was given and must remain posted for 30 days.


Exit interview conducted and report was reviewed with Ebony Bell.
SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 292-9724
LICENSING EVALUATOR NAME: Indira LozaTELEPHONE: 510-368-3672
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2023
LIC809 (FAS) - (06/04)
Page: 5 of 5