013422566-10-18-2019-02-CC-CCON-BH3V3L-20191018160456

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013422566
Report Date: 10/18/2019
Date Signed: 10/18/2019 04:05:03 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME:	GREIG, ALEXIS & EDWARD		FACILITY NUMBER:	013422566
ADMINISTRATOR:	GREIG, ALEXIS		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 350-6081
CITY:	OAKLAND	STATE: CA	ZIP CODE:	94602
CAPACITY:	14	CENSUS: 7	DATE:	10/18/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:55 PM
MET WITH:	Alexis Greig		TIME COMPLETED:	04:30 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	Licensing Program Analyst Caroline Colson met with Alexis and Edward Greig and her assistants, Harmonee Booker and Emily Boone for unannounced random annual inspection at 1:55 PM. There are seven (7) preschool children present. One (1) child's record was reviewed by the LPA and the licensee on 10/18/19 at 2:48 PM. C1 has a complete file. The home was toured to conduct a health and safety inspection. The home is a single story home. The home consists of a living room, kitchen with dinning area, 3 bedrooms, 2 bathrooms, hallway closet, furnace closet, fenced back yard and garage. There is a 2A10BC fire extinguisher, working smoke alarm and carbon monoxide alarm. The off limit areas are the master bedroom, first bedroom on the right, master bathroom, furnace closet and garage. The isolation room is the living room. Mrs. Greig states that there are no firearms in the home. They has no pets. Mrs. Greig has current pediatric CPR and First Aid certificates which expire on November 4, 2019. She has a First Aid Kit available. This facility provides Incidental Medical Services - IMS. LPA reviewed the storage of medication and equipment /supplies, reviewed children and personnel records. LPA discussed the need to create a plan of operation. Specifics on the plan can be found in the family child care home evaluator manual (FCCH EM) Policy 102417. Please See LIC 809 C for additional information

SUPERVISOR'S NAME: Anika Evans	TELEPHONE: (510) 286-4350
LICENSING EVALUATOR NAME: Caroline Colson	TELEPHONE: (510) 725-7008
LICENSING EVALUATOR SIGNATURE:	DATE: 10/18/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2019

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: GREIG, ALEXIS & EDWARD	FACILITY NUMBER: 013422566
	VISIT DATE: 10/18/2019

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REMINDERS/RESOURCES

· Criminal Background Clearance: All assistants, volunteers, frequent adult visitors (adults are individuals 18 years of age or older) must be fingerprint cleared and associated to the facility prior to be in the presence of children in care. Failure to comply, requires an immediate civil penalty of $100 to $3000 per person, per incident.

· CCLD Complaint Hotline, 1-844-LET-US-NO (1-844-538-8766) email: LetUsNo@dss.ca.gov

· NEW LAW: Safe Sleep Regulations: http://www.cdss.ca.gov/inforesources/Child-Care-Licensing/Public-Information-and-Resources/Safe-Sleep

· Licensees and all staff are Mandated Reporters and are required to report to CCLD any suspected child abuse.

CCLD website address for obtaining licensing forms, training videos and other provider resources can be obtained at www.ccld.ca.gov

· Licensees may register to receive child care updates: www.myccl.ca.gov

The childcareadvocatesprogram@dss.ca.gov is the email address for the applicant to sign up to receive PINS.

Licensee will send all Mandated Reporter Training certificates and immunization records within 30 days.

A site notice was posted. An exit interview was conducted. Appeal rights were discussed and given. This report must remain available for public review for 3 years.

There were no deficiencies cited during this inspection.

SUPERVISOR'S NAME: Ann Robinson	TELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Caroline Colson	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 10/18/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2019

LIC809 (FAS) - (06/04)

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