013423063-10-3-2019-52-CC-LDYN-BGLQLP-20191003121617

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013423063
Report Date: 10/03/2019
Date Signed: 10/03/2019 12:16:27 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 APPLES PRESCHOOL		FACILITY NUMBER:	013423063
ADMINISTRATOR:	CHU, SHARON		FACILITY TYPE:	850
ADDRESS:	3575 BEACON AVE		TELEPHONE:	(510) 598-3067
CITY:	FREMONT	STATE: CA	ZIP CODE:	94538
CAPACITY:	71	CENSUS: 0	DATE:	10/03/2019
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	09:50 AM
MET WITH:	Sharon Chu		TIME COMPLETED:	12:30 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 10/3/19 at 09:50am, Licensing Program Manager (LPM) Wynn Norona and Licensing Program Analyst (LPA) Loretta Dyson arrived at the center for an announced prelicensing inspection. LPA and LPM met with Sharon Chu, who will be the center director. The center will operate Monday thru Friday 7:30am-6:15pm. LPAs toured classrooms 1, 2, 3 and 4, bathrooms, kitchen, and playground to conduct a health and safety inspection. The measurements are as follows: INDOOR: 2,491.1 square feet= 71 children OUTDOOR: 2,574.5 square feet= 34 children An outdoor waiver request was submitted to allow 35 children on the playground at one time, but the outdoor measurements will allow for a total of 34 children on the playground at one time. LPA and LPM observed that the classroom floors, surfaces, and equipment are safe, clean and appeared to be toxic free. The classroom lighting, heating and ventilation is sufficient for the safety and comfort of children and staff. There is an ample supply of age appropriate toys, activities, furniture and storage, which are in good condition. LPAs did not observe any bodies of water, hazardous items or toxins that will be accessible to children. There is drinking water available indoors, and the center will take water on the playground or allow children to come inside to use the water fountain when outdoors. The toilets and sinks are in sanitary and operational condition. There are two separate bathrooms for staff. The playground is fenced and free from defects or dangerous conditions. The play structure is anchored and secure, and has sufficient cushioning underneath to absorb a fall. The center is equipped with a centralized fire alarm system, working carbon monoxide detectors, fire extinguishers, first aid kits, and working telephone. The kitchen is clean and cleaning supplies and food are stored properly and separate. continued on 809C

SUPERVISOR'S NAME: Anika Evans	TELEPHONE: (510) 286-4350
LICENSING EVALUATOR NAME: Loretta Dyson	TELEPHONE: (510) 695-0243
LICENSING EVALUATOR SIGNATURE:	DATE: 10/03/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2019

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 2

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 APPLES PRESCHOOL	FACILITY NUMBER: 013423063
	VISIT DATE: 10/03/2019

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
26
27
28
29
30
31
32

Sharon Chu is qualified as a preschool director, and has submitted the required documentation, including current CPR/first aid certificates that expire on 4/28/20. A sample of the menu and sign in/out sheets were reviewed.

LPA and LPM reviewed information regarding unusual incidents/injury reporting, incidental medical services, civil penalties, and recommendations when using an electronic sign in/out procedure.

The director understands that prior to working or volunteering in a licensed child care facility, all individuals subject to criminal record review shall obtain a clearance or criminal record exemption. If the department notifies the licensee to immediately remove/exclude any individual from the facility, based on information related to a criminal record, they will comply. The director was encouraged to email ChildCareAdvocatesProgram@dss.ca.gov to be included in the Child Care Quarterly Updates distribution list, and to visit our website at www.ccld.ca.gov for Licensing information and regulations.

LPA reminded the director that once licensed, the facility must be in compliance with all licensing laws and regulations. If the center is in violation of any laws or regulations, a deficiency will be cited.

A license for 68 preschool age children will be granted once the following items are received:
- final fire clearance approval (a conditional fire clearance was granted on 9/17/19)
- proof that the parent board has been completed with all required documents
- proof that the playground has sufficient shade

SUPERVISOR'S NAME: Anika Evans	TELEPHONE: (510) 286-4350
LICENSING EVALUATOR NAME: Loretta Dyson	TELEPHONE: (510) 695-0243
LICENSING EVALUATOR SIGNATURE:	DATE: 10/03/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2019

LIC809 (FAS) - (06/04)

Page: 2 of 2