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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423074
Report Date: 04/28/2022
Date Signed: 04/28/2022 02:31:43 PM

Document Has Been Signed on 04/28/2022 02:31 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:ROCKRIDGE LITTLE SCHOOL 3FACILITY NUMBER:
013423074
ADMINISTRATOR:GOLD, HOLLYFACILITY TYPE:
850
ADDRESS:5776 BROADWAYTELEPHONE:
(510) 420-1200
CITY:OAKLANDSTATE: CAZIP CODE:
94618
CAPACITY: 28TOTAL ENROLLED CHILDREN: 28CENSUS: 25DATE:
04/28/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Lynne KellundTIME COMPLETED:
02:45 PM
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On 4/28/2022, at 10:00AM, Licensing Program Analysts (LPAs) Catherine Fernandes and Indira Loza met with Director Lynne Kellund for an unannounced required annual inspection. The center and playground were inspected to conduct a health and safety check. Present during the inspection were 25 preschool aged children and four additional finger print cleared staff members. Later in the inspection Area Supervisor Cindy Barreto arrived to the center. The teacher/ child ratio is being met today. This center operates Monday through Friday 8:30 AM to 5:00 PM.
The preschool operates out of a commercial building on Broadway in the back area of the building. The entrance to the center is located on left side of the building between the church and the printing studio. The center operates out four rooms with heating and ventilation. There are three toilets and four sinks available for the children which are sanitary and operational conditions. The room floors, surfaces, furniture and equipment appear to be safe, sanitary and in good repair. The equipment and activities appear to be age appropriate for the children in care. LPA Fernandes observed water bottles for the children in care and extra cups in the classrooms. Water bottles are brought outdoors. There are supplies available for the children to wash and dry their hands. LPAs did not observe any bodies of water, free standing water, cleaning supplies, or toxic items accessible to children during todays inspection. The center prepares and provides snacks to the children while in care and lunches are brought from home. There is a current menu posted in both classrooms. The kitchen area was maintained in a clean manner. The outside play area is the fenced in with a shaded area and age appropriate toys, that appear to in good repair. The children at the center are taking field trips to utilize the outdoor play space at Rockridge Little School 2 while the center is inactive. There is a wavier that is posted to limit the yard to 19 children at one time.
All required documents are posted for public review. The center is using an electronic sign in and out for the children and each parent has a unique log on. The disaster drills are being conducted at least once every 6 months, the last drill was recorded on 11//21. The center is equipped with a fully stocked first aid kit, working telephone, carbon monoxide detector, two 3A40BC fire extinguishers and the fire system is hardwired.
Report continued on 809C
Mayla Mendoza
Catherine Fernandes
DATE: 04/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/28/2022
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: ROCKRIDGE LITTLE SCHOOL 3
FACILITY NUMBER: 013423074
VISIT DATE: 04/28/2022
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The center roster was reviewed and a copy was obtained. A review of eight children records and five staff files were reviewed. All staff have been fingerprint cleared and associated to the facility. At least one opening/closing staff member has a current CPR/First Aid certificate.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

The Director was reminded that all adults 18 and over, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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 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. Center is not providing IMS as of today.

All forms can be downloaded at www.ccld.ca.gov.



No deficiencies were cited

A notice of site visit was given and must remain posted for 30 days
Exit interview conducted and report was reviewed with Director Kellund
SUPERVISOR'S NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Catherine Fernandes
LICENSING EVALUATOR SIGNATURE:

DATE: 04/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2022
LIC809 (FAS) - (06/04)
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