013423097-7-20-2021-02-CC-ASIH-C54U6G-20210720151819

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013423097
Report Date: 07/20/2021
Date Signed: 07/20/2021 03:18:28 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, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME:	GOLDEN BAY PRESCHOOL		FACILITY NUMBER:	013423097
ADMINISTRATOR:	MA, YANYI		FACILITY TYPE:	830
ADDRESS:	2226 PACIFIC AVENUE		TELEPHONE:	(510) 213-9832
CITY:	ALAMEDA	STATE: CA	ZIP CODE:	94501
CAPACITY:	18	CENSUS: 0	DATE:	07/20/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Yanyi Ma		TIME COMPLETED:	03:30 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 07/20/2021 at 1:30 PM Licensing Program Analyst (LPA) Arminder Singh conducted an unannounced Required 1 Year inspection at Golden Day Preschool. LPA met with Administrator, Yanyi Ma and explained the purpose of today's inspection. Facility’s License, Emergency Disaster Plan, Parents’ Rights Poster PUB393, and Personal Rights, were observed to be posted. Facility's operating days and hours are Monday to Friday 8:00 AM to 5:30 PM. This facility is dually Licensed for infant/toddler and preschool aged children. There is an active waiver on file for shared use of bathroom for the infant, toddler, and preschool components at different times, based on schedule submitted, to ensure they will not commingle. At 1:45 PM the physical plant was inspected. LPA toured the premises with the Administrator. Indoor space: During today's inspection there were no children. The Administrator states that the facility has not had any enrollment in the facility since being licensed. Facility was observed to be in compliance. The classroom #4 is the room used for the infant/toddler program. The room is separated by a book shelf in the middle to ensure a division between the toddlers and infants. Disinfectants, cleaning solutions, and other items that are dangerous to the health and safety of children were stored in places inaccessible to them. Cabinets, drawers, and rooms used for storage were locked. Furniture and equipment were age appropriate and in good condition, free of sharp, loose, or pointed parts. Restroom for children were observed to be in safe, sanitary, and functioning condition. Floors were clean and free from tripping hazard. Trash cans for solid waste had tight-fitting covers on and were in good repair. Administrator stated that facility does not possess nor store any weapons on the premises. LPA observed a 3A40BC Fire extinguisher, Smoke and Carbon Monoxide Detectors, and fire pull stations. Facility does not provide transportation for children, but Administrator understands that children cannot be left alone, unattended in parked vehicles. CONTINUED ON NEXT PAGE

SUPERVISOR'S NAME: Loretta Dyson	TELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Arminder Singh	TELEPHONE: (510) 725-2063
LICENSING EVALUATOR SIGNATURE:	DATE: 07/20/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/20/2021

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: GOLDEN BAY PRESCHOOL	FACILITY NUMBER: 013423097
	VISIT DATE: 07/20/2021

NARRATIVE

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Outdoor Space: Outdoor playground was inspected and observed to be fenced and safe. The play area for this facility is fenced off from the rest of the play yard as this facility does have a license for preschoolers. The play equipment was maintained in good condition and free of hazards. There are no high climbing equipment. Shade is provided by way of large canopies/gazebos. There were no bodies of water observed. Drinking water is arranged to be readily available to children during indoor and outdoor activities.

Administrator acknowledges that if any children who are enrolled that require Incidental Medical Services the facility should submit IMS Plan with Oakland Regional Office. Isolation of sick child was discussed, and Administrator explained that a sick child is brought to the School Office area or the lobby to be isolated from other children. An adult restroom is used if necessary. Child is always under visual supervision while being cared for.
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.

Beginning January 1, 2019 AB 2370 requires licensed homes and centers to share information on the risks and effects of lead exposure with enrolling and re-enrolling families.

"Mandated Reporter" training for CA Child Care Providers that all staff are required to complete as of January 1, 2018. [Starting May 2019, both General Training followed by Child Care Providers Training is required to be taken]. The website for the online training is: http://www.mandatedreporterca.com/training/childcare.htm.

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SUPERVISOR'S NAME: Loretta Dyson	TELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Arminder Singh	TELEPHONE: (510) 725-2063
LICENSING EVALUATOR SIGNATURE:	DATE: 07/20/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/20/2021

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: GOLDEN BAY PRESCHOOL	FACILITY NUMBER: 013423097
	VISIT DATE: 07/20/2021

NARRATIVE

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LPA reminded Administrator of the applicable civil penalties for those adults who have not received fingerprint clearances, are not associated to the license, and who come in contact with or provide care and supervision to the children. For an initial violation, civil penalty amounts to $100.00 per person per day with a maximum of $500.00 per person. For a subsequent violation within a 12-month period, civil penalty amounts to $100.00 per person per day with a maximum of $3000.00 per person.

Administrator is encouraged to visit the Department’s website at www.cdss.ca.gov to access resources for Providers, Title 22 Regulations, Online option to pay Annual License fee, Adoption of new Laws, etc.

In the areas that were evaluated, no regulatory violations were observed.
At 03:15 PM Exit Interview was conducted, where this report was reviewed and discussed with Administrator. Report was signed by the Administrator confirming receipt of documents.

Website for provider resources:
http://www.cdss.ca.gov/inforesources/Community-Care/Self-Assessment-Guides-and-Key-Indicator-Tools/Quarterly-Updates

childcareadvocatesprogram@dss.ca.gov

A NOTICE OF SITE VISIT WAS ISSUED, AND MUST BE POSTED ON OR ADJACENT TO THE INTERIOR SIDE OF THE MAIN DOOR INTO THE FACILITY FOR 30 CONSECUTIVE DAYS.

END OF REPORT

SUPERVISOR'S NAME: Loretta Dyson	TELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Arminder Singh	TELEPHONE: (510) 725-2063
LICENSING EVALUATOR SIGNATURE:	DATE: 07/20/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/20/2021

LIC809 (FAS) - (06/04)

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