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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 070201345
Report Date: 06/29/2021
Date Signed: 06/29/2021 10:39:00 AM

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:UNITED METHODIST PRESCHOOLFACILITY NUMBER:
070201345
ADMINISTRATOR:PAULETTE OVEFACILITY TYPE:
850
ADDRESS:902 DANVILLE BLVDTELEPHONE:
(925) 837-2788
CITY:ALAMOSTATE: CAZIP CODE:
94507
CAPACITY:50CENSUS: 0DATE:
06/29/2021
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Katelyn SelfTIME COMPLETED:
10:45 AM
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On 6/29/21 at 9:00am Licensing Program Analyst (LPA) Michelle Sutton conducted a Case Management at United Methodist Preschool to operate. Director has requested to reactivate the license from inactive status. The program is located on the premises of United Methodist Church. LPA met with Director Katelyn Self and also present were a facility staff member. Director submitted and has completed the Documentation for New Directors including the CPR and First aid certification. Director stated they will be operating a summer program for preschool children (ages 3-5) using their 2 classrooms and play yard. Director stated that they will be operating a summer camp program from July 6th through July 23rd,Tuesday-Friday from 9am-12pm with an optional lunch bunch from 12pm-1pm.

At 9:05am LPA inspected classroom 1 and 2. There is a fire extinguisher near classroom 2 door (size of 3A10BC). There are working smoke and carbon monoxide detectors and a fire pull system installed near the office. Drinking water is regularly available for children. LPA observed each classroom has its own bathroom which meet the requirements of Licensing. Cleaning products and hand sanitizer are kept inaccessible to children. The facility floors of all rooms are safe and clean meeting Licensing requirements.

At 9:30am LPA inspected playground, the playground is fenced. There is ample shade with sun shade sail over a part of the playground and a large sand box that has a cover. LPA reminded director that the sand box must be inspected daily and kept free from hazardous materials and surface of the outdoor activity space must be maintained.

At 10:30am an exit interview was conducted with Director Katelyn Self, the report was discussed and signed. A notice of site visit was given and must remain posted for 30 days. License is approved to be put back on active status starting June 30, 2021.

SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Michelle SuttonTELEPHONE: (510) 725-7004
LICENSING EVALUATOR SIGNATURE:

DATE: 06/29/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2021
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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