070209623-12-16-2019-02-CC-GRED-BJSURG-20191212144844

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 070209623
Report Date: 12/12/2019
Date Signed: 12/16/2019 08:46:34 AM

COMPREHENSIVE INSPECTION

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:	WOODBRIDGE CHILDREN'S CENTER - JOHN SWETT		FACILITY NUMBER:	070209623
ADMINISTRATOR:	TINA SPADINI		FACILITY TYPE:	840
ADDRESS:	4955 ALHAMBRA VALLEY ROAD		TELEPHONE:	(925) 228-7540
CITY:	MARTINEZ	STATE: CA	ZIP CODE:	94553
CAPACITY:	155	CENSUS: 21	DATE:	12/12/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	SPADINI, TINA, DIRECTOR		TIME COMPLETED:	03:45 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 (LPA) Redmond, conducted a health and safety inspection at the facility on 12/12/19 at 1:30 PM. The purpose of the inspection is to ensure the facility is in compliance with Title 22, CCR and Health and Safety Code Statutes for Child Care Centers. During the inspection, LPA met with Spadini, Tina, Director. During the physical inspection of the facility, LPA made the following observations: Capacity/Staffing: The facility has a combined capacity of one hundred and fifty-five (155) children. On this date there are twenty-one (21) children in care and eight staff persons. The facility is in compliance with capacity limitations, child ratios and staffing levels. All staff present have criminal background clearances and are associated to the facility. Required Postings: LPA verified the following documents are posted: Facility License, Emergency Disaster Plan, Emergency Disaster Drills, Notification of Parent's Rights, Earthquake Preparedness Checklist. If You See Something, Say Something is not posted, LPA advised Director of this requirement. Sign In/Sign Out: Parents use a manual sign in procedure. Classrooms: Furniture and equipment age appropriate and in good repair. Adequate heating, lighting and ventilation. There is separate storage for children’s belongings. Restrooms: Toilets and sinks are operable. There is soap, toilet paper and paper towels for sanitary use. There are no cleaning solutions or other toxins accessible to children.

SUPERVISOR'S NAME: Antranette Robinson	TELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Geneen Redmond	TELEPHONE: (510) 873-6410
LICENSING EVALUATOR SIGNATURE:	DATE: 12/12/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2019

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: WOODBRIDGE CHILDREN'S CENTER - JOHN SWETT	FACILITY NUMBER: 070209623
	VISIT DATE: 12/12/2019

NARRATIVE

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Play yard: Climbing structures, swings, slides appear safe and in good condition. There is a shaded area. Playground is free of debris and other hazards. Drinking water readily available. There are no pools or other bodies of water present.

Emergency Preparedness/Safety: Emergency Disaster Plan is dated, 08/30/19 and is current, per Director. Fire and earthquake drills were last conducted on 011/08/19 and meet six (6) month requirement. Smoke detector is connected throughout the facility and fire extinguishers are available and tested by a professional company. LPA reviewed inspection tag, which, is dated, 01/03/19. Facility utilizes a land line. The facility is currently providing *Incidental Medical Services (IMS) for some children. LPA conducted a random check of medication and observed that four (4) children are currently receiving IMS and have parent consent, doctor’s order and medication consent forms on file:

Training/Record Review: LPA observed CPR/First for Dirertor, which expires 0n 03/02/21.

Exit Interview: The following documents were issued to and discussed with signor below during this visit:

Facility Evaluation Report (LIC 809): was issued to Director by LPA and discussed with Director. A copy of this report shall be maintained for 3 years and available for public review upon request.

Notice of Site Visit : was issued to Director by LPA and discussed with Director and shall remain posted for 30 days. Failure to keep this notice posted for the 30 consecutive days will result in an immediate $100 civil penalty.

NO DEFICIENCIES CITED ON THIS DATE.

SUPERVISOR'S NAME: Antranette Robinson	TELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Geneen Redmond	TELEPHONE: (510) 873-6410
LICENSING EVALUATOR SIGNATURE:	DATE: 12/12/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2019

LIC809 (FAS) - (06/04)

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