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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 070209900
Report Date: 06/25/2019
Date Signed: 06/25/2019 12:09:01 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:YWCA OF CONTRA COSTA - RICHMOND CHILDREN'S CENTERFACILITY NUMBER:
070209900
ADMINISTRATOR:RUFF, SANDRAFACILITY TYPE:
850
ADDRESS:3230 MACDONALD AVENUETELEPHONE:
(510) 234-1270
CITY:RICHMONDSTATE: CAZIP CODE:
94804
CAPACITY:59CENSUS: 15DATE:
06/25/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Noel WhiteTIME COMPLETED:
12:20 PM
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Licensing Program Analyst (LPA) Paul Petersen conducted an unannounced random annual site inspection for this facility on 06/25/19 at 0920. LPA met with the facility's new site supervisor, Noel White, and toured all areas utilized by children in care. Also present at the time of LPA's arrival were 15 preschool age children in care and one additional qualified teacher. An additional teaching staff, an aide, arrived while LPA was conducting the inspection. The facility was within ratio and capacity. All staff present are background cleared. LPA inspected the preschool classrooms, the twos classrooms, the food prep/storage area and the children's bathrooms. Per the site supervisor, there are no firearms present or stored on the premises. Classroom furniture is age appropriate and free of broken/sharp pieces. Surfaces including counter tops, tabletops and floors are free of toxins. Hazardous items/toxins are stored inaccessible to children in care. The facility has a working carbon monoxide detector, centralized fire alarm/smoke detectors and fully charged fire extinguishers. Children have storage cubbies for their personal belongings. Furnishings, equipment and play items are age appropriate and free of broken/sharp pieces. Sleeping cots are identified per individual child use with linens washed at least weekly. Indoor and outdoor drinking water is available with water jugs and cups. The outside play area is fully fenced with age appropriate equipment which is free of broken/sharp pieces. The climbing equipment/slide is securely anchored with cushioning under and around the equipment. There are no pools or other accessible bodies of water present. This facility serves breakfast, lunch and snacks. Meals are catered from an outside provider and prepped on site by facility staff. There are menus posted and available for review. All required postings are present. Food storage and prep areas were inspected and appear clean and free of pests. Staff certification in CPR and First Aid is current and valid for at least one staff member present today. Agency Director, Tanya Dean, arrived while LPA was present at the facility and assisted LPA with records review. Facility, staff and children's files were reviewed including staff qualifications, background clearances, and immunization records and children's admissions agreements, emergency ID forms, and parents' rights forms. This facility provide Incidental Medical Services-IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children's, personnel, and

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SUPERVISOR'S NAME: Wynn NoronaTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Paul PetersonTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 06/25/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2019
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: YWCA OF CONTRA COSTA - RICHMOND CHILDREN'S CENTER
FACILITY NUMBER: 070209900
VISIT DATE: 06/25/2019
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administrative records. For IMS information see Evaluator Manual-Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. The following information 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 For forms and updates visit www.ccld.ca.gov. Contact childcareadvocatesprogram@dss.ca.gov to sign up for quarterly updates.


There were no deficiencies cited during this inspection. An exit interview was conducted and a notice of site visit provided. The notice of site visit is to be posted at this facility for 30 days. A copy of the appeal rights was issued and a copy of this report was provided and is to be kept for 3 years in the facility records and available for public review upon request
SUPERVISOR'S NAME: Wynn NoronaTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Paul PetersonTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 06/25/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2019
LIC809 (FAS) - (06/04)
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