070210604-12-18-2019-02-CC-SNEN-BJYTWB-20191218140516

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 070210604
Report Date: 12/18/2019
Date Signed: 12/18/2019 02:05:35 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:	SAINT JOHN PRESCHOOL		FACILITY NUMBER:	070210604
ADMINISTRATOR:	MARIA D. RIOS		FACILITY TYPE:	850
ADDRESS:	501 MORAGA WAY		TELEPHONE:	(925) 254-4470
CITY:	ORINDA	STATE: CA	ZIP CODE:	94563
CAPACITY:	48	CENSUS: 38	DATE:	12/18/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:35 AM
MET WITH:	Maria D. Rios		TIME COMPLETED:	03:00 PM

NARRATIVE

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An unannounced Annual/Random site inspection visit was conducted by LPA Susan Neeson. Met with Maria Rios, Director. Visit began at 9:35 AM. Present during visit were 38 preschool children and 6 preschool staff and the cook. Of this number 8 were enrolled in the toddler option program with two staff supervising them. All staff are fingerprint clear and associated with the facility. Opening and closing staff have current CPR and First Aid.

A tour of the facility was conducted. The facility consists of 2 classrooms for the preschoolers and one for the toddler option children. There is a large yard which is used by the children. There are adequate toys and equipment for children in care. In the yard all climbing equipment has sufficient resilient material underneath those structures. There are no bodies of water. During this visit, correct ratios were met at all times. Disinfectants, cleaning solutions, poisons and other dangerous items were inaccessible to children. Poisons are locked. Medications are inaccessible to children. All toilets and sinks are operable and sanitary with sufficient soap and paper products. The kitchen/food preparation area is free of litter, rubbish and the evidence of rodents or vermin. Uncontaminated drinking water is available both indoors and outdoors. Menus are posted. The facility has a fire extinguisher, smoke alarm and carbon monoxide detector. Fire drills are being done and documented. Last fire drill was Nov. 13, 2019.All required forms are posted. All staff records were reviewed. A sample of children's files were reviewed. Sign-in and out sheets were reviewed. There are no animals at the facility.

Maria Rios states that there are no guns or firearms on the premises.

Licensee is reminded that ALL assistants, volunteers or adults that are 18 years of age or older must be fingerprint cleared and associated to this facility prior to being in the presence of children in care or an immediate civil penalty will be assessed from $100 to $3000 per person, per incident. Licensee was reminded of the responsibility as a mandated reporter. All forms can be downloaded at www.ccld.ca.gov and for day care updates visit www.myccl.ca.gov

SUPERVISOR'S NAME: Antranette Robinson	TELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Susan Neeson	TELEPHONE: (510)622-2630
LICENSING EVALUATOR SIGNATURE:	DATE: 12/18/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2019

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: SAINT JOHN PRESCHOOL	FACILITY NUMBER: 070210604
	VISIT DATE: 12/18/2019

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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.htmI. Facility has child with asthma. Plan of Operation has been submitted.

The following documents were issued and discussed: Flu prevention information, Quarterly update from Department, AB 1207 information, Safe Sleep for infants, Fire/earthquake drill information, AB 1207 training information, Licensee rights, blue immunization form and car seat information.

Copy of roster was requested. Copy of LIC 500 was received. Copy of parent handbook was received.

No deficiencies are observed.

An exit interview was received.

SUPERVISOR'S NAME: Antranette Robinson	TELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Susan Neeson	TELEPHONE: (510)622-2630
LICENSING EVALUATOR SIGNATURE:	DATE: 12/18/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2019

LIC809 (FAS) - (06/04)

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