070210881-9-25-2019-02-CC-PPEN-BGD6ZB-20190925211449

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 070210881
Report Date: 09/25/2019
Date Signed: 09/25/2019 09:15:00 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:	PETER PAN PARENT NURSERY		FACILITY NUMBER:	070210881
ADMINISTRATOR:	REEVES, KATY		FACILITY TYPE:	850
ADDRESS:	1422 NAVELLIER STREET		TELEPHONE:	(510) 234-5918
CITY:	EL CERRITO	STATE: CA	ZIP CODE:	94530
CAPACITY:	24	CENSUS: 10	DATE:	09/25/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	12:15 PM
MET WITH:	Meg Pitts		TIME COMPLETED:	02:45 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) Paul Petersen conducted an unannounced random annual site inspection for this facility on 09/25/19 at 1215. LPA met with facility director, Meg Pitts, and toured all areas utilized by children in care (the music room, the mud room, the clay room, children's bathrooms and the outdoor play space) for a health and safety inspection. This facility is a parent coop for preschool age children. There were also 10 preschool age children present along with five parents workers/volunteers. The facility is within ratio and capacity. Furnishings and equipment are age appropriate and in good repair. There are no toxins or hazardous items observed to be accessible to children in care. Surfaces, including counter tops, are free of toxins and hazardous conditions. The most recent fire department inspection was in 12/18. There is a fully charged fire extinguisher and working carbon monoxide detector present. There are multiple smoke detectors. Children attend on a part-time or full-time schedule with hours of operation 8:45 AM to 12:00 PM and 12:15 PM to 3:30 PM, Mon-Fri. The facility provides snacks and full time children bring their own lunches. There is a snack menu posted for review. Food prep area appears free of pests. Drinking water is observed to be available for children in care indoors via water pitchers and cups and out doors via a water fountain. Sinks and toilets are age appropriate and in good repair. Children do not nap on site. Per facility director there are no firearms present or stored on the premises. Continued on Page 2*************************************************************************************

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Paul Peterson	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 09/25/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2019

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: PETER PAN PARENT NURSERY	FACILITY NUMBER: 070210881
	VISIT DATE: 09/25/2019

NARRATIVE

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The outdoor play area and blacktop area are fully enclosed/fenced. There is shade available and climbing structures/equipment are age appropriate and securely anchored with cushioning under and around the equipment. There are no observed hazardous conditions and no pools or other accessible bodies of water present.

This facility provides Incidental Medical Services-IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children's, personnel, and 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

Director is encouraged to visit www.ccld.ca.gov for licensing updates and forms. Contact: ChildCareAdvocatesprogram@dss.ca.gov to sign up for quarterly updates. The director is also reminded that mandated reporter training is required for all staff and is to be renewed every 2 years at www.mandatedreporterca.com.

LPA reviewed the facility, personnel and children's records including children's health screenings, parents' rights forms, immunization records, children's admissions agreements, staff teaching qualifications and staff background clearances. All required posting are present.

Meg Pitts is a qualified director with eight hours of preventative health and safety completed. Facility director has current CPR/First AId certification which expires in 2020.

There are no deficiencies cited during this inspection. A notice of site visit was printed and is to be posted for a period of 30 days. A copy of this report was provided and is to remain available in the facility records for a period of 3 years.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Paul Peterson	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 09/25/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2019

LIC809 (FAS) - (06/04)

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