070212089-11-12-2019-02-CC-PPEN-BHUSF5-20191112124945

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 070212089
Report Date: 11/12/2019
Date Signed: 11/12/2019 12:49:53 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:	CONTRA COSTA COLLEGE - EARLY CHILDHOOD LAB SCHOOL		FACILITY NUMBER:	070212089
ADMINISTRATOR:	BRIANNE AYALA		FACILITY TYPE:	850
ADDRESS:	2600 MISSION BELL DRIVE		TELEPHONE:	(510) 215-4885
CITY:	SAN PABLO	STATE: CA	ZIP CODE:	94806
CAPACITY:	75	CENSUS: 56	DATE:	11/12/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	10:10 AM
MET WITH:	Brianne Ayala		TIME COMPLETED:	12:50 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 at 1010. LPA met and toured all areas licensed for use by children in care with facility director, Brianne Ayala. Also present were 56 preschool age children in care and nine additional teaching staff. All staff present are background cleared. All teaching staff present are qualified teachers or higher. The facility is within ratio and capacity. This facility operates on the grounds of Contra Costa College. There are three classrooms (104, 110, 114) and the enhancement area which are utilized by children in care. All were inspected for health and safety. Furnishings and equipment are age appropriate and free of broken/sharp pieces. Sinks and toilets are age appropriate and in working condition. Surfaces, including table tops and counter tops are free of toxins. There were no hazardous items/toxins observed to be accessible to children. Child safety latches are used on lower cabinets. Children are being appropriately supervised. This facility serves snacks. There is a snack menu posted in each room. Children bring their own lunches from home. There is indoor and outdoor drinking water available for children in care via water containers and individual cups/sippy cups. Per director, the most recent fire department inspection was within the past year. The facility has centralized smoke/fire alarm, working carbon monoxide detector and multiple fully charge fire extinguishers. The outdoor playground is fully fenced. High climbing equipment is securely anchored and free of broken/sharp pieces. There is cushioning around and under the climbing equipment. The outdoor water fountains on non-operational and drinking water is available via cups and water containers. There are no pools or other bodies of water accessible to children. Continued of Page 2***************************************************************************************

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Paul Peterson	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 11/12/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/12/2019

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: CONTRA COSTA COLLEGE - EARLY CHILDHOOD LAB SCHOOL	FACILITY NUMBER: 070212089
	VISIT DATE: 11/12/2019

NARRATIVE

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LPA reviewed the facility, personnel and children's records including sign in/sign out records, children's admissions agreements, parents' rights forms, children's immunization records and staff teaching qualifications and background clearances. All required postings are present. Multiple staff present have current CPR/First Aid certification.

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

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

There were no deficiencies cited during this inspection. The appeal rights was provided and a notice of site visit was provided and is to be posted for 30 days from today's date. A copy of this report was is to remain in the facility records and available for public review for a period of three years.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Paul Peterson	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 11/12/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/12/2019

LIC809 (FAS) - (06/04)

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