070212550-12-3-2019-02-CC-LCHW-BJJ4RU-20191203182030

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 070212550
Report Date: 12/03/2019
Date Signed: 12/03/2019 06:20:37 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:	OAKLEY PRESCHOOL		FACILITY NUMBER:	070212550
ADMINISTRATOR:	FOGELMAN, RACHEL		FACILITY TYPE:	850
ADDRESS:	501 NORCROSS LANE-OAKLEY ELEM.		TELEPHONE:	(925) 625-5084
CITY:	OAKLEY	STATE: CA	ZIP CODE:	94561
CAPACITY:	50	CENSUS: 23	DATE:	12/03/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	FOGELMAN, RACHEL		TIME COMPLETED:	06:40 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 (LPAs) LaKeisha Chew and Cherie Acosta, met with Lead Teacher Maria Cruz for the purpose of an Unannounced Annual/Random inspection and later Rachel Fogelman, Program Administrator, joined LPAs during the inspection. Present during the inspection was 23 children and 5 staff. This State Preschool Program is located on the Oakley Elementary school campus and operate in 2 classrooms (room 31 & 32). There are two daily classroom sessions Monday thru Friday 8:30AM to 11:30AM and 12:00PM to 2:30PM. LPAs and the Program Administrator toured each classroom and the play yard for a health and safety inspection. A physical census was taken of all children present and crossed referenced with the sign in and out sheets. STAFF AND CHILDREN'S FILES: LPA reviewed (5) children facility files. Each child's file contained - identification/Emergency card, and Physician reports. LPAs reviewed (3) personnel facility files. Required documentation for staff personnel were in the on site facility files. Staff fingerprint clearance and child abuse index clearances or exemptions. is conducted through the Oakley Unified School District. CLASSROOMS: Furniture & Equipment was age and size appropriate. The Heating and lighting were adequate. There is drinking water readily available in each classroom and outside. There is adequate storage for children's belongings. BATHROOMS &TOILETING AREAS: The bathroom was toured, and toilets flushed properly, and all faucets are in working order. There is a separate staff bathroom on site. FOOD SERVICE AREAS: Food is provided daily by the school district cafeteria. There is a school menu posted for parental review. INSPECTION of OUTDOOR PLAY AREA: All climbing equipment is properly anchored to the ground with adequate and appropriate cushioning. The playground is free of debris or hazards and a shaded area.

SUPERVISOR'S NAME: Sherelle Johnson	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Lakeisha Chew	TELEPHONE: (510) 622-2618
LICENSING EVALUATOR SIGNATURE:	DATE: 12/03/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2019

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 3

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: OAKLEY PRESCHOOL	FACILITY NUMBER: 070212550
	VISIT DATE: 12/03/2019

NARRATIVE

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POSTING REQUIREMENTS: All documents are posted in a highly visible place for parental review. Disaster Drills are being practiced at least once every 6 months with the last one being conducted October 2019.

CARE & SUPERVISION: More than one person on staff has a current CPR/First Aid certificate and Mandated Reporter Training AB1207 on file.

The Site Director is reminded that ALL assistants, volunteers, frequent visitors, or adults at the facility, are 18 years of age or older must be fingerprint cleared. Site Director was reminded of the responsibility as a mandated reporter.

All forms can be downloaded at www.ccld.ca.gov for day care updates.

At 2:31PM LPAs observed the following deficiencies during the inspection:
In classroom 31: under unlocked cabinet that is accessible to children in care:
Bottle with Cleaning Solution
In classroom 32: under unlocked cabinet that is accessible to children in care:
Germ X Aloe Moisturizer
Lysol Disinfected Spray
Soft Scrub with Bleach
Sharp objects: Knifes, and Pizza cutter

An exit interview was conducted with Director. A notice of site visit will be posted. LPA advised Director of the requirement to post the notice of site visit for 30 days.

SUPERVISOR'S NAME: Sherelle Johnson	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Lakeisha Chew	TELEPHONE: (510) 622-2618
LICENSING EVALUATOR SIGNATURE:	DATE: 12/03/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2019

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: OAKLEY PRESCHOOL	FACILITY NUMBER: 070212550
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 12/03/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 12/04/2019 Section Cited	1 2 3 4 5 6 7	Buildings and Grounds Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children. This requirement was not met as evidence by LPAs observed cleaning supply assessible to children which poss a potential risk to the health and safety of children in care..
	1 2 3 4 5 6 7
	1 2 3 4 5 6 7
	1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Sherelle Johnson	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Lakeisha Chew	TELEPHONE: (510) 622-2618
LICENSING EVALUATOR SIGNATURE:	DATE: 12/03/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2019

LIC809 (FAS) - (06/04)

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