070212742-2-13-2020-02-CC-JSAR-BLRTN6-20200213135214

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 070212742
Report Date: 02/13/2020
Date Signed: 02/13/2020 01:52:41 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:	WCCUSD - BAYVIEW		FACILITY NUMBER:	070212742
ADMINISTRATOR:	MARY ABOUDI		FACILITY TYPE:	850
ADDRESS:	3001 16TH STREET, ROOM M4		TELEPHONE:	(510) 231-1401
CITY:	SAN PABLO	STATE: CA	ZIP CODE:	94806
CAPACITY:	24	CENSUS:	DATE:	02/13/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	11:35 AM
MET WITH:	Mary Aboudi		TIME COMPLETED:	02:00 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 Analysts (LPAs) James Sampair and Paul Petersen conducted an unannounced random annual site inspection for this Title 5 facility at 11:35. Present at the time of LPAs' arrival were lead teacher, Mary Aboudi, and 2 additional qualified teaching staff along with 17 preschool age children in care. All 3 of the staff present are qualified teachers. The facility is within ratio and capacity. All teaching staff present are background cleared per West Contra Costa Unified School District (WCCUSD). Program Coordinator, Olanrewaju Ajayi, and Early Learning Office Supervisor, Demi Branch, arrived and assisted with providing access to facility records while LPAs were still present at this facility. This program operates out of one classroom (Room M4) on the grounds of WCCUSD Bayview School. 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. Floors and surfaces, including counter tops, are free of toxins and hazardous conditions. There is available heating and ventilation for temperature management. The building and grounds of this facility are maintained by WCCUSD including daily janitorial service. There is a fully charged fire extinguisher and working carbon monoxide detector present. There is a centralized smoke/fire alarm system. First aid supplies were inventoried. This facility provides lunch for the AM and PM class and there is a menu posted for review. Lunches are prepared at the WCCUSD kitchen. Drinking water is observed to be available for children in care both indoors and out via working water fountains. Sinks and toilets are age appropriate and in good repair.

SUPERVISOR'S NAME: Jason Jang	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: James Sampair	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 02/13/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2020

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: WCCUSD - BAYVIEW	FACILITY NUMBER: 070212742
	VISIT DATE: 02/13/2020

NARRATIVE

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The play ground/outdoor area is fully enclosed/fenced. It is shared with kindergarten students at scheduled times that are not overlapping, so there is no intermingling of the different age groups. There is a waiver posted for lack of shade in the outdoor area. There are age-appropriate climbing equipment and swings in the preschool play area. Play items appear free of broken/sharp pieces. There are no observed hazardous conditions and no accessible bodies of water are present.

LPAs reviewed the facility, personnel and children's records including children's health screenings, immunization records, and parents' rights forms, staff teaching qualifications and CPR/First Aid certification. All required postings are present. The lead teacher and 2 other staff who were present have current CPR/First Aid certification.

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

Licensee 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.

There were no deficiencies cited during this inspection. A notice of site visit was provided and is to remain posted for 30 days. A copy of the appeal rights and a copy of this report were provided and this report is to remain in the facility records for a period of three years.

SUPERVISOR'S NAME: Jason Jang	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: James Sampair	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 02/13/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2020

LIC809 (FAS) - (06/04)

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