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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 070213917
Report Date: 10/26/2022
Date Signed: 10/26/2022 04:30:00 PM


Document Has Been Signed on 10/26/2022 04:30 PM - It Cannot Be Edited

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:KIDSTOPFACILITY NUMBER:
070213917
ADMINISTRATOR:MARTINEZ, DANNIELFACILITY TYPE:
840
ADDRESS:1 CORRITONE CT.TELEPHONE:
(925) 680-5298
CITY:PLEASANT HILLSTATE: CAZIP CODE:
94523
CAPACITY:96CENSUS: 39DATE:
10/26/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:48 PM
MET WITH:Danniel MartinezTIME COMPLETED:
04:45 PM
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On 10/26/2022 at 1:47pm, Licensing Program Analyst (LPA) Catherine Fernandes met with Director Danniel Martinez for an Unannounced Required Annual Inspection. There were 39 school age children in care and four additional staff members. The teacher/child ratio was being met today. The center was toured for a health and safety inspection. The facility operates from 7:00am – 6:00pm Monday through Friday.

The center operates at the Gregory Gardens Elementary School, in one bungalow, in the school's playground area. The room floors, surfaces, furniture and equipment are sanitary. The heating and lighting and ventilation is adequate. There is one restroom in the classroom for the children, which is sanitary and operational conditions. There are supplies available for the children to wash and dry their hands. There is a separate bathroom for staff. The activities and toys appear to be age appropriate for the children in care. The playground equipment is in good condition and outdoor activity space is maintained in a safe condition and free of any hazards. Climbing equipment is properly anchored to the ground with adequate and appropriate cushioning material to absorb falls. There is a shaded area provided for the children. LPA did not observe any bodies of water, free standing water, cleaning supplies, or toxic items accessible to children during todays inspection. The center prepares and provides snacks to the children while in care. There is a current menu posted. The kitchen area was maintained in a clean manner. Drinking water is available to the children indoors and outdoors, the children also bring water bottles and utilize the schools water fountains.



All required documents are posted for public review. Disaster drills are being conducted at least once every 6 months, the last drill was done with the school in 9/22. The center is equipped with a fully stocked first aid kit, working telephone, a carbon monoxide detector, fire extinguishers and smoke detector. The fire system is hardwired. A review of six children records and five staff files were reviewed. There is an open and close staff member with a current CPR. The sign in and out binder was reviewed and reflects the number of children at the center. The children's roster was obtained while at the center.

Report continued on 809C
SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 873-6408
LICENSING EVALUATOR NAME: Catherine FernandesTELEPHONE: (510) 725-7002
LICENSING EVALUATOR SIGNATURE:
DATE: 10/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/26/2022
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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Document Has Been Signed on 10/26/2022 04:30 PM - It Cannot Be Edited

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: KIDSTOP
FACILITY NUMBER: 070213917

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/26/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the center did not comply with the section cited above in five out of five staff members, which poses a potential personal rights risk to persons in care.
POC Due Date: 11/11/2022
Plan of Correction
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Director and all staff will complete Mandated Reporter training for General and Child Care providers by POC date and send proof of competition to CCL.
Type B
Section Cited
CCR
101223(b)(1)
Personal Rights
(1) The center shall give each authorized representative a copy of the Personal Rights form (LIC 613A [9/96]).

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the center did not comply with the section cited above in four out of six files, which poses a
potential personal rights risk to persons in care.
POC Due Date: 11/11/2022
Plan of Correction
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Director will review all children's file to make sure all files are current and complete, then send a statement ensuring all records are complete by POC date to CCL.

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: Mayla MendozaTELEPHONE: (510) 873-6408
LICENSING EVALUATOR NAME: Catherine FernandesTELEPHONE: (510) 725-7002
LICENSING EVALUATOR SIGNATURE:
DATE: 10/26/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/26/2022
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: KIDSTOP
FACILITY NUMBER: 070213917
VISIT DATE: 10/26/2022
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The following deficiencies were cited during todays inspection, while conducting files reviews LPA Fernandes observed the following items missing:
- Four of the six children's files were missing Rights
- No staff had a current Mandated Reporter training

Director was reminded that EMSA approved Pediatric CPR & First Aid training must be completed every two (2) years. Personnel Roster must be properly maintained, and fire/disaster drill must be conducted every six (6) months and documented. Director was reminded that California Law requires all facilities to report unusual incidents or injuries to children in care, to child's parents, and to the Department of Social Services using the Unusual Incident/Injury form (LIC 624). Incidents must be reported within 24 hours by phone, fax, or email. LPA informed Director that all forms can be downloaded at www.ccld.ca.gov. Director was also informed that Mandated Reporter Training ("General" and "Child Care Providers") is required for all staff and is to be renewed every 2 years by visiting www.mandatedreporterca.com.

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 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.htm.

The Director confirmed that as of right now they are not providing IMS.

Director was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.



Report continues on 809C
SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 873-6408
LICENSING EVALUATOR NAME: Catherine FernandesTELEPHONE: (510) 725-7002
LICENSING EVALUATOR SIGNATURE:

DATE: 10/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/26/2022
LIC809 (FAS) - (06/04)
Page: 3 of 4
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: KIDSTOP
FACILITY NUMBER: 070213917
VISIT DATE: 10/26/2022
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To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process

The following copies are needed for the facility file:


Facility Sketch
LIC610 Emergency and Disaster form



See 809D for deficiencies



Notice of site visit was given and must remain posted for 30 days.
Exit interview conducted.
Report and Appeal Rights Provided to the Director.
SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 873-6408
LICENSING EVALUATOR NAME: Catherine FernandesTELEPHONE: (510) 725-7002
LICENSING EVALUATOR SIGNATURE:

DATE: 10/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/26/2022
LIC809 (FAS) - (06/04)
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