073400252-2-14-2020-02-CC-GRED-BLSRMR-20200214120909

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 073400252
Report Date: 02/14/2020
Date Signed: 02/14/2020 12:09:15 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 COUNTY CSB GEORGE MILLER CENTER		FACILITY NUMBER:	073400252
ADMINISTRATOR:	JENNIFER KIRBY		FACILITY TYPE:	850
ADDRESS:	3068 GRANT ST.		TELEPHONE:	(925) 646-5646
CITY:	CONCORD	STATE: CA	ZIP CODE:	94520
CAPACITY:	106	CENSUS: 46	DATE:	02/14/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	JENNIFER KIRBY, Site Supervisor AND AVERYL DEVERA, SITE SUPERVISOR		TIME COMPLETED:	12:20 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) Redmond, arrived at the facility on 02/14/20 at 9:45 AM, to conduct a health and safety inspection. The purpose of the inspection is to ensure the facility is in compliance with Title 22, CCR and Health and Safety Code laws and regulations for Child Care Centers. During the inspection, LPA met with JENNIFER KIRBY, Site Supervisor AND AVERYL DEVERA, SITE SUPERVISOR. During the inspection, LPA made the following observations: Capacity/Staffing: The Child Care Center is a combination center with multiple classes, divided according to the children’s ages. Classrooms No. 2, 3, 4 5 and 6 are on this license. On this date, LPA counted the number of teachers and children in each classroom. Based on LPA observation, the facility is compliant with teacher to child ratio requirements and maximum capacity levels. Required Postings: At the entrance to the facility are the required postings: Facility License, Emergency Disaster Plan, Notification of Parent's Rights, Earthquake Preparedness Checklist. If You See Something, Say Something. Parents sign in: The facility utilizes a computerized daily sign in sheet process for parents to sign in their children. Classroom: Furniture and equipment age appropriate and in good repair. Adequate heating, lighting and ventilation. There is separate storage for children’s belongings. There are cots available to each child. Children’s bedding is laundered by the facility every week or more frequently if needed. The center provides meals, which are prepared off site, a menu is posted.

SUPERVISOR'S NAME: Antranette Robinson	TELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Geneen Redmond	TELEPHONE: (510) 873-6410
LICENSING EVALUATOR SIGNATURE:	DATE: 02/14/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2020

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: CONTRA COSTA COUNTY CSB GEORGE MILLER CENTER	FACILITY NUMBER: 073400252
	VISIT DATE: 02/14/2020

NARRATIVE

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Restroom: Toilets and sinks are operable. There is soap, toilet paper and paper towels for sanitary use. There are no cleaning solutions or toxins accessible to children.

Play yard: Enclosed with yard. LPA checked climbing structures, slides and other large play equipment, are securely anchored and free from hazards. There is a shaded area. Playground is free of debris and other hazards. Drinking water readily available. No pools or other bodies of water present.

Emergency Preparedness/Safety: Smoke and carbon monoxide detectors and fire extinguishers are located throughout the facility and inspected and tested by a professional company. First aid supplies available. Emergency Disaster Plan is posted and is current, per the Site Supervisor. Fire and earthquake drills were last 02/13/20 and meet six (6) month requirement. The facility utilizes a land line and a cellular telephone. The facility is currently providing Individual Medical Services (IMS) for some children and have an IMS plan on file.

Training/Record Review: LPA reviewed records. All staff currently at the facility have current criminal background clearances and are associated to the facility. Site Supervisor and staff have current CPR/First Aid training. Site Supervisor and staff have completed Mandated Reporter training, with certifications on file.

Facility Evaluation Report: LPA issued and discussed report with the Site Supervisor, whose signature was obtained below. A copy of this report shall be maintained for 3 years and available for public review upon request.

Notice of Site Visit: LPA issued and discussed posting with the Site Supervisor, with a reminder to post in a prominent area for 30 days. Failure to keep this notice posted for the 30 consecutive days will result in an immediate $100 civil penalty.

FACILITY IN SUBSTANTIAL COMPLIANCE. NO DEFICIENCIES CITED ON THIS DATE.

SUPERVISOR'S NAME: Antranette Robinson	TELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Geneen Redmond	TELEPHONE: (510) 873-6410
LICENSING EVALUATOR SIGNATURE:	DATE: 02/14/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2020

LIC809 (FAS) - (06/04)

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