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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073400647
Report Date: 05/13/2019
Date Signed: 05/13/2019 04:01:50 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:FIRST STEPS LEARNING CENTERFACILITY NUMBER:
073400647
ADMINISTRATOR:LINA ARABSHAHIFACILITY TYPE:
830
ADDRESS:3201 STANLEY BOULEVARDTELEPHONE:
(925) 933-6283
CITY:LAFAYETTESTATE: CAZIP CODE:
94549
CAPACITY:32CENSUS: 28DATE:
05/13/2019
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
08:35 AM
MET WITH:Kelsy Joyce TIME COMPLETED:
04:20 PM
NARRATIVE
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Licensing Program Analyst (LPA), R. Hollie met with Center Director, Kelsy Joyce for the purpose of a Case Management Health and Safety Inspection. A tour of the facility was conducted. There are no bodies of water or fire arms at the facility, per the Director. Children are being visually supervised during this visit. There are no infants being left unattended during this visit. Furniture and equipment are age appropriate and appear to be in good condition, free from sharp, loose, pointed parts or small choking articles. The surface of the outdoor activity space is free of hazards. All storage containers for solid waste, (garbage bins) have tight fitting covers that are kept on and in good repair. There is cushioning material under moveable play structures. The licensee takes measures to keep the facility free of flies, other insects and rodents. The facility has age-appropriate furniture and equipment including but not limited to cribs, cots or mats; changing tables and feeding chairs. The facility was given the Safe Sleep Regulatory Concepts. The licensee is aware that baby walkers, bouncers, exersaucers and jumpers are not allowed in licensed care. The facility has sufficient infant napping equipment that meets Title 22 Regulation 101439.1(a)-(f). The child care center appears to be in good condition that ensures the safety and well-being of children, employees and visitors. The facility has a functioning carbon monoxide detector.

SEE NEXT PAGE FOR CONTINUED REPORT

SUPERVISOR'S NAME: Anika EvansTELEPHONE: (510) 286-4350
LICENSING EVALUATOR NAME: Ronda HollieTELEPHONE: (510) 725-7004
LICENSING EVALUATOR SIGNATURE:

DATE: 05/13/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2019
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: FIRST STEPS LEARNING CENTER
FACILITY NUMBER: 073400647
VISIT DATE: 05/13/2019
NARRATIVE
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Bottles, dishes and containers of food brought by the infants authorized representative are labeled with the infants name and current date. While in use, the infant changing tables are placed within arms reach of a sink.

Licensee was reminded that anyone employed at the facility, must be fingerprint cleared prior to being in the presence of children, or an immediate civil penalty can be assessed. The licensee was encouraged to visit our web-site at ccld.ca.gov to stay up to date on Regulatory changes and Provider Information Notices known as PINS. Notice of site visit was posted at the time of the inspection and must remain posted for 30 days. The Licensee was made aware of Safe Sleep Regulation Concepts as it relates to Infants. During the visit, the Licensee was given a copy of the document containing the Sleep Regulation Concepts.

The attached Type A violation is cited today and must be corrected by the due date. Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. All parents/guardians must sign an acknowledgement form of proof of receiving this report (LIC 9224). The LIC 9224 must be placed in the child’s file to be reviewed by licensing.

Each parent of children in care and newly enrolling parents must receive a copy of this report. Parent's shall sign an LIC 9224 Acknowlegmement of Licensing Reports and this form shall be placed in children's files. The Report and Site Visit notice given to day, must remain posted for 30 days near front door where parents/public enter and exit.

PLEASE SEE 809-D FOR TYPE A AND B DEFICIENCIES.

SUPERVISOR'S NAME: Anika EvansTELEPHONE: (510) 286-4350
LICENSING EVALUATOR NAME: Ronda HollieTELEPHONE: (510) 725-7004
LICENSING EVALUATOR SIGNATURE:

DATE: 05/13/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2019
LIC809 (FAS) - (06/04)
Page: 3 of 5
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: FIRST STEPS LEARNING CENTER
FACILITY NUMBER: 073400647
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/13/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/31/2019
Section Cited
HSC
1596.7995a
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HEALTH AND SAFETY 1596.7995a
A person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis and measles.
THIS REQUIREMENT IS NOT BEING MET AS EVIDENCED BELOW.
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NO LATER THAN 05-31-19, THE LICENSEE WILL SEND TO LPA VERIFICATION OF IMMUNIZATION AS REQUIRED FOR THE SIX STAFF WHO ARE MISSING SUCH.
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There are six staff who do not have evidence that they have been immunized against pertussis, measles or influenza (a declination letter can be given for the flu) shot as required which could pose a potential hazard to children in care.
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Type B
05/31/2019
Section Cited
HSC
1596.8662b1
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HEALTH AND SAFETY 1596.8662b1. On or before 03-30-18, an employee of a licensed child care shall complete the mandated reporter training and renew ever two years. THIS REQUIREMENT IS NOT BEING MET.
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NO LATER THAN 05-31-19, THE LICENSEE SHALL ENSURE ALL SIX STAFF COMPLETE THE TRAINING, AND DOWN LOAD THE CERTIFICATE. The training can be completed at ccld.ca.gov
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There are several staff who have not completed the mandated reporter training as required, thus posing a potential hazard to children in care.
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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: Anika EvansTELEPHONE: (510) 286-4350
LICENSING EVALUATOR NAME: Ronda HollieTELEPHONE: (510) 725-7004
LICENSING EVALUATOR SIGNATURE:

DATE: 05/13/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2019
LIC809 (FAS) - (06/04)
Page: 4 of 5
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: FIRST STEPS LEARNING CENTER
FACILITY NUMBER: 073400647
VISIT DATE: 05/13/2019
NARRATIVE
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While in use, the infant changing tables are placed within arms reach of a sink. LPA did not observe children being left alone on the changing table today.

At or around 11:30 during LPA's mid-Inspection, I observed one Teacher with 5 infants, thus violating Regulations that require 1:4 ratio. The facility received the same deficiency notice regarding Ratio in June of 2018. The facility will receive a civil penalty of $200 and $100 per day until corrected.

The facility is aware that all person’s 18 years of age or older, must be fingerprint cleared or associated to the facility, PRIOR to being in the presence of children.

THE LICENSEE WAS PROVIDED A COPY OF THEIR APPEAL RIGHTS (LIC 9058 12/15) AND THEIR SIGNATURE ON THIS FORM ACKNOWLEDGES RECEIPT OF THESE RIGHTS.LPA POSTED THE REQUIRED POSTINGS FOR PUBLIC VIEWING

The licensee is not providing IMS (Incidental Medical Services) at this time. Licensee will submit an updated plan of operation if in the future; they provide any IMS services to a child in care. The licensee was encouraged to log onto to our website at CCLD.CA.GOV for the details of what is required if the licensee cares for children who require Epi Pens, Inhalers and Glucose Monitoring.

SEE NEXT PAGE FOR CONTINUE REPORT.

SUPERVISOR'S NAME: Anika EvansTELEPHONE: (510) 286-4350
LICENSING EVALUATOR NAME: Ronda HollieTELEPHONE: (510) 725-7004
LICENSING EVALUATOR SIGNATURE:

DATE: 05/13/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2019
LIC809 (FAS) - (06/04)
Page: 2 of 5
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: FIRST STEPS LEARNING CENTER
FACILITY NUMBER: 073400647
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/13/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/14/2019
Section Cited
CCR
101416.5(b)
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STAFF INFANT RATIO 101416.5b(1AB) There shall be a ratio of one teacher for every four infants in attendance. Each aide is responsible for the direct care and supervision of a group of no more than four infants. THIS REQUIREMENT IS NOT BEING MET.
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THE FACILITY WILL ENSURE AND INSIST, THAT THERE WILL BE A RATIO OF 1:4. MEANING ONE TEACHER TO FOUR INFANT. THIS IS THE SECOND SUCH DEFICIENCY WITHIN ONE YEAR. THE FACILITY WILL BE ASSESSED A CIVIL PENALTY OF THIS REPEAT VIOLATION.
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LPA OBSERVED AIDE WITH A GROUP OF FIVE INFANTS INSTEAD OF THE REQUIRED FOUR, WHICH COULD POSE A POTENTIAL DANGER TO CHILDREN IN CARE.
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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: Anika EvansTELEPHONE: (510) 286-4350
LICENSING EVALUATOR NAME: Ronda HollieTELEPHONE: (510) 725-7004
LICENSING EVALUATOR SIGNATURE:

DATE: 05/13/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2019
LIC809 (FAS) - (06/04)
Page: 5 of 5