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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073400902
Report Date: 12/20/2019
Date Signed: 12/20/2019 11:25:59 AM

COMPREHENSIVE INSPECTION
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:SUNSHINE HOUSE CHILDREN'S CENTER - MARTINEZFACILITY NUMBER:
073400902
ADMINISTRATOR:VANESSA RIDOUTFACILITY TYPE:
850
ADDRESS:4950 PACHECO BOULEVARDTELEPHONE:
(925) 372-8242
CITY:MARTINEZSTATE: CAZIP CODE:
94553
CAPACITY:48CENSUS: 43DATE:
12/20/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:35 AM
MET WITH:Ana Marie Smith, DirectorTIME COMPLETED:
11:35 AM
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Licensing Program Analyst (LPA) Redmond, conducted a health and safety inspection at the facility. The purpose of the inspection is to ensure that the facility is compliance with Title 22, CCR and Health and Safety Code regulations for Child Care Centers. During the inspection, LPA met with, Ana Marie, Smith, Director.

During the physical inspection of the facility, LPA made the following observations:

Capacity/Staffing: LPA observed that the facility is in compliance with capacity limitations, child ratios and staffing levels.

Required Postings: LPA verified the following documents are posted: Facility License, Emergency Disaster Plan, Emergency Disaster Drills, Notification of Parent's Rights, Earthquake Preparedness Checklist. If You See Something, Say Something (posted during the visit).

Sign In/Sign Out: Parents use a computerized sign in procedure.

Classrooms: 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 for each of the children.

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

CONTINUED
SUPERVISOR'S NAME: Antranette RobinsonTELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Geneen RedmondTELEPHONE: (510) 873-6410
LICENSING EVALUATOR SIGNATURE:

DATE: 12/20/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2019
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: SUNSHINE HOUSE CHILDREN'S CENTER - MARTINEZ
FACILITY NUMBER: 073400902
VISIT DATE: 12/20/2019
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Play yard: There are enclosed play yards for children. Climbing structures, swings, slides appear safe and in good condition. There is a shaded area. Playground is free of debris and other hazards. Drinking water readily available. There are no pools or other bodies of water present.

Emergency Preparedness/Safety: Emergency Disaster Plan is dated, 06/05/18 and is current, per Director. Fire and earthquake drills were last conducted on 11/06/19 and meet six (6) month requirement. Smoke detector is connected throughout the facility and is tested by a professional company. LPA reviewed inspection tag, which, is dated 08/14/19. There are fire extinguishers located throughout the facility and were tested with the smoke detectors. First aid supplies available. The facility utilizes a land line. The facility is currently providing *Incidental Medical Services (IMS) for some children. LPA verified that there is a current IMS plan on file. LPA reviewed a random sample of IMS documentation for the child receiving services, and the documentation is complete.

Training/Record Review: There is a current CPR/First Aid training for Director, which, expires on 01/12/21. The Director has a current, Mandated Reporter certifications on file. LPA updated Ms. Smith as current director.

Exit Interview: Exit Interview: The following documents were issued to and discussed with signor below during this visit:

1. Facility Evaluation Report (LIC 809): was issued to Director by LPA and discussed with Director. A copy of this report shall be maintained for 3 years and available for public review upon request.

2. Notice of Site Visit : was issued to Director by LPA and discussed with Director and shall remain posted for 30 days. Failure to keep this notice posted for the 30 consecutive days will result in an immediate $100 civil penalty.
NO DEFICIENCIES CITED ON THIS DATE.
SUPERVISOR'S NAME: Antranette RobinsonTELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Geneen RedmondTELEPHONE: (510) 873-6410
LICENSING EVALUATOR SIGNATURE:

DATE: 12/20/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2019
LIC809 (FAS) - (06/04)
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