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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073402249
Report Date: 02/13/2020
Date Signed: 02/13/2020 03:26:34 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:DORRIS-EATON SCHOOL, THEFACILITY NUMBER:
073402249
ADMINISTRATOR:BUSH, JULIEFACILITY TYPE:
850
ADDRESS:1286 STONE VALLEY ROADTELEPHONE:
(925) 837-7240
CITY:ALAMOSTATE: CAZIP CODE:
94507
CAPACITY:90CENSUS: DATE:
02/13/2020
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Julie BushTIME COMPLETED:
03:30 PM
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On 02/13/2020 Licensing Program Analysts (LPAs) Jaylena Miller and Cherie Acosta conducted an UNANNOUNCED ANNUAL REQUIRED inspection. LPAs met with the Director Julie Bush and the facility was toured to conduct a Health and Safety Inspection. Also present at the time of this inspection were 7 staff members and 21 children. The facility is within ratio and capacity compliance today. This program operates out of five classrooms that are separated by age (3s, 4s, TK1, TK2 and Jr Kindergarten). All classrooms were inspected for age appropriate furnishings, equipment, and adequate storage for children’s belongings. LPAs observed the cleanliness of floors and surfaces, the presence of working carbon monoxide detector, smoke detectors/fire alarms and a fully charged fire extinguisher size 3A40BC that is accessible. The bathrooms have age appropriate faucets and toilets in working condition. The outdoor play area is fully fenced. There is padding under/around the climbing equipment. The play structures appear to be fully intact with no visual defects or concerns. There are no pools, hot tubs or other accessible bodies of water. Cleaning supplies/toxins are stored inaccessible to children. All required postings are present. The facility serves snacks, menu is also posted. LPAs reviewed storage of food, medication and medical equipment/supplies and is inaccessible to the children. LPAs also advised Director all opened food containers need to be dated when they are opened. Per director, there are no firearms present on the premises.

see 809-C for continuance

SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Jaylena MillerTELEPHONE: (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)
Page: 1 of 3
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: DORRIS-EATON SCHOOL, THE
FACILITY NUMBER: 073402249
VISIT DATE: 02/13/2020
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A copy of the facility personnel roster and children’s roster was obtained. LPAs reviewed the file of 10 children enrolled in the program and 7 staff members files, who are fingerprint cleared, completion of Mandated Reporter training as well as proof of immunizations. The openers Ana Moran and Beth Smith and closer Azucena Flores have current CPR/First Aid certificates, and proof of education and/or experience. The center also conducts and documents fire and earthquake drills once every 6 months and the logs show that drills were conducted on 2/13/2020.

LPAs also discussed with the Director that ALL assistants. Volunteers, frequent visitors, over the age of 18, must be fingerprint cleared and associated prior to being in the presence of children in care. An immediate civil penalty will be assessed from $100 to $3000 per person, per incident.

Director was reminded of the responsibility as a mandated reporter and the trainings must be done once every two years. LPA also encouraged the Director to frequently visit our website at www.ccld.ca.gov for licensing regulations and updates, as well as all forms can be downloaded.

Individual Medical Services (IMS) policy was discussed. The Director is reminded that when any changes to the IMS plan is made, an updated Plan for Providing IMS must be submitted to the Department.

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 website at: http://www.ada.gov/childganda.htm.



See 809-C for continuance
SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Jaylena MillerTELEPHONE: (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)
Page: 2 of 3
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: DORRIS-EATON SCHOOL, THE
FACILITY NUMBER: 073402249
VISIT DATE: 02/13/2020
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For licensing updates, email childcareadvocatesprogram@dss.ca.gov and ask to be added to the email list

Effective August 1, 2003 California Law requires Child Care licensees to report unusual incidents or injuries to children in care to child’s parents and to the Department of Social Services within 24 hours by phone, fax, or electronic mail and within 7 days using the Unusual Incident/Injury report (LIC 624).

There are no deficiencies cited today. This report shall remain on file for 3 years. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted with Director.

SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Jaylena MillerTELEPHONE: (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)
Page: 3 of 3