073402545-2-14-2020-02-CC-GRED-BLSRP9-20200214121134

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 073402545
Report Date: 02/14/2020
Date Signed: 02/14/2020 12:11:43 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:	073402545
ADMINISTRATOR:	JENNIFER KIRBY		FACILITY TYPE:	830
ADDRESS:	3068 GRANT ST		TELEPHONE:	(925) 646-5801
CITY:	CONCORD	STATE: CA	ZIP CODE:	94520
CAPACITY:	52	CENSUS: 12	DATE:	02/14/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	JENNIFER KIRBY, SITE SUPERVISOR AND AVERYL DEVARA, ASSISTANT 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 Child Care Center facility is in compliance with Title 22, CCR and Health and Safety Code Statutes. During the inspection, JENNIFER KIRBY, SITE SUPERVISOR AND AVERYL DEVARA, ASSISTANT SITE SUPERVISOR. During the inspection, LPA made the following observations: Combination License: The Child Care Center is combination center with a dual license with an infant and toddler combination. This license is for infants and toddlers. Infant and toddler rooms are 7A, 7B, 7C. LPA verified that the teacher to infant and toddler ratios meet regulation requirements. Supervisors are aware of upcoming Safe Sleep Requirements, which, was discussed during this visit. The following link is for information http://www.cdss.ca.gov/inforesources/Child-Care-Licensing/Public-Information-and-Resources/Safe-Sleep. Physical Plant: The infant care center is equipped with appropriate furniture and equipment including, but not limited to, cribs, cots or mats; changing tables; and feeding chairs. Infant bedding is laundered by the facility, daily or more frequently as needed. Emergency Preparedness/Safety: LPA observed smoke, carbon monoxide detectors and fire extinguishers. Equipment is charged by a professional company on 01/07/20. First aid supplies available. Emergency Disaster Plan is dated, 09/23/19 and is current, per Site Supervisor. Fire and earthquake drills were last conducted on 02/13/20 and meet six (6) month requirement. The facility utilizes a land line. The facility is not currently providing Individual Medical Services (IMS) for any of the infants in care. However, there is an IMS Plan on file and Site Supervisors are aware of IMS requirements.

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: 073402545
	VISIT DATE: 02/14/2020

NARRATIVE

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Training/Record Review: LPA checked facility records and observed that the Site Supervisor and all adults employed at the facility have criminal background clearances and are associated to the facility. Site Supervisor and staff have current CPR/First Aid training, which, expires on 05/21. Site Supervisor and staff persons, have completed Mandated Reporter training and LPA verified certifications are on file. LPA reminded Site Supervisor that some staff’s certifications are soon expiring.

Posted as required: Facility License, Emergency Disaster Plan, Notification of Parent's Rights, Earthquake Preparedness Checklist. If You See Something.

Overall, the facility is clean, orderly and in good repair. The temperature is comfortable and there is adequate heating and ventilation. There are safe, healthful and comfortable accommodations, furnishings and equipment. There are no cleaning solutions, medications, toxins or other hazardous items accessible to children. There are no pools, hot tubs or other bodies of water present.

Facility Evaluation Report: issued by LPA and discussed 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: was issued by LPA and shall be posted remain posted 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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