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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073402749
Report Date: 03/21/2024
Date Signed: 03/21/2024 01:06:15 PM


Document Has Been Signed on 03/21/2024 01:06 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612



FACILITY NAME:WCCUSD - CHAVEZ SCHOOLFACILITY NUMBER:
073402749
ADMINISTRATOR:MARKER, ALISONFACILITY TYPE:
850
ADDRESS:960 - 17TH STREETTELEPHONE:
(510) 231-1418
CITY:RICHMONDSTATE: CAZIP CODE:
94801
CAPACITY:24CENSUS: 19DATE:
03/21/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Demi BranchTIME COMPLETED:
01:20 PM
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On March 21, 2024 at 10:15AM, Licensing Program Analysts (LPA) B.Crass and A.Curry met with preschool teacher Marietta Viray for an unannounced required/random inspection. During the visit the Early Learning Program Office Supervisor, Demi Branch, and the Project Assistant for State Preschool, Peter Aloo, arrived to the classroom. The preschool classroom and playground were toured to conduct a Health and Safety inspection. The preschool offers AM and PM care. The AM hours of operation are 8:15am to 11:15am and the PM hours of operation are 12Pm-3PM. Upon arrival, LPA observed 19 preschool aged children with 3 staff. Teacher-child ratios were observed to be in accordance with Title 5 regulations. The Licensee is within the conditions, limitations, and capacity specified on the license. Staff names were recorded.

This classroom operates in Room 8 on the grounds of Cesar Chavez Elementary School. The classroom furniture, floors and equipment appear to be safe, clean and in good repair. All materials accessible to children are toxic free. The heating and lighting are adequate. There is uncontaminated drinking water readily available to children, both indoors and outdoors. The bathroom sinks and toilets are in sanitary and operational condition. There are no bodies of water, or free-standing water, accessible to children. LPA did not observe any disinfectants, cleaning solutions, poisons or any other dangerous items accessible to children.

The center provides food to children in care. The outdoor area is neat clean and free of debris with shade for the children in care. LPAs observed the menu posted and that is updated monthly. The center has ample first aid supplies, and a working carbon monoxide detector. Per Demi Branch, there are no firearms stored on the premises. The Licensee takes measures to keep the facility free of insects and rodents. A review of children's and staff files was completed. At least one opening/closing staff member has a current CPR/First Aid certificate. There are no children in care who require medications currently. The facility is operating within the limits of the licensed capacity today and abiding by the required ratio. LPA observed staff interaction with, and supervision of children, and did not observe any child left without supervision.

(Report continued, See 809-C).

SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Brittany CrassTELEPHONE: (510) 566-8898
LICENSING EVALUATOR SIGNATURE:
DATE: 03/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/21/2024
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
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: WCCUSD - CHAVEZ SCHOOL
FACILITY NUMBER: 073402749
VISIT DATE: 03/21/2024
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To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Representative was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Lead Testing – Child Care Centers (CCC)


CCC COMPLETED TESTING AND NO LEAD EXCEEDANCES:
Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for
drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test.
For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP).
LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02CCP. When any IMS is provided, a 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, available at: https://www.ada.gov/resources/child-care-centers/.

(Report continued, See 809-C).

SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Brittany CrassTELEPHONE: (510) 566-8898
LICENSING EVALUATOR SIGNATURE:

DATE: 03/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2024
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
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: WCCUSD - CHAVEZ SCHOOL
FACILITY NUMBER: 073402749
VISIT DATE: 03/21/2024
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Facility was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

No deficiencies were cited during today’s visit.

A notice of site visit was given and must remain posted for 30 days.

Appeal rights were discussed and given.

Exit interview conducted, and report was given and reviewed with the Early Learning Program Office Supervisor, Demi Branch.

SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Brittany CrassTELEPHONE: (510) 566-8898
LICENSING EVALUATOR SIGNATURE:

DATE: 03/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2024
LIC809 (FAS) - (06/04)
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