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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073404787
Report Date: 06/05/2019
Date Signed: 06/05/2019 01:15:13 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:CAMBRIDGE COMMUNITY CENTER IIFACILITY NUMBER:
073404787
ADMINISTRATOR:MARIA TERESA CORDEROFACILITY TYPE:
850
ADDRESS:1187 A MEADOW LANETELEPHONE:
(925) 609-9711
CITY:CONCORDSTATE: CAZIP CODE:
94520
CAPACITY:40CENSUS: 34DATE:
06/05/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:KERRYN DALE, HEAD TEACHERTIME COMPLETED:
01:30 PM
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Licensing Program Analyst (LPA) Redmond, arrived at the facility to conduct an unannounced health and safety inspection. The purpose of the inspection is to ensure the facility is in compliance with Title 22, CCR and Health and Safety Code Statutes for Child Care Centers. During the inspection, LPA met with Kerryn Dale, teacher and supervisor. LPA inspected all areas of the facility accessible to children. During the inspection the LPA made the following observations:

The Child Care Center site is licensed for children between the ages of 2 through first grade entry.

Capacity/Staffing: The facility capacity is for forty (40) children. On this date there are thirty-four (34) children in care and five (5) teachers. The facility is in compliance with capacity limitations, child ratios and staffing levels.

At the entrance to the facility (office area) are the required postings: Facility License, Emergency Disaster Plan, Notification of Parent's Rights, Earthquake Preparedness Checklist. If You See Something, Say Something was added on this date.

Parents use a daily sign in sheet to sign in their children and the sign in sheet appeared current.

Classroom: 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 available to each child. Some bedding is taken home and some bedding is laundered by parents, each week. The food is prepared at a different school site and transported to this location. Menus are posted.

Restroom: Toilets and hand washing facilities are in safe and sanitary operating condition. There is soap, toilet paper and paper towels for sanitary use. - CONTINUED
SUPERVISOR'S NAME: Antranette RobinsonTELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Geneen RedmondTELEPHONE: (510) 873-6410
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2019
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: CAMBRIDGE COMMUNITY CENTER II
FACILITY NUMBER: 073404787
VISIT DATE: 06/05/2019
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REMINDERS/RESOURCES

· CCLD website address for obtaining licensing forms, training videos and other provider resources can be obtained at www.ccld.ca.gov

· Licensees may register to receive child care updates: childcareadvocatesprogram@dss.ca.gov

· Resource and Referral Agencies: https://www.ccrcca.org/resources/family-resource-directory/item/california-child-care-resource-referral-network

· The childcareadvocatesprogram@dss.ca.gov is the email address for the applicant to sign up to receive PINS.

· Criminal Background Clearance: All assistants, volunteers, frequent adult visitors, adults living in the home (adults are individuals 18 years of age or older) must be fingerprint cleared and associated to the facility prior to be in the presence of children in care. Failure to comply, requires an immediate civil penalty of $100 to $3000 per person, per incident

· CCLD Complaint Hotline, 1-844-LET-US-NO (1-844-538-8766) email: LetUsNo@dss.ca.gov

· NEW LAW: Safe Sleep Regulations: http://www.cdss.ca.gov/inforesources/Child-Care-Licensing/Public-Information-and-Resources/Safe-Sleep

· Licensees and all staff are Mandated Reporters and are required to report to CCLD suspected child abuse. Online training can be found at: www.mandatedreporterca.com.

· Licensee shall be present in the home and shall ensure children in care are supervised at all times. When temporarily absent from the home, the licensee shall arrange for a substitute adult to care for and supervise children in Licensee’s absence. Children shall not be left in parked vehicles.

· *LPA discussed IMS services and the requirement to update the plan of operation. Specifics on the plan can be found in the child care center evaluator manual (CCC EM) Policy 101173. 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: http://www.ada.gov/childqanda.htm. Americans with Disabilities Act (ADA)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: http://www.ada.gov/childqanda.htm.
THIS CONCLUDES FACILITY EVALUATION REPORT
SUPERVISOR'S NAME: Antranette RobinsonTELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Geneen RedmondTELEPHONE: (510) 873-6410
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2019
LIC809 (FAS) - (06/04)
Page: 3 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: CAMBRIDGE COMMUNITY CENTER II
FACILITY NUMBER: 073404787
VISIT DATE: 06/05/2019
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Play yard: Enclosed with yard. Climbing structures, swings, slides and other large play equipment, which, is securely anchored and free from hazards. There is a shaded area. Playground is free of debris and other hazards. Drinking water readily available.

There are no pools, spas, hot tubs, fish ponds or similar bodies of water present.

Emergency Preparedness/Safety: Smoke and carbon monoxide detectors are located throughout the facility and is inspected and tested by a professional company. There are multiple fire extinguishers, located throughout the facility and were tested by a professional company. The last inspection date is 09/19/2018 and classification is 2A 10 B C, which meets fire marshal requirements. First aid supplies available. Emergency Disaster Plan are posted and dated 10/17/18 and are current, per facility representative. Disaster drills were last conducted on 05/29/19 and meet six (6) month requirement. The facility utilizes a land line. The facility is currently providing *Incidental Medical Services (IMS) for children. LPA reviewed IMS records for two (2) children. Some IMS records were incomplete. The facility does not have the IMS Plan at the facility. LPA discussed the IMS Plan requirements with Director and signing representative.

Training/Record Review:
Director and staff have current CPR/First Aid training. Director and staff persons, have completed Mandated Reporter training on have certifications on file. LPA had to wait for files to be transferred from a different location.

Exit interview conducted. This Facility Evaluation Report discussed with the Licensee and signature obtained below. Notice of Site Visit was issued 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. A copy of this report shall be maintained for 3 years and available for public review upon request.
NO CITATIONS FOR DEFICIENCIES ISSUED ON THIS DATE.
SUPERVISOR'S NAME: Antranette RobinsonTELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Geneen RedmondTELEPHONE: (510) 873-6410
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2019
LIC809 (FAS) - (06/04)
Page: 2 of 3