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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073405603
Report Date: 07/21/2021
Date Signed: 07/21/2021 01:27:31 PM

Document Has Been Signed on 07/21/2021 01:27 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
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:GEORGE MILLER CENTER - RICHMONDFACILITY NUMBER:
073405603
ADMINISTRATOR:CLAUDIA LAMFACILITY TYPE:
840
ADDRESS:2801 ROBERT MILLER DRIVETELEPHONE:
(510) 374-3981
CITY:RICHMONDSTATE: CAZIP CODE:
94806
CAPACITY: 30TOTAL ENROLLED CHILDREN: 0CENSUS: 4DATE:
07/21/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Christine RottgerTIME COMPLETED:
01:30 PM
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Licensing Program Analyst (LPA) Paul Petersen conducted an unannounced random annual site inspection for this facility at 12:15 PM. LPA met with facility director, Christine Rottger, who was present along with one additional teaching staff (qualified teacher) and four persons in care. This facility serves individuals age seven to 22 years. The facility is within ratio and capacity and children are being supervised. All adults present are background cleared.

This program is the school age component of a combination facility with an infant program also on the premises. The school age program and infant program operate out of distinctly separate rooms and children from the school age and infant program are not commingling. All rooms licensed for use by this program were toured for a health and safety inspection. The facility has central smoke/fire alarm system and working carbon monoxide detector. There are fully charged fire extinguishers present in each classroom. Per facility director, the most recent fire inspection for this facility was within the past six months. Per facility director, there are no firearms present or stored on the premises.

Furniture and equipment are age appropriate and free of broken/sharp pieces. Surfaces including floors, counter tops and desk tops are free of toxins. Toilets and faucets are age appropriate and in good repair. There are no toxins/hazardous items observed to be accessible to children in care. Required postings are present including three waivers.

The program is currently operating from 9:00am to 1:30pm, Mon-Fri. Individuals bring their own meals/snacks and the facility has a supply of food items as backup. Kitchen/food prep areas appear clean and free of pests. There is drinking water available indoors and outdoors via working water fountains. There are multiple pieces of outdoor exercise equipment that appear free of broken/sharp pieces or hazardous conditions. There are no pools or other accessible bodies of water are present.
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SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Paul Peterson
LICENSING EVALUATOR SIGNATURE: DATE: 07/21/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/21/2021
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 2
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: GEORGE MILLER CENTER - RICHMOND
FACILITY NUMBER: 073405603
VISIT DATE: 07/21/2021
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Facility records were reviewed including personnel and children's records. Children's files were reviewed for emergency identification forms and admissions agreements. Personnel records were reviewed for health screening forms, immunization records, mandatory reporter training certification, and teacher qualification documents. Teaching staff present has current CPR/1st Aid certification.

This facility provides Incidental Medical Services-IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children's, personnel, and administrative records. For IMS information see Evaluator Manual-Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. The following information 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

Staff are encouraged to visit www.ccld.ca.gov for licensing updates and forms. To subscribe to receive licensing PINs use: https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe https://www.cdss.ca.gov/inforesources/community-care/self-assessment-guides-and-key-indicator-tools/quarterly-updates.

There were no deficiencies cited during this inspection. An exit interview was conducted and a notice of site visit was printed and is to remain posted for 30 days. A copy of this report was provided and is to be maintained in the facility records for a period of three years.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Paul Peterson
LICENSING EVALUATOR SIGNATURE:

DATE: 07/21/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2021
LIC809 (FAS) - (06/04)
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