073405609-10-17-2019-02-CC-SNEN-BH2U7S-20191017152026

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 073405609
Report Date: 10/17/2019
Date Signed: 10/17/2019 03:20:31 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:	LA PETITE ACADEMY/MAGIC YEARS		FACILITY NUMBER:	073405609
ADMINISTRATOR:	ARROSPIDE, CLAUDIA		FACILITY TYPE:	830
ADDRESS:	1221 NEVIN AVE. SUITE 200		TELEPHONE:	(510) 970-7100
CITY:	RICHMOND	STATE: CA	ZIP CODE:	94801
CAPACITY:	36	CENSUS: 16	DATE:	10/17/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	08:00 AM
MET WITH:	Claudia Arrospide		TIME COMPLETED:	03:45 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	An unannounced Annual/Random site inspection visit was conducted by LPA Susan Neeson. Met with Claudia Arrospide, Director. Visit began at 8:00 AM. All staff working are fingerprint clear and associated with the facility. There are 16 infants present today and 5 staff. All regular staff have full 16-hour Health and Safety course. All staff have required immunizations. All staff have AB 1207 certificates. A tour of both of the infant rooms and outside was conducted. Requirements for ratio and supervision were met throughout the visit. There are sufficient toys and equipment for the children in care. There is a dedicated nap area for the crib age children. There are no children who are currently taking prescription or nonprescription medications. The bathrooms are used for changing diapers and no child is using the toilets. The diaper changing area has supplies of diapers, disinfectant for the changing table and gloves for the staff. It is in reach of a sink delivering hot and cold water. There is a trash can with a tight fitting lid for disposal of dirty diapers. Floors are clean and free of debris. The kitchen was inspected. It is clean and tidy. There is no evidence of hazardous conditions in the food storage areas. The kitchen is off-limits. Sign in and sign out forms were reviewed. There are no bodies of water on the premises. Menus are posted. The Roster is up-to-date. Fire drills are documented. Infant Needs and Services plans are current. LIC 500 was received during the visit. LIC 9040 is requested for the file. Incidental Medical Services were discussed with the Director. This facility is not providing Incidental Medical Services (IMS) at this time. Director will submit a Plan of Operation if, in the future, IMS is provided to a child in care. Licensee is reminded that ALL assistants, volunteers or adults that are 18 years of age or older must be fingerprint cleared and associated to this facility prior to being in the presence of children in care or an immediate civil penalty will be assessed from $100 to $3000 per person, per incident. Licensee was reminded of the responsibility as a mandated reporter. All forms can be downloaded at www.ccld.ca.gov and for day care updates visit www.myccl.ca.gov

SUPERVISOR'S NAME: Antranette Robinson	TELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Susan Neeson	TELEPHONE: (510)622-2630
LICENSING EVALUATOR SIGNATURE:	DATE: 10/17/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2019

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: LA PETITE ACADEMY/MAGIC YEARS	FACILITY NUMBER: 073405609
	VISIT DATE: 10/17/2019

NARRATIVE

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The following forms/documents were issued: AB 1207 mandated resorter training, blue form,, Department Quarterly Update Summer 2019, car seat law information, safe sleep for infants, fire and earthquake drills, flu prevention tips, safe and healthy diapering information and Licensee Rights.

LIC 500 and LIC 9040 were received during the visit.

No deficiencies are observed. An exit interview was given. Appeal Rights were discussed.

SUPERVISOR'S NAME: Antranette Robinson	TELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Susan Neeson	TELEPHONE: (510)622-2630
LICENSING EVALUATOR SIGNATURE:	DATE: 10/17/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2019

LIC809 (FAS) - (06/04)

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