073405613-4-19-2021-52-CC-MOTI-C28T9W-20210419143236

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 073405613
Report Date: 04/19/2021
Date Signed: 04/19/2021 02:32:41 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 STE 1102
OAKLAND, CA 94612

FACILITY NAME:	LITTLE BRIDGES CHILD CARE CENTER		FACILITY NUMBER:	073405613
ADMINISTRATOR:	KIRK, JAQUE		FACILITY TYPE:	840
ADDRESS:	9015 SOUTH GALE RIDGE ROAD		TELEPHONE:	(925) 498-9809
CITY:	SAN RAMON	STATE: CA	ZIP CODE:	94582
CAPACITY:	57	CENSUS: 29	DATE:	04/19/2021
TYPE OF VISIT:	Case Management - Licensee Initiated	ANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Jacque Kirk		TIME COMPLETED:	02:50 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) Melanie Otsuji conducted the announced Case Management Inspection. LPA was met by Director, Jacque Kirk. Present during today's visit were 29 school aged children and 6 staff members. The center has submitted an application for a CAPACITY INCREASE AND ROOM(s) ADDITION. The facility is adding ROOMS 201, 202 AND 203 on the campus of CANYON CREEK PRESBYTERIAN CHURCH CAMPUS. Facility is currently requesting to increase from 57 school aged children to 81 school aged children. A health and safety inspection was conducted inside and outside. Facility days and hours of operation are Monday through Friday 7:00AM - 6:00PM. The facility measurements are as follows: INDOORS: 3592.39 SQUARE FEET = 113 CHILDREN OUTDOORS: 5922.2 SQUARE FEET = 79 CHILDREN The center has obtained an approved fire clearance from San Ramon Valley Fire on 3/26/2021. Little Bridges Child Care Center will have FOUR approved SCHOOL AGE classrooms (Rooms 201, 202, 203 and Dining Hall/School Age Room). Facility will also have one play yard for school aged children which will be shared with preschool children at different times. School Age rooms are equipped with varied age appropriate materials and equipment. There are 10 toilets and 10 sinks available for children use. The staff have a separate bathroom in the office which will also serve as an isolation bathroom. The office will serve as an isolation room for sick children. Facility also has a preschool component and Infant component on campus. Individual Medical Services (IMS) policy was discussed. When any IMS is provided, an updated Plan of Operation that includes 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

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Melanie Otsuji	TELEPHONE: (510) 622-2613
LICENSING EVALUATOR SIGNATURE:	DATE: 04/19/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2021

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 STE 1102
OAKLAND, CA 94612

FACILITY NAME: LITTLE BRIDGES CHILD CARE CENTER	FACILITY NUMBER: 073405613
	VISIT DATE: 04/19/2021

NARRATIVE

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All licensing required documents are posted. Zero Tolerance policies were explained. Notice of Site Visit form was provided and posted. The center was found to be clean, safe, sanitary and in good repair. There were no deficiencies cited during this visit.

A license for 81 school aged children operating out of 4 rooms (Rooms 201, 202, 203 and dining hall/school aged room) will be issued today, effective 4/19/2021.

An exit interview was conducted.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Melanie Otsuji	TELEPHONE: (510) 622-2613
LICENSING EVALUATOR SIGNATURE:	DATE: 04/19/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2021

LIC809 (FAS) - (06/04)

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