<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073405613
Report Date: 10/01/2021
Date Signed: 10/01/2021 04:38:04 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 CENTERFACILITY NUMBER:
073405613
ADMINISTRATOR:KIRK, JACQUEFACILITY TYPE:
840
ADDRESS:9015 SOUTH GALE RIDGE ROADTELEPHONE:
(925) 498-9808
CITY:SAN RAMONSTATE: CAZIP CODE:
94582
CAPACITY:81CENSUS: 13DATE:
10/01/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:06 AM
MET WITH:Jacque Kirk & Yumi OndaTIME COMPLETED:
04:19 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
On 10/1/2021 at 11:06am Licensing Program Analyst (LPA) Morgan Pringle met with Director Jacque Kirk and Assistant Director Yumi Lee (Onda)for an Unannounced Annual Inspection. Four (4) rooms (Rooms 202, 203, 204 and Dining Hall) were toured for a health and safety inspection. Thirteen (13) school-age children and four (4) staff members were present during the inspection. The facility operates from 7:30am – 6:00pm.

The facility has age appropriate materials in all classrooms that are observed to be clean and in good condition. The outdoor space has ample shade for the children and has proper materials for the children. All toxins, cleaning products, and hazardous materials were observed to be in inaccessible areas in all classrooms. All sinks and toilets were observed to be clean and in proper working order. The food preparation areas were observed to be clean and free from hazards. All knives and cleaning products in the food prep areas were made inaccessible to children in care. LPA did not observe any harmful or unattended bodies of water in or around the facility. LPA observed three (3) passenger vans for transportation from the children's schools to the facility. Each van is clean and in proper working order with the valid insurance and registration. All staff that operate the vans have valid drivers licenses.

The facility is operating within its licensed capacity and is in ratio. All proper postings are made visible in the front office of the facility. The fire/disaster drill log was complete with the last drill logged 8/25/2021. A physical census of the children and staff was taken and cross referenced with the sign-in and out log. LPA obtained a sample of the children’s files and the staff files. All children’s files were complete. All staff files were complete.

Continued on 809-C

SUPERVISOR'S NAME: Jason JangTELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Morgan PringleTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 10/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2021
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 STE 1102
OAKLAND, CA 94612
FACILITY NAME: LITTLE BRIDGES CHILD CARE CENTER
FACILITY NUMBER: 073405613
VISIT DATE: 10/01/2021
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
26
27
28
29
30
31
32
Assistant Director was reminded that EMSA approved Pediatric CPR & First Aid training must be completed every two (2) years. Personnel Roster must be properly maintained, and fire/disaster drill must be conducted every six (6) months and documented. Director was reminded that California Law requires all facilities to report unusual incidents or injuries to children in care, to child's parents, and to the Department of Social Services using the Unusual Incident/Injury form (LIC 624). Incidents must be reported within 24 hours by phone, fax, or email. LPA informed Assistant Director that all forms can be downloaded at www.ccld.ca.gov. Assistant Director was also informed that Mandated Reporter Training ("General" and "Child Care Providers") is required for all staff and is to be renewed every 2 years by visiting www.mandatedreporterca.com.

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 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.

Assistant Director was reminded that all adults 18 and over, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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/process.

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

Exit interview conducted and report was reviewed with Assistant Director Yumi Lee.

SUPERVISOR'S NAME: Jason JangTELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Morgan PringleTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 10/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2021
LIC809 (FAS) - (06/04)
Page: 2 of 2