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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073405627
Report Date: 05/25/2021
Date Signed: 05/25/2021 12:27:44 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:NEIGHBORHOOD SCHOOL AT KENSINGTON ELEMENTARYFACILITY NUMBER:
073405627
ADMINISTRATOR:CARD, G & NGUYEN, LFACILITY TYPE:
850
ADDRESS:90 HIGHLAND BLVD, PORTABLE 2TELEPHONE:
(510) 526-5871
CITY:KENSINGTONSTATE: CAZIP CODE:
94708
CAPACITY:30CENSUS: 0DATE:
05/25/2021
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Jill HoughtonTIME COMPLETED:
12:30 PM
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On 5/25/21 at 9:30am Licensing Program Analysts (LPAs) Michelle Sutton and Monica Mathur conducted a Case Management at Neighborhood School at Kensington Elementary for the Preschool component licensed to operate in Portable 2. Licensee has requested to reactivate the license from inactive status. The program is located on the premises of Kensington Hilltop Elementary. The preschool program has a waiver for shared playground with the school age program. LPAs met with licensee Jill Houghton and also present were two other staff members. Licensee stated they will be operating a summer program using portable 2 and requested for use of portable 1 also, which is licensed for use by their School Age program.The summer camp/program will run from June 1st through August 1st, Monday-Friday from 8am-5pm. With LPM Johnson approval, Licensee is approved to operate the summer program using both portables 1 and 2 till August 1, provided there are no school-aged children present while preschool age is present. Licensee stated that regular preschool program will start in September when the school district reopens. Staff has updated CPR and first Aid certified and mandated reporting training.

At 10:30am LPAs inspected Portables 1 and 2. There is a fire extinguisher near the front door (size of 2A10BC). There are working smoke and carbon monoxide detectors and a fire pull system installed. Drinking water is regularly available for children. LPAs observed carpets in Portable 2 had several large spots and reminded licensee that they should be clean before operating summer program. Licensee stated professional carpet cleaners are coming next weekend. Each portable has its own bathroom which meet the requirements of Licensing. Cleaning products and hand sanitizer are kept inaccessible to children.

SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Michelle SuttonTELEPHONE: (510) 725-7004
LICENSING EVALUATOR SIGNATURE:

DATE: 05/25/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2021
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, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: NEIGHBORHOOD SCHOOL AT KENSINGTON ELEMENTARY
FACILITY NUMBER: 073405627
VISIT DATE: 05/25/2021
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At 11:00am LPAs inspected playground for preschool children. LPAs observed spider webs on the play structures, ramp, gate entrance, tables and swings. Licensee is reminded to have all webs removed for the health and safety of children in care. There is ample shade with sun shade sail over the sandbox and large umbrellas placed through the yard. LPAs observed a wooden table that was weathered and paint chipping off, exposing wood with sharp edges. Licensee agreed to either remove or resurface the wooden table. Licensee stated that they will use the patio behind portables for outdoor activities. Playground and patio is fenced.

At 12:10pm an exit interview was conducted with Licensee, Jill Houghton, the report was discussed and signed. A notice of site visit was given and must remain posted for 30 days. License is approved to be put back on active status starting June 1, 2021.

SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Michelle SuttonTELEPHONE: (510) 725-7004
LICENSING EVALUATOR SIGNATURE:

DATE: 05/25/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2021
LIC809 (FAS) - (06/04)
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