073405640-8-13-2021-52-CC-MPRE-C5UU7J-20210813152000

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 073405640
Report Date: 08/13/2021
Date Signed: 08/13/2021 03:20:06 PM

COMPREHENSIVE INSPECTION

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:	GROWING ROOM AT LIVE OAK, THE		FACILITY NUMBER:	073405640
ADMINISTRATOR:	JENNIFER LONG		FACILITY TYPE:	840
ADDRESS:	5155 SHERWOOD WAY		TELEPHONE:	(925) 803-0982
CITY:	SAN RAMON	STATE: CA	ZIP CODE:	94582
CAPACITY:	194	CENSUS: 10	DATE:	08/13/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Felix Ma		TIME COMPLETED:	03:20 PM

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On 8/13/2021 at 1:00pm Licensing Program Analyst (LPA) Morgan Pringle met with Floating Director Felix Ma for an Unannounced Annual Inspection. Three (3) classrooms, Room one (1), Room two (2), and Room three (3), were toured for a health and safety inspection. The facility is currently only using Room one (1) and Room two (2) as classrooms for the children. Room three (3) is being used as storage and the teachers break room. There were ten (10) school-age children and four (4) teachers present during the inspection. The facility operates from 6:30am – 6:30pm.

The facility has age appropriate materials in both rooms that is observed to be clean and in good condition. The outdoor space has proper shading for children. All toxins, cleaning products, medications, and hazardous materials were observed to be in inaccessible areas. Room three (3) is made inaccessible to the children in care as well. All sinks and toilets were observed to be clean and in proper working order. The kitchen/food preparation area was observed to be clean. All knives and cleaning products in the kitchen were made inaccessible to children in care.

The facility is operating within its licensed capacity. All proper posting including the menu are made visible to parents and visitors. LPA did not observe any bodies of water at the facility.

LPA obtained the facility roster and a sample of the children’s files and the staff files. All teachers and children’s files were observed to be complete. The file and disaster drill log was obtained and is complete. The last drill was logged on 7/21/2021.

Cont on 809-C

SUPERVISOR'S NAME: Jason Jang	TELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Morgan Pringle	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 08/13/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2021

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: GROWING ROOM AT LIVE OAK, THE	FACILITY NUMBER: 073405640
	VISIT DATE: 08/13/2021

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Director was reminded that ALL staff, 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 $3,000 per person, per incident. Director was reminded of the responsibility as a mandated reporter.

All fire/disaster drills must be conducted every six (6) months and documented. The Director was reminded that any structural changes to the facility or additions to the childcare facility must be reported to Community Care Licensing.

Director was encouraged to frequently visit our website at www.ccld.ca.gov for licensing regulations and updates.

This report was read and given to the Director for a signature. There are no deficiencies being cited today. This report shall remain on file for three (3) years. Appeal Rights were provided and exit interview conducted. A Notice of Site visit was given and must be posted for 30 days.

SUPERVISOR'S NAME: Jason Jang	TELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Morgan Pringle	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 08/13/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2021

LIC809 (FAS) - (06/04)

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