073405654-8-25-2021-02-CC-MSUN-C68P48-20210825105843

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 073405654
Report Date: 08/25/2021
Date Signed: 08/25/2021 10:58:51 AM

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:	PATTY'S PINOLE CHILD CARE		FACILITY NUMBER:	073405654
ADMINISTRATOR:	SALINAS, PATTY		FACILITY TYPE:	840
ADDRESS:	1224 PINOLE VALLEY RD.		TELEPHONE:	(510) 776-9631
CITY:	PINOLE	STATE: CA	ZIP CODE:	94564
CAPACITY:	45	CENSUS: 0	DATE:	08/25/2021
TYPE OF VISIT:	Case Management - Other	ANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Patty Salinas		TIME COMPLETED:	11:00 AM

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On 8/25/21 at 9:15am Licensing Program Analyst (LPA) Michelle Sutton conducted an announced Case Management at Patty's Pinole Child Care. Licensee has requested to reactivate the license from inactive status. This School Age program is located behind Collins Elementary School. The program is conducted out of two free standing portables, Portable A and Portable B. LPA toured the Center with the Owner/Director Patty Salinas and her husband inside and out for a health and safety inspection.

At 9:15am LPA inspected the Portable A and Portable B. There is a fire extinguisher near the front door (size of 2A10BC). There are working smoke and carbon monoxide detectors, a fire pull system installed and first aid supplies. Furniture & Equipment are age and sized appropriate. The Heating and lighting was adequate.There is adequate storage for children's belongings. All proper documents that need to be posted are posted in a highly visible place for parental review. Drinking water is regularly available for children. LPA observed Portable A boxes and storage area and reminded licensee that it should be clean before operating Child Care. There are no bathrooms in both portables, Licensee stated that the students and staff utilize restrooms located on Collins Elementary School campus. Students will be escorted to and from to the restrooms. Cleaning products and hand sanitizer are kept inaccessible to children.

At 9:45am LPA inspected play yard for Patty's Pinole Child Care. LPA observed play yard is fenced and free of miscellaneous debris or hazards. Licensee stated that the program utilize the elementary school play ground for outside play activities also. The climbing structure & play equipment is properly anchored to the ground with adequate and appropriate cushioning under them. The play ground is free of miscellaneous debris or hazards.

SUPERVISOR'S NAME: Sherelle Johnson	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Michelle Sutton	TELEPHONE: (510) 725-7004
LICENSING EVALUATOR SIGNATURE:	DATE: 08/25/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2021

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: PATTY'S PINOLE CHILD CARE	FACILITY NUMBER: 073405654
	VISIT DATE: 08/25/2021

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All required form was discussed for children, teachers and facility files. LPA discussed Assembly Bill (AB) 1207 (Mandated Child Abuse Reporting Training) which is required training that began on January 1, 2018 and requires renewal every two years. Mandated Reported Training can be accessed at www.mandatedreporterca.com. For Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important department information can be found on, http://www.cdss.ca.gov/inforesources/Community-Care/Self-Assessment-Guides-and-Key-Indicator-Tools/Quarterly-Updates.
Licensee will email childcareadvocatesprogram@dss.ca.gov for PINs
GUARDIAN system was discussed (PINs 20-20 / 21-01 / 21-02 CCLD) guardianloginsupport@dss.ca.gov

At 10:50am an exit interview was conducted with Licensee, Patty Salinas 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 August 30, 2021.

SUPERVISOR'S NAME: Sherelle Johnson	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Michelle Sutton	TELEPHONE: (510) 725-7004
LICENSING EVALUATOR SIGNATURE:	DATE: 08/25/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2021

LIC809 (FAS) - (06/04)

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