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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073405695
Report Date: 10/19/2020
Date Signed: 12/08/2020 04:11:36 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:YMCA OF THE EAST BAY - RICHMOND CDCFACILITY NUMBER:
073405695
ADMINISTRATOR:DILLON, SHANNONFACILITY TYPE:
830
ADDRESS:485 LUCAS AVENUETELEPHONE:
(510) 837-6986
CITY:RICHMONDSTATE: CAZIP CODE:
94801
CAPACITY:32CENSUS: 0DATE:
10/19/2020
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Shannon DillonTIME COMPLETED:
11:00 AM
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On 10/19/20 at 10:30am, Licensing Program Analyst (LPA) Loretta Dyson conducted a case management tele-inpsection for this facility. A tele-inspection was done thru the Zoom application due to the COVID-19 pandemic. LPA met with Shannon Dillon, the director. The facility submitted a request to provide care for crib age children since they have now set up the napping area in classroom 1(a).

A tour of the napping area was completed with Ms. Dillon pointing the camera around the space. LPA observed 3 cribs for children and 1 emergency crib. There is a 4 foot high partition separating the napping area from the activity area. Ms. Dillon measured the napping area while on camera so that LPA could verify the information. The updated measurements are as follows:

INDOORS: 1,335.83 square feet= 38 children
No changes to outdoor space.
A fire clearance, dated 6/22/20, was received from the City of Richmond Fire Department with an approved capacity of 32 infants.

LPA did not observe any hazardous items accessible to children. The facility license, with capacity of 32 infants, will include up to 3 crib age children effective 10/19/20. There are no deficiencies being cited. This report will remain on file for 3 years. An electronic signature will not be obtained from the licensee but a copy of the report will be sent by mail for signature.
SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 873-6408
LICENSING EVALUATOR NAME: Loretta DysonTELEPHONE: (510) 622-2633
LICENSING EVALUATOR SIGNATURE:

DATE: 10/19/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/19/2020
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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