073406698-1-17-2020-02-CC-MGUT-BKWUSV-20200117145058

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 073406698
Report Date: 01/17/2020
Date Signed: 01/17/2020 02:51:06 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:	ST. PATRICK INFANT CENTER		FACILITY NUMBER:	073406698
ADMINISTRATOR:	HOLT, STEPHANIE		FACILITY TYPE:	830
ADDRESS:	907 SEVENTH STREET		TELEPHONE:	(510) 799-6683
CITY:	RODEO	STATE: CA	ZIP CODE:	94572
CAPACITY:	30	CENSUS: 15	DATE:	01/17/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	10:05 AM
MET WITH:	Stephanie Holt		TIME COMPLETED:	03:05 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 01/17/2020, Licensing Program Analysts (LPA) Melissa Guirit and Loretta Dyson met with Director Stephanie Holt for an UNANNOUNCED ANNUAL RANDOM INSPECTION. Present for this inspection were six staff members and 15 infants. The facility was toured to conduct a Health and Safety Inspection. The facility's operating hours are from 6:30 AM to 6:30 PM. The center has sufficient heating, ventilation and lighting for safety and comfort. The infant component is sectioned off into three sections that include the snack area, activity area, and sleeping/crib area. Each area is separated by either safety gates or doorways. There are ample age appropriate toys that appear to be safe and in good condition. LPA observed two cribs that are in good condition and properly placed in a separate area. LPA observed a sufficient number of mats which are stored appropriately. There are no bodies of water accessible to children in care. The furniture and equipment is in safe condition and is free from sharp, loose or pointed parts. The facility has a fully charged 3A40BC fire extinguisher, working smoke detector, working carbon monoxide detector, working telephone, and First Aid Kit. Facility's last fire drill was on 12/11/2019. All hazardous materials and toxins are kept out of the reach of children. All hand washing and cleaning areas are in safe and sanitary operating condition. All storage containers for solid waste had a tight-fitting cover on. All surfaces accessible to children are clean and toxic free. The sign in/out clipboard was reviewed and the number of children present matched the number of children that are signed in. Snack is provided by the facility and the menu is posted and visible for review. LPA toured the kitchen to inspect the food provided to children in care. Whole milk is available to be served to children in care. LPA observed frozen breast milk and bottled milk in the kitchen's freezer and refrigerator in the snack area. The milk was correctly labeled with the date and child's name. In the crib area, LPA also observed individual bags that appear to carry each child's own food from home. The outdoor play area is completely fenced and is separate from the preschool component with a locked gate. See 809-C for continuance.

SUPERVISOR'S NAME: Sherelle Johnson	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Melissa Guirit	TELEPHONE: (510) 622-2624
LICENSING EVALUATOR SIGNATURE:	DATE: 01/17/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2020

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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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: ST. PATRICK INFANT CENTER	FACILITY NUMBER: 073406698
	VISIT DATE: 01/17/2020

NARRATIVE

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The playground equipment is in safe condition and free from sharp, loose or pointed parts and the areas around or under high climbing equipment has appropriate cushioned material that absorbs a fall. Safe drinking water is provided both indoors and outdoors. The daily schedule was also observed and posted for visible review.

All staff subjected to criminal review have been cleared and associated to the facility. LPA requested the staff and children files. LPA reviewed (5) children's and (5) staff files. Each child's files contained a copy of their medical assessment, Identification and Emergency Notification form and updated needs and services plan. Each staff's files contained a copy of their health screening, CPR and First Aid valid for opening and closing on site and their educational background.

Incidental Medical Services (IMS) policy was discussed.

Director is reminded that ALL staff members, volunteers or frequent visitors 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 $3000 per person, per incident. Mandated reporter training must be renewed every two years. All forms can be downloaded at www.ccld.ca.gov

LPA informed Director of the Safe Sleep practices and to review quarterly updates when the regulations are to be implemented.

There are no deficiencies cited today. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and appeal rights were provided and discussed.

SUPERVISOR'S NAME: Sherelle Johnson	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Melissa Guirit	TELEPHONE: (510) 622-2624
LICENSING EVALUATOR SIGNATURE:	DATE: 01/17/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2020

LIC809 (FAS) - (06/04)

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