073406849-9-16-2019-02-CC-RHOE-BG3PS9-20190916113357

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 073406849
Report Date: 09/16/2019
Date Signed: 09/16/2019 11:34:07 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:	CHILD DAY SCHOOL, LLC - MORAGA		FACILITY NUMBER:	073406849
ADMINISTRATOR:	EMILIANO DELGADO-OLSON		FACILITY TYPE:	830
ADDRESS:	372 PARK STREET		TELEPHONE:	(925) 376-5111
CITY:	MORAGA	STATE: CA	ZIP CODE:	94556
CAPACITY:	10	CENSUS: 8	DATE:	09/16/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	08:55 AM
MET WITH:	Emilisao Delgado-Olson		TIME COMPLETED:	11:33 AM

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	3-LPA, Hollie met with, Director, Emiliano Delgato-Olson, and Assistant Director, Laura Arnold, for the purpose of a Random Health and Safety Inspection. A tour of the facility was conducted. There are no bodies of water or fire arms at the facility, per the Director. Children are being visually supervised during this visit. There are no infants being left unattended during this visit. Disinfectants, cleaning solutions, poisons and other items that are dangerous to children are inaccessible during this visit. Furniture and equipment are age appropriate and appear to be in good condition, free from sharp, loose, pointed parts or small choking articles. The surface of the outdoor activity space is free of hazards. All storage containers for solid waste, (garbage bins) have tight fitting covers that are kept on and in good repair. There is cushioning material under moveable and anchored play equipment. The licensee takes measures to keep the facility free of flies, other insects and rodents. The facility has age-appropriate furniture and equipment including but not limited to cribs, cots or mats; changing tables and feeding chairs. The licensee is aware that baby walkers, bouncers, exersaucers and jumpers are not allowed in licensed care. The facility has sufficient infant napping equipment that meets Title 22 Regulation 101439.1(a)-(f). The facility has indoor space for infants that are physically separate from space used by the preschool or school age components. PLEASE SEE NEXT PAGE FOR CONTINUED REPORT

SUPERVISOR'S NAME: Anika Evans	TELEPHONE: (510) 286-4350
LICENSING EVALUATOR NAME: Ronda Hollie	TELEPHONE: (510) 725-7004
LICENSING EVALUATOR SIGNATURE:	DATE: 09/16/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/16/2019

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: CHILD DAY SCHOOL, LLC - MORAGA	FACILITY NUMBER: 073406849
	VISIT DATE: 09/16/2019

NARRATIVE

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Licensee was reminded that anyone employed at the facility, must be fingerprint cleared prior to being in the presence of children, or an immediate civil penalty can be assessed.

During the Inspection, the facility Director was encouraged to log onto our web site at WWW.CCL.D.CA.GOV to stay up to date on Regulatory Requirements and or changes, particularly the PINS - Provider Information Notices.

Notice of site visit was posted at the time of the inspection and must remain posted for 30 days.

The licensee was informed that if the facility receives a Type A violation, it must be corrected by the due date or a civil penalty will be cited for not making the correction.

During this visit, LPA observed documentation and documents missing from children's files. As a courtesy, LPA provided the Director with Technical Advise as it related to missing documentation/documents of children's files and sign in and out.

No Deficiency Cited during this visit.

SUPERVISOR'S NAME: Anika Evans	TELEPHONE: (510) 286-4350
LICENSING EVALUATOR NAME: Ronda Hollie	TELEPHONE: (510) 725-7004
LICENSING EVALUATOR SIGNATURE:	DATE: 09/16/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/16/2019

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: CHILD DAY SCHOOL, LLC - MORAGA	FACILITY NUMBER: 073406849
	VISIT DATE: 09/16/2019

NARRATIVE

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The child care center appears to be in good condition that ensures the safety and well-being of children, employees and visitors. The facility has a functioning carbon monoxide detectors. Bottles, dishes and containers of food brought by the infants authorized representative are labeled with the infants name and current date. While in use, the infant changing tables are placed within arms reach of a sink.

The facility is in compliance today with the staff-infant ratio of one teacher for every four infants in attendance.

The facility is aware that all person’s 18 years of age or older, must be fingerprint cleared or associated to the facility, PRIOR to being in the presence of children.

THE LICENSEE WAS PROVIDED A COPY OF THEIR APPEAL RIGHTS (LIC 9058 12/15) AND THEIR SIGNATURE ON THIS FORM ACKNOWLEDGES RECEIPT OF THESE RIGHTS. LPA POSTED THE REQUIRED POSTINGS FOR PUBLIC VIEWING

The licensee is providing IMS (Incidental Medical Services) at this time. Licensee will submit an updated plan of operation if in the future; they provide any IMS services to a child in care. The licensee was encouraged to log onto to our website at CCLD.CA.GOV for the details of what is required if the licensee cares for children who require Epi Pens, Inhalers and Glucose Monitoring. The Licensee was made aware of Safe Sleep Regulation Concepts as it relates to Infants under the age of one. During the visit, the Licensee was given a copy of the document containing the Sleep Regulation Concepts.

SEE NEXT PAGE FOR CONTINUED REPORT

SUPERVISOR'S NAME: Anika Evans	TELEPHONE: (510) 286-4350
LICENSING EVALUATOR NAME: Ronda Hollie	TELEPHONE: (510) 725-7004
LICENSING EVALUATOR SIGNATURE:	DATE: 09/16/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/16/2019

LIC809 (FAS) - (06/04)

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