073407406-8-9-2019-02-CC-THAR-BEW35P-20190809175703

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 073407406
Report Date: 08/09/2019
Date Signed: 08/09/2019 05:57:08 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:	KIDS FIRST ACADEMY		FACILITY NUMBER:	073407406
ADMINISTRATOR:	GUEVARA, AMELITA		FACILITY TYPE:	850
ADDRESS:	2430 WILLOW PASS RD., STE 111		TELEPHONE:	(925) 709-5437
CITY:	BAY POINT	STATE: CA	ZIP CODE:	94565
CAPACITY:	38	CENSUS: 21	DATE:	08/09/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	KRISTINE CARRILLO		TIME COMPLETED:	06:15 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	LPA Tasha Alexander met today with Director Kristine Carillo for an ANNUAL/RANDOM inspection. LPA toured the facility and play yard for a health and safety inspection. A review of staff records on 00/00/00 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. Personnel files were reviewed. The teacher/child ratio was being met. Children's files were reviewed. The classroom(s) and play yard were age appropriate and in good repair. Bathroom is clean and in working order. Breakfast, lunch and early supper and snacks are provided by the facility. The kitchen area was maintained in a clean manner. There is an adequate variety and quantity of snacks available; menu was posted. The storage of napping equipment was appropriate. The sign in and out logs were reviewed. All posting requirements are being met. Outdoor play area was free of hazards and provided a shaded area for the children and access to drinking water. Medications, when dispensed, are stored in the in each class room in a locked box. There is a working telephone at the facility. Opening and closing staff have current CPR and 1st Aid training. Applicant was instructed on the law establishing a $100 fine per day for adults who are providing care who do not have fingerprint clearances. Effective September 1, 2016, a person may not work or volunteer at a child care center or family child care home unless he or she has been vaccinated against pertussis, measles and influenza or has an exemption. Today staff has immunization records in file The newly implemented mandatory mandated reporter training course was discussed today. Today all staff have certificates of completion in file dated 8/16/2018. CONTINUED ON 809-C

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Tasha Hackett-Alexander	TELEPHONE: (510) 622-2618
LICENSING EVALUATOR SIGNATURE:	DATE: 08/09/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2019

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: KIDS FIRST ACADEMY	FACILITY NUMBER: 073407406
	VISIT DATE: 08/09/2019

NARRATIVE

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This facility does not care for infants. Preschool only

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

As a result of this visit, there are no deficiencies cited. This report must be available for public review for 3 years. An exit interview was conducted and a site visit notice was posted.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Tasha Hackett-Alexander	TELEPHONE: (510) 622-2618
LICENSING EVALUATOR SIGNATURE:	DATE: 08/09/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2019

LIC809 (FAS) - (06/04)

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