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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073408250
Report Date: 08/26/2020
Date Signed: 10/21/2020 05:41:19 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:GOOD EARTH SCHOOL, THEFACILITY NUMBER:
073408250
ADMINISTRATOR:GAIL PAVLOSKYFACILITY TYPE:
850
ADDRESS:1 LAWSON ROADTELEPHONE:
(909) 816-8919
CITY:KENSINGTONSTATE: CAZIP CODE:
94707
CAPACITY:53CENSUS: 0DATE:
08/26/2020
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Alan and Gail PavloskyTIME COMPLETED:
11:30 AM
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On 8/26/20 at 11am, Licensing Program Analyst (LPA) Loretta Dyson conducted a case management tele-inspection thru the FaceTime application. A tele-inspection was done due to the COVID-19 pandemic. LPA met with the owners, Adam and Gail Pavlosky. There were no children present. An application was received for an increase of capacity and addition of two classrooms. The center will now operate Monday - Friday 7:30am-5:30pm, in 5 classrooms. The facility is on the grounds of the Unitarian Universalist Church of Berkeley. A tour of the two new classrooms was completed to conduct a health and safety inspection. The inspection was conducted by LPA directing Mr. Pavlosky to focus the camera on items in each classroom. Mr. Pavlosky measured the two new classrooms while on camera so that LPA could verify the information. The previous measurements of the other classrooms and outdoor space were also used and the combined measurements are as follows:

INDOORS: 2578.76 square feet= 74 children
OUTDOORS: 5141.28 square feet= 69 children
A fire clearance, with a total capacity of 75, was received from the Kensington Fire Protection District on 8/24/20.

The two new classrooms are in a separate building from the rest of the preschool, and the rooms are adjoined. LPA observed that the classroom floors and surfaces were in good condition and clean. LPA observed 1 sink in the first room and a toilet and sink in the second room. LPA observed a sufficient amount of age appropriate toys, equipment and furniture. LPA did not observe any hazardous items, toxins or bodies of water that would be accessible to children. LPA observed a fully charged 3A40BC fire extinguisher, centralized combination smoke/carbon monoxide detection system, pull down fire alarm, and first aid supplies. Mr. Pavlosky confirmed that there have been no changes to the outdoor space. The facility will be licensed for a total capacity of 74, effective today 8/26/20. 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 the report will be mailed to the licensee for signature.
SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 873-6408
LICENSING EVALUATOR NAME: Loretta DysonTELEPHONE: (510) 622-2633
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2020
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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