073408898-7-28-2021-02-CC-LDYN-C5CTUM-20210728150235

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 073408898
Report Date: 07/28/2021
Date Signed: 07/28/2021 03:02:40 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:	DESTINY ACADEMY		FACILITY NUMBER:	073408898
ADMINISTRATOR:	SMITH, CHRISTOPHER		FACILITY TYPE:	850
ADDRESS:	1411 EAST LELAND ROAD		TELEPHONE:	(925) 439-8989
CITY:	PITTSBURG	STATE: CA	ZIP CODE:	94565
CAPACITY:	75	CENSUS: 0	DATE:	07/28/2021
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	10:15 AM
MET WITH:	Adrienne Smith		TIME COMPLETED:	03:10 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 7/28/21 at 10:15am, Licensing Program Manager (LPM) Loretta Dyson arrived at the center for an announced prelicensing inspection. LPM met with Adrienne Smith, the applicant, and Crystal Smith, the administrator. An application for a new preschool license was received for this facility. The facility is on the grounds of New Destiny Church and will operate Monday-Friday 7:30am-6pm. The facility has 6 rooms, room 202 (Soldier), 204A (Crusader), 204B (Adventurer), 205 (Winner), 206 and 207. The applicant advised that they will start off only using rooms 202, 204A, 204B, and 205, but all 6 rooms will be licensed. LPM toured rooms, bathrooms, kitchen, and outdoor area to conduct a health and safety inspection, and completed the following measurements: INDOORS: 2,621.42 square feet= 75 children OUTDOORS: 2,909.16 square feet= 39 children A fire clearance, with a total capacity of 75 preschoolers, was received from the Contra Costa County Fire Protection Department on 3/5/21. LPM observed that all rooms have sufficient lighting, heating and ventilation for the safety and comfort of children and staff. The floors and surfaces are clean and in good condition, with no hazards. There is an ample supply of age appropriate toys, activities, equipment, and furniture that are safe and in good condition. There are a total of 6 sinks and 7 toilets available for children, and they are in sanitary and operational condition today. There is a separate bathroom for staff. The office and staff bathroom will be used for the isolation of sick children. The kitchen is clean and LPM did not observe food stored with cleaning supplies. Families will bring food from home, but the facility will have snacks in case of emergency. LPM observed an ample supply of cots, which are stored appropriately. The facility will utilize an electronic sign in/out system. The facility is equipped with a 5BC fire extinguisher, a centralized smoke detection system, working carbon monoxide detectors, a telephone, and first aid kits. LPM did not observe any hazardous items, toxins, bodies of water or medication that would be accessible to children.

SUPERVISOR'S NAME: Diane Perez	TELEPHONE: (510) 622-2590
LICENSING EVALUATOR NAME: Loretta Dyson	TELEPHONE: 510-695-0243
LICENSING EVALUATOR SIGNATURE:	DATE: 07/28/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2021

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: DESTINY ACADEMY	FACILITY NUMBER: 073408898
	VISIT DATE: 07/28/2021

NARRATIVE

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Children will have individual water bottles that staff will refill as needed, and water will be available both indoors and outdoors.

The facility will temporarily be using a section of the parking lot for outdoor play. The applicant confirmed that this section will exclusively be used by the facility during hours of operation and no cars will be allowed in the area. The parking lot and buildings are enclosed by an outer fence that meets requirements. The facility has activities and equipment that can be used for outdoor play. There are trees to provide shade. LPM did not observe any hazardous items in the outdoor area. The applicant advised that their permanent playground area will be under construction soon. LPM advised the owner to ensure that children do not have access to this area, the construction equipment or materials and that children are not exposed to any toxins or hazardous conditions while outdoors. A waiver request for the outdoor play area is under review.

Documents have been received and reviewed to qualify Angela Robertson as the director. A request for an exception is under review. The COVID-19 self-assessment has been completed by the facility and reviewed.

The applicant and director were reminded about the Incidental Medical Services (IMS) policy. The applicant was advised that whenever any IMS is provided, a Plan of Operation that includes IMS has been 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

The applicant was advised to review information related to applicable regulations on Licensing’s website at www.ccld.ca.gov. LPM reminded the applicant to adhere to all requirements within the regulations at all times including supervision, ratio, staff qualifications, unusual incident and injury reporting, and criminal record clearance and association requirements. The applicant was encouraged to email ChildCareAdvocatesprogram@dss.ca.gov to be included in the Child Care Quarterly Updates distribution list. LPM reminded the applicant that the mandated reporter training is required for all staff and is to be renewed every 2 years at www.mandatedreporterca.com.

The preschool license, with a capacity of 75, will be effective once the waiver and request for an exception is approved. This report will remain on file for 3 years. An exit interview was conducted, and a copy of the report was provided.

SUPERVISOR'S NAME: Diane Perez	TELEPHONE: (510) 622-2590
LICENSING EVALUATOR NAME: Loretta Dyson	TELEPHONE: 510-695-0243
LICENSING EVALUATOR SIGNATURE:	DATE: 07/28/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2021

LIC809 (FAS) - (06/04)

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