<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 213000337
Report Date: 09/19/2019
Date Signed: 09/19/2019 02:54:33 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:MARIN YMCA @ MANOR (SA)FACILITY NUMBER:
213000337
ADMINISTRATOR:MARIE-CLAIRE CHOUDHURYFACILITY TYPE:
840
ADDRESS:150 OAK MANOR DRIVETELEPHONE:
(415) 456-5349
CITY:FAIRFAXSTATE: CAZIP CODE:
94930
CAPACITY:70CENSUS: 40DATE:
09/19/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:55 PM
MET WITH:Jordan JamesTIME COMPLETED:
03:30 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
 Licensing Program Analyst (LPA) Farhan Bashir-Tariq met with Director, Jordan James, to conduct an Annual Inspection on 9/09/19. Purpose of the inspection was explained. Present, there were 40 children in care with 3 staff. Facility is operating within the capacity and is following staff child ratio on this day. Facility operates day care from Monday to Friday between 7:00 AM to 9:30 AM and 1:55 PM to 6:50 PM. Facility provides two snacks only. Breakfast can also be provided upon request.
LPA inspected the day care areas with the Director. Per Director, there are no pools, spas or other bodies of water at the facility. Facility has a smoke detector, a carbon monoxide detector, a fully charged fire extinguisher and a working telephone at the site. All of the cleaning solutions, poisons and other chemicals that are dangerous to the children are stored under the classroom sink in a locked cabinet. Facility has age appropriate furniture. All toilets, hand washing facilities are in working condition with proper sanitation in place. All storage containers for solid waste and in good repair and have proper tight-fitted lid on top. Play yard is free of hazards. All of the play structures are steady, in good repair and free of any loose parts. There is sufficient amount of soft cushioning under the play structures to prevent any fall injuries. LPA observed that there is a variety of age appropriate toys, books and other learning material available in the classroom. Electric outlets have been secured with child protective covers.
All posting requirements are met and posted near the door and in the classroom. Multiple staff have valid CPR and First Aid card on file. LPA reviewed facility records including 6 random children's and all present staff's files. LPA observed that files have records of names, addresses and telephone numbers of each child's authorized representative. LPA encouraged the facility to frequently visit our website at www.ccld.ca.gov for licensing regulations and new updates.

>No deficiencies were cited today under Title 22 Division 12 of the California Code of Regulations.


This report and rights to comment and appeal were discussed with Licensee. This report must be available in the facility for public review. Notice of site visit shall be posted for 30 days from today's visit.
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8867
LICENSING EVALUATOR NAME: Farhan Bashir-TariqTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 09/19/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 1