214005491-6-3-2019-05-CC-PHSH-BCSM9W-20190603092524

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 214005491
Report Date: 05/31/2019
Date Signed: 06/03/2019 09:25:33 AM

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:	OAKVIEW PRESCHOOL		FACILITY NUMBER:	214005491
ADMINISTRATOR:	TOOMAJIAN, LINDSEY C.		FACILITY TYPE:	850
ADDRESS:	70 SKYVIEW TERRACE, SUITE A		TELEPHONE:	(415) 479-6026
CITY:	SAN RAFAEL	STATE: CA	ZIP CODE:	94903
CAPACITY:	90	CENSUS: 39	DATE:	05/31/2019
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	12:00 PM
MET WITH:	Lindsey Toomajian		TIME COMPLETED:	03:45 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) Pandora Huffman-Smith met with the applicant today for a pre-licensing inspection. Also present today is the current owner, 6 staff and 39 preschool children. This is a change of ownership and the applicant is requesting the same capacity as the current owner (90). The facility will operate Monday - Friday from 7:00AM to 6:00PM. The facility was inspected today, indoor and outdoor, for health and safety hazards and measured to calculate capacity. Indoor: There are four classrooms; Red door, blue door, yellow door and green door. The four classrooms measure 3504 square feet allowing for a total capacity of 100 children. The facility appears to be clean and equipped with a fire extinguisher, smoke and carbon monoxide detectors, emergency supplies, first aid kits, napping equipment, children's cubbies, and toys and equipment for children. All furnishing and equipment appear to be safe and in good condition. There are two bathrooms for children's usage that are located in the main hallway of the facility. One bathroom is equipped with 3 toilets and 2 sinks, the second with 2 toilets, 2 sinks and 2 urinals for a total of 7 toilets and 4 sinks. There is also a separate bathroom for staff usage. Each classroom is equipped with an additional sink with a water fountain for children's usage. Total capacity based on number of toilets is 105, total capacity based on number of sinks is 120. The facility will administer medication and will submit a plan of operation for incidental medical services. Medication is stored in a lock box in a closet in the red door classroom. The staff office will be used to isolate ill children until parent arrives for pickup and staff bathroom will be used. All toxins and other hazardous items will be stored either in a locked closet in the main hallway which is inaccessible to children. Outdoor: The outdoor area was measured and is 9150 square feet allowing for 122 children. The outdoor area appears to be clean and there is sufficient cushioning underneath the climbing structures. All toys and equipment appear to be safe and in good condition. There is drinking water available in the outdoor area for children. There are two patio areas; one adjacent to the yellow door classroom and the other adjacent to the blue door classroom. These patios are used for eating or other activities and are covered with shading material. Continued on page 2

SUPERVISOR'S NAME: Alma Malig	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Pandora Huffman-Smith	TELEPHONE: (650)266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 05/31/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/31/2019

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, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: OAKVIEW PRESCHOOL	FACILITY NUMBER: 214005491
	VISIT DATE: 05/31/2019

NARRATIVE

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The applicant stated that disaster drills will be conducted at lease twice annually and a log will be maintained for review.

The following is required prior to licensure:

Receipt of fire inspection report (STD 850) is required prior to licensure.
Updated plan of operation for incidental medical services. A copy of Regulation 101173 was given to the applicant as a guideline to follow when creating the plan.
Updated facility postings; notification of parent's rights poster (PUB 393), personal rights (LIC 613A), earthquake preparedness checklist (LIC 9148), car seat law (PUB 269), and snack menu.

Proof of correction can be done by email

SUPERVISOR'S NAME: Alma Malig	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Pandora Huffman-Smith	TELEPHONE: (650)266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 05/31/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/31/2019

LIC809 (FAS) - (06/04)

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