430709415-8-3-2021-52-CC-JWIS-C5ERFD-20210730125859

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 430709415
Report Date: 07/30/2021
Date Signed: 08/03/2021 03:55:18 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 STE 1102
OAKLAND, CA 94612

FACILITY NAME:	SOJOURNER TRUTH CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	430709415
ADMINISTRATOR:	ROGGE, GINA		FACILITY TYPE:	830
ADDRESS:	3990 VENTURA COURT		TELEPHONE:	(650) 493-5990
CITY:	PALO ALTO	STATE: CA	ZIP CODE:	94306
CAPACITY:	50	CENSUS: 13	DATE:	07/30/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:38 AM
MET WITH:	Gina Rogge		TIME COMPLETED:	01:15 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	On 7/30/2021, Licensing Program Analyst (LPA) Jonathan Williams met with Director, Gina Rogge, for a Required 1 Year Inspection. Present for this inspection are the Director, five fingerprint cleared and associated staff members, and 13 children in care. The facility was toured to conduct a health and safety inspection. The outdoor activity space was toured at 10:40am. LPA found it to be in safe condition during this inspection. All play equipment is operable and age-appropriate. Areas around swings, slides, and high climbing equipment have cushioning material to absorb falls. Uncontaminated drinking water is available to children in the outdoor area. There are no pools, hot tubs, ponds, or any other bodies of water accessible to children during today's inspection. At 10:55am, LPA observed that room 3 is currently undergoing renovations. It is the understanding of Director that Licensee reported the construction to the Department regarding the proposed alterations. Licensee is reminded that any alteration to the physical plant of the facility must be reported to the Department. Director agrees to notify LPA when renovations are complete. Room 5 and room 4 were toured at 11:15am. LPA found classrooms to be tidy and clean with heating and ventilation for safety and comfort. There are toys and learning materials in the facility. All hazardous materials and toxins including disinfectants and cleaning solutions were observed to be made inaccessible to children during today's inspection. Furniture and equipment accessible to children were observed to be age-appropriate, in operable condition, and free of loose, sharp, or pointed parts. The facility has indoor space for infants that are physically separate from space used by the preschool or school age components. Director is aware that baby walkers, bouncers, exersaucers, and jumpers are not allowed in licensed care facilities.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Jonathan Williams	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 07/30/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2021

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 STE 1102
OAKLAND, CA 94612

FACILITY NAME: SOJOURNER TRUTH CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 430709415
	VISIT DATE: 07/30/2021

NARRATIVE

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The kitchen/food preparation area was toured at 11:26am. LPA found it to be free of litter, garbage, and evidence of rodents or other vermin. Food is protected from contamination and, per staff, contaminated food is discarded immediately. Food/beverages capable of rapid spoiling are properly stored. Solid waste storage vessels (garbage cans) have tight fitting covers and are in good repair. Bottles, dishes and containers of food brought by the infants’ authorized representatives are labeled with infant’s name. The infant changing tables are placed within arm’s reach of a sink while in use. Uncontaminated drinking water is available to children inside the facility.

The facility has two fully charged 3A40BC fire extinguishers, working smoke detector, working carbon monoxide detector (combine), and working telephone. At least one staff member with current pediatric CPR/1st Aid certification is present during today's inspection. The facility is in ratio today, with one teacher supervising no more than 4 infants. Children were observed to be visually supervised at all times, with no infants being left unattended. Children's files and staff files were reviewed for proper documentation. All required forms are posted in public view, including menus. Facility roster was obtained.

Incidental Medical Services (IMS) policy was discussed. This facility does not provide IMS to children in care at this time. 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.”

Director is reminded that ALL assistants, volunteers, frequent visitors, or adults living in the facility, that are 18 years of age or older must be fingerprint cleared and associated to this facility prior to being in the presence of children in care or an immediate civil penalty will be assessed from $100 to $3000 per person, per incident.
Director was reminded that California Law requires licensed Child Care Centers to report unusual incidents or injuries to children in care to child's parents and to the Department of Social Services using the Unusual Incident/Injury form (LIC 624). Incidents must be reported within 24 hours by phone, fax, or electronic mail. LPA informed the Director that all forms can be downloaded at www.ccld.ca.gov and encouraged the Director to email childcareadvocatesprogram@dss.ca.gov to be included in the Child Care Quarterly Updates distribution list. The Director was also reminded that Mandated Reporter Training ("General" and "Child Care Providers") is required for all staff and is to be renewed every 2 years by visiting www.mandatedreporterca.com.

No deficiencies are cited today. This report shall remain on file for 3 years. A Notice of Site Visit was provided to the Director. LPA reminded the Director to post the Notice of Site Visit where it is clearly visible inside the facility for 30 days. Appeal rights were provided to the Director and the signature on this form acknowledges receipt of these rights. Exit interview was conducted.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Jonathan Williams	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 07/30/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2021

LIC809 (FAS) - (06/04)

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