434400230-5-13-2021-52-CC-MOTI-C2YTMX-20210513145151

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434400230
Report Date: 03/25/2021
Date Signed: 05/13/2021 02:52:06 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:	MVWSD PRESCHOOL AT LATHAM		FACILITY NUMBER:	434400230
ADMINISTRATOR:	TERRI KEMPER		FACILITY TYPE:	850
ADDRESS:	1850 LATHAM ST		TELEPHONE:	(650) 526-3560
CITY:	MOUNTAIN VIEW	STATE: CA	ZIP CODE:	94041
CAPACITY:	72	CENSUS: 7	DATE:	03/25/2021
TYPE OF VISIT:	Case Management - Licensee Initiated	ANNOUNCED	TIME BEGAN:	02:40 PM
MET WITH:	Terri Kemper		TIME COMPLETED:	03:05 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	THIS INSPECTION WAS DONE VIRTUALLY VIA THE PLATFORM ZOOM DUE TO THE COVID-19 PANDEMIC On March 25, 2021 at 2:40PM, Licensing Program Analyst (LPA), Melanie Otsuji conducted a virtual inspection with Director, Terri Kemper . The purpose of this inspection is to provide technical assistance and ensure the facility is safe for the care and supervision of children in care. Due to COVID-19 state of emergency a Licensed Child Care Center waiver was granted on March 3, 2021 for the facility to utilize yard space not currently licensed. Fire clearance on file. Check-in will take place at the entrance of the preschool wing. Authorized representatives are asked to submit an online screener before dropping their child off each day. If forgotten, staff ask the screener questions at drop off. Staff sign children in and out with authorized representatives approval. If children become ill during the day, they will rest in one of two isolation areas provided on either Gabriela Mistral or Mariano Castro Elementary School campuses. The isolation bathroom will be in close proximity to the isolation area. Children’s authorized representative will be contacted immediately for pick up, if a child becomes ill. Department of Public Health will be contacted in regard to any COVID-19 illness. Children will stay with the same group as assigned and will not be moved from one group to the other. Each group must be kept physically separated. Age appropriate furniture including tables and chairs and are present in each of the rooms to meet the needs of children in care. Bathrooms are located in each of the classrooms. There are 4 sinks and 4 toilets available. There is a 3rd classroom not currently being utilized which has an additional 1 sink and 1 toilet available to the children in care. There is a designated outdoor play area with age appropriate equipment and activities. Drinking water readily available through the use of water jugs and cups or reusable water bottles brought from home.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Melanie Otsuji	TELEPHONE: (510) 622-2613
LICENSING EVALUATOR SIGNATURE:	DATE: 03/25/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2021

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 2

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: MVWSD PRESCHOOL AT LATHAM	FACILITY NUMBER: 434400230
	VISIT DATE: 03/25/2021

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
26
27
28
29
30
31
32

The facility will maintain children files that include emergency authorization cards and staff files that include proof of criminal background clearance. All childcare areas, including the playgrounds, will be cleaned and sanitized daily or more often as necessary following the facility’s cleaning and sanitation policies,

A health check on staff and children will be conducted each day upon arrival. LPA discussed the terms and conditions of the waiver and facility will ensure compliance with all terms and conditions of the Temporary Waiver and will adhere to Public Health guidelines and directives.

To further ensure the health and safety of the children in care, Community Care Licensing will provide on-going Technical Assistance (TA) to the facility.

Please feel free to contact the Oakland South East Child Care Office at (510) 622-2602.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Melanie Otsuji	TELEPHONE: (510) 622-2613
LICENSING EVALUATOR SIGNATURE:	DATE: 03/25/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2021

LIC809 (FAS) - (06/04)

Page: 2 of 2