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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434408036
Report Date: 08/02/2019
Date Signed: 08/02/2019 09:18:08 AM

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:AMES CHILD CARE CENTERFACILITY NUMBER:
434408036
ADMINISTRATOR:STEVENS, IDAFACILITY TYPE:
830
ADDRESS:BLDG. 270 R.T. JONES ROADTELEPHONE:
(650) 604-5100
CITY:MOFFETT FIELDSTATE: CAZIP CODE:
94035
CAPACITY:52CENSUS: 17DATE:
08/02/2019
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Neetu GargTIME COMPLETED:
09:30 AM
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), Oscar Huang, conducted an unannounced Plan of Correction (POC) to the Facility today. LPA met with Neetu Garg, Assistant Director, and explained the nature of today's visit to her. LPA observed 8 staff and 17 children, and parents sign in/out sheets. The facility is in compliance with the staff-infant ratio.

The Facility was issued a "Type B" deficiency on Thursday July 19, 2019 as a result of a substantiated complaint investigation. The Plan of Correction was due on Friday July 26, 2019.

The facility submitted a plan of correction to LPA prior to today's inspection and addressing the violation, as well as proof of staff meeting attendance regarding the above deficiency and has implemented the following:

1) When classroom out of ratio, classroom teachers call office for help and write down the time on the out of ratio log.
2) Office administrators receive a phone call from classroom teachers and check the daily schedule to find helpers. Office administrators also need to document the information on the out of ratio log.
3) If there is no floater available, office staff will go to classrooms and help. And when is in ratio, call from classroom to look for sub.

LPA concludes that the facility has completed the required plan of correction and the deficiency is thus cleared as of today's inspection. No other deficiencies issued during today's visit.

A NOTICE OF SITE VISIT WAS ISSUED, POSTED NEAR THE ENTRANCE TO THE HOME, AND MUST REMAIN POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Sandy KnightTELEPHONE: (408) 324-2151
LICENSING EVALUATOR NAME: Yangcheng HuangTELEPHONE: (408) 334-8321
LICENSING EVALUATOR SIGNATURE:

DATE: 08/02/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2019
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