434408036-6-8-2021-52-CC-JSAR-C3SUC5-20210608152722

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434408036
Report Date: 06/08/2021
Date Signed: 06/08/2021 03:27:29 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:	AMES CHILD CARE CENTER		FACILITY NUMBER:	434408036
ADMINISTRATOR:	STEVENS, IDA		FACILITY TYPE:	830
ADDRESS:	BLDG. 270 R.T. JONES ROAD		TELEPHONE:	(650) 604-5100
CITY:	MOFFETT FIELD	STATE: CA	ZIP CODE:	94035
CAPACITY:	52	CENSUS: 11	DATE:	06/08/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Ida Stevens		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) James Sampair conducted an unannounced random annual site inspection of this facility at 10:33AM. At arrival, LPA met with facility Director Ida Stevens and Assistant Director Yu Ting "Claire" Hung. Assistant Director Hung assisted LPA with a tour of all areas of the facility inside and outside. Also present at the facility were 4 teaching staff (all Qualified Teachers) who cared for 11 infants. The facility is within capacity and each classroom is within ratio. All staff present are background cleared and associated to this facility. All infants are being supervised. The program operates in 2 classrooms that have age-appropriate furnishings and equipment free of broken or sharp pieces. School daily routine and meal information were posted on the wall. The facility provides refrigeration for mother's milk in the classroom. Counters and surfaces, including floors, are free of toxins. There are no hazardous items/toxins observed to be accessible to the infants in care. The facility had sufficient infant napping equipment for each infant that was free from all loose articles and objects, including blankets and pillows, nor were there objects hanging above or attached to the side of the crib. The indoor and outdoor activity spaces were physically separate from that used by the rest of the facility. The outdoor play areas were fully fenced and drinking water was available for the children both indoors and outdoors. In the kitchen, the food-preparation preparation and storage areas were all kept clean, free of litter, rubbish, rodents, and other vermin. There are no pools or other bodies of water accessible to children. There are fully charged fire extinguishers, the facility has a centralized smoke and fire alarm system and a functioning carbon monoxide detector in each classroom. Per the director, there are no firearms present or stored on the premises.

SUPERVISOR'S NAME: Jason Jang	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: James Sampair	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 06/08/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2021

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: AMES CHILD CARE CENTER	FACILITY NUMBER: 434408036
	VISIT DATE: 06/08/2021

NARRATIVE

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7 children's files were reviewed and they were complete. 5 staff records were reviewed and they were complete. More than one staff member present has current CPR/First Aid certification. All required postings were present.

This facility provides Individual Medical Services (IMS). LPA reviewed storage of medication, equipment, and supplies, and they were found to be handled in accordance with regulations. For IMS information, see Evaluator Manual-Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. The following information was provided: US Department of Justice (USDOJ) toll-free Americans with Disabilities Act (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.

Facility Staff are encouraged to visit www.ccld.ca.gov for licensing updates and forms. Contact ChildCareAdvocatesprogram@dss.ca.gov to sign up for quarterly updates. Staff are also reminded that mandated reporter training is required for all staff and is to be renewed every 2 years at www.mandatedreporterca.com. Facility administrator was provided with CDSS Effects of Lead Exposure Informational and lead testing requirements were discussed.

No deficiency cited during today’s visit. The appeals rights and a notice of site visit were provided that is to be posted for 30 days. A copy of this report was provided and is to be kept in the facility records for a period of three years.

SUPERVISOR'S NAME: Jason Jang	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: James Sampair	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 06/08/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2021

LIC809 (FAS) - (06/04)

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