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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 435700719
Report Date: 10/28/2021
Date Signed: 10/28/2021 02:12:21 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:BOWMAN SCHOOL CHILDREN'S HOUSEFACILITY NUMBER:
435700719
ADMINISTRATOR:KNIGHT, ERIN ELIASSENFACILITY TYPE:
850
ADDRESS:693 ARASTRADEROTELEPHONE:
(650) 493-4111
CITY:PALO ALTOSTATE: CAZIP CODE:
94306
CAPACITY:60CENSUS: 52DATE:
10/28/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Erin KnightTIME COMPLETED:
02:25 PM
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On October 28, 2021, at 10:30 AM, Licensing Program Analysts (LPAs) Lorraine Dacanay Breaux and Christina Uribe conducted an unannounced 1 Year Required Inspection and met with Erin Knight, Director. LPA Breaux disclosed the purpose of the inspection and was granted entry into the facility. Present during the inspection was 52 children and 9 fingerprint cleared staff members. The center consists of two classrooms in one building. The hours of operation are 7:30 am - 6:00pm, Monday - Friday.

CLASSROOMS: The two classrooms were inspected. Teacher child ratio was observed. There are adequate play and learning materials available. There is adequate heating/air conditioning, ventilation, & lighting. The floors, furniture and equipment are age-appropriate and in good repair. Drinking water is available inside and outside of the center. There is proper individual storage space for each child. The isolation area for sick children is in the designated room near the reception area. LPA observed 6 fully charged fire extinguishers and all fire alarms are wired and inspected by the fire department. The center is equipped with a working telephone, carbon monoxide detector, and pull down fire alarms. All solid waste storage containers have tight fitting covers on and appears to be in good repair.

BATHROOMS & TOILETING AREAS: There are separate bathrooms for staff and children. Toilets and faucets are in safe and sanitary operating condition. The children are able to reach the sinks and toilets. Supplies are available to children.

FOOD SERVICE AREAS: The kitchens with in each classroom is clean, adequately equipped, and LPAs did not observe any food stored with cleaning supplies. The parents supply children lunches, snacks and water bottles.

OUTDOOR PLAY AREAS: There are no bodies of water, or free-standing water accessible to children. There are age appropriate toys and materials for the children. The play structures are bolted and secure. The playground outside is fenced and all equipment and surfaces are free from hazards.

RECORDS: All individuals subject to criminal record review have a clearance and have been associated to the facility. Children’s files and staff files were reviewed. LPAs reviewed the facility roster and obtained a copy. At least one opening/closing staff member has a current CPR/First-Aid Certificate. Mandated Reporter Training was discussed and certificates were reviewed. Director’s CPR/First-Aid Certificate is current. The center is in compliance with the sign in and out procedure. Per director, there are no firearms stored on the premises. All required documents are posted in a public accessible area.

HEALTH RELATED SERVICES: LPA Breaux and Urbie inspected the medication, which is stored in a safe place that is inaccessible to children in care. Each of the medications has an unaltered label with the child’s name and date of issuance. The center is equipped with a fully stocked first-aid kit and available in the classrooms.

California Law requires Family Child Cares licensees 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. Roster of the children must be properly maintained and fire/disaster drill every six months must be documented. The director was reminded that Licensing needs to be informed prior to use of additional areas in the facility.

-----------------------------See LIC 809 C ---------------------------

SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Lorraine Dacanay-BreauxTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 10/28/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2021
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: BOWMAN SCHOOL CHILDREN'S HOUSE
FACILITY NUMBER: 435700719
VISIT DATE: 10/28/2021
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Director Erin Knight was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum per/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Reminder that all forms can be downloaded at all forms can be downloaded at www.ccld.ca.gov.

LPA discussed the safe sleep regulations with licensee Erin E. Knight and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee [facility representative] of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Incidental Medical Services (IMS) policy was discussed. This facility provides IMS to children in care. Facility is following IMS plan on file. When any changes to the IMS plan is made, an updated Plan for Providing IMS must be submitted to the Department. 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.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Director Erin E. Knight.

SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Lorraine Dacanay-BreauxTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 10/28/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2021
LIC809 (FAS) - (06/04)
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