013419000-10-4-2023-52-CC-SKAR-CWAQ6L-20231004115343

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013419000
Report Date: 10/04/2023
Date Signed: 10/04/2023 11:53:49 AM

Document Has Been Signed on 10/04/2023 11:53 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME:	STORYLAND SCHOOL		FACILITY NUMBER:	013419000
ADMINISTRATOR:	SARAH GLEESE		FACILITY TYPE:	850
ADDRESS:	2475 FOURTH STREET		TELEPHONE:	(925) 449-1531
CITY:	LIVERMORE	STATE: CA	ZIP CODE:	94550
CAPACITY: 73	TOTAL ENROLLED CHILDREN: 73	CENSUS: 53	DATE:	10/04/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	07:45 AM
MET WITH:	Jessica Torroes		TIME COMPLETED:	12:00 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 October 4, 2023, Licensing Program Analyst (LPA) Simerjit Kaur conducted an UNANNOUNCED ANNUAL REQUIRED INSPECTION and met site director with Jessica Torres. The facility was toured to conduct a Health and Safety Inspection. Present the inspection were 10 staff and 53 children. The facility is within ratio and capacity compliance today. The facility operates Monday - Friday from 7:00am - 6:00pm. This component operates out of classrooms Little Stars, Little Monkeys, Sunshine, Bay Room, and Little Owls. Disinfectants, cleaning solutions, poisons and other items that are dangerous to children were inaccessible during the inspection. Furniture and equipment are in good condition, and floors are free of tripping hazards. The changing table is within arms reach of the sink. All storage containers for solid waste have tight-fitting covers that are in good repair. The kitchen/food preparation and storage areas appear to be clean and free of evidence of rodents. Drinking water is available both indoors and outdoors. There are no pools or similar bodies of water at this facility. There are two outdoor playgrounds. Both outdoor activity space and playground equipment observed to be safe and free of hazards. There are shaded area provided for the children. LPA observed working carbon monoxide detector, smoke detectors and fully charged fire extinguishers. Fire alarms inspections are conducted by Reed Brothers Security and Livermore Fire Department. All required postings are posted. The facility serves AM/PM snacks. The menu is also posted. The bedding is washed weekly by parents. The food, medication and medical equipment/supplies are inaccessible to the children. There are no pools, hot tubs or other accessible bodies of water. Per director, there are no firearms present on the premises. A copy of the children’s roster and personnel report was obtained. LPA reviewed children and staff members files. Continue on LIC 809-C

SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Simerjit Kaur
LICENSING EVALUATOR SIGNATURE:	DATE: 10/04/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/04/2023

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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: STORYLAND SCHOOL	FACILITY NUMBER: 013419000
	VISIT DATE: 10/04/2023

NARRATIVE

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The opener, and the closer staff have current CPR/First Aid certificates. Sign in/out logs are maintained. The staff have required mandated reporter training and immunization. A fire/disaster drill was last conducted on 4/18/2023. LPA discussed the toddler sleep logs. Per acting director all sleep, feeding and diaper logs are logged on facility daily log form. The director was reminded that baby bouncers, exersaucers, johnny jumpers and similar items are not allowed in licensed day care.

Facility director was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

LPA referred facility director to the Department website for lead: Lead Toxicity Prevention and Water Testing information.
Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1- CCP). LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of “medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication. Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-carecenters/.

Continue on LIC 809-C

SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Simerjit Kaur
LICENSING EVALUATOR SIGNATURE:	DATE: 10/04/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/04/2023

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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: STORYLAND SCHOOL	FACILITY NUMBER: 013419000
	VISIT DATE: 10/04/2023

NARRATIVE

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Licensee was encouraged to frequently visit our website at www.ccld.ca.gov for licensing regulations and updates, and to also email childcareadvocatesprogram@dss.ca.gov to be included in the Child Care Quarterly Updates distribution list.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted Jessica Torres.

SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Simerjit Kaur
LICENSING EVALUATOR SIGNATURE:	DATE: 10/04/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/04/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 10/04/2023 11:53 AM - It Cannot Be Edited

Created By: Simerjit Kaur On 10/04/2023 at 11:46 AM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: STORYLAND SCHOOL	FACILITY NUMBER: 013419000
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/04/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101227(a)(1)

Food Service

(1) All food shall be safe and of the quality and in the quantity necessary to meet the needs of the children. Each meal shall include, at a minimum, the amount of food components as specified by Title 7, Code of Federal Regulations, Part 226.20, (Revised January 1, 1990) Requirements for Meals, for the age group served. All food shall be selected, stored, prepared and served in a safe and healthful manner. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, the licensee did not comply with the section cited above, snack in cabinet is expired, which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 10/11/2023
	Plan of Correction
1 2 3 4	Director will review all food and will discard all expired food and checked periodically to ensure all expired snack food items are within the expiration date. The director shall send plan of action to LPA by 10/11/23.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME:

Jason Jang

LICENSING EVALUATOR NAME:

Simerjit Kaur

LICENSING EVALUATOR SIGNATURE:

DATE: 10/04/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/04/2023

LIC809 (FAS) - (06/04)

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