013419400-11-8-2023-52-CC-JJAN-CXDRNE-20231108121014

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013419400
Report Date: 11/08/2023
Date Signed: 11/08/2023 12:10:24 PM

Document Has Been Signed on 11/08/2023 12:10 PM - 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 CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME:	SUNOL GLEN PRESCHOOL		FACILITY NUMBER:	013419400
ADMINISTRATOR:	COLLIER, KIRSTEN		FACILITY TYPE:	850
ADDRESS:	11601 MAIN ST.		TELEPHONE:	(925) 580-9306
CITY:	SUNOL	STATE: CA	ZIP CODE:	94586
CAPACITY: 24	TOTAL ENROLLED CHILDREN: 7	CENSUS: 6	DATE:	11/08/2023
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	09:35 AM
MET WITH:	Kirsten Collier-Kotsakis		TIME COMPLETED:	12:20 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 11/08/2023 at 9:35AM, Licensing Program Analyst (LPA) Jaleesa Jackson met with Director Kirsten Collier-Kotsakis for an Unannounced Annual Inspection. Present for this inspection were 6 preschool aged children and 1 fingerprint cleared staff member. Facility operating hours are 8:30AM - 5:00PM Monday - Friday. The facility was toured to conduct a health and safety inspection. At 10:10AM, LPA toured the facility classroom. The preschool is at the Sunol Glen School and operates in room #201. The isolation area is located in the front office of the school. The classroom is tidy and clean with heating and ventilation for safety and comfort. There are safe age-appropriate toys and learning materials available to children throughout the classroom. There are individualized storage space that is labelled for each child's belongings. There were no hazardous materials and toxins present during today's inspection. Furniture accessible to children was observed to be age-appropriate, in operable condition, and free of loose, sharp, or pointed parts. LPA reviewed sign in/sign out binder. All 6 children were signed in for the day. There is a fully charged 2A10BC fire extinguisher, working telephone; carbon monoxide and smoke detectors are inspected by Fire Marshall every year. Safe drinking water is available to children inside and outside the facility as children are using their own water bottles. Director stated that children bring their own snacks and lunches. The facility also has an emergency disaster backpack including a first aid kit inside. LPA also toured the facility bathroom that are shared with Sunol Glen school. The schedule is staggered so the preschoolers are not outside the same time as the school aged children. The areas around swings, slides, and high climbing equipment have cushioning material to absorb falls. There are plenty of trees available to provide shade. During today's inspection LPA did not observe any harmful bodies of water. Continued on 809-C

SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Jaleesa Jackson
LICENSING EVALUATOR SIGNATURE:	DATE: 11/08/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2023

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 CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: SUNOL GLEN PRESCHOOL	FACILITY NUMBER: 013419400
	VISIT DATE: 11/08/2023

NARRATIVE

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At 10:40AM, LPA reviewed 6 children files and 2 staff files. All files were found to be complete during this inspection. Facility roster was reviewed and a copy was obtained today. Disaster drills are conducted at least once every six months. The last date of a drill conducted was on 10/13/2023. All required licensing documents are posted near the entrance to the classroom.

There were no deficiencies cited on today's visit.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process.

Facility representative 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.

(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.

LPA referred facility representative to the Department website for lead: Lead Toxicity Prevention and Water Testing Information.

Continued on 809-C

SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Jaleesa Jackson
LICENSING EVALUATOR SIGNATURE:	DATE: 11/08/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2023

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 CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: SUNOL GLEN PRESCHOOL	FACILITY NUMBER: 013419400
	VISIT DATE: 11/08/2023

NARRATIVE

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Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. When any IMS is provided, an updated Plan of Operation that includes 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) 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-care-centers/.

Facility representative was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the facility representative Kirsten Collier-Kotsakis

SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Jaleesa Jackson
LICENSING EVALUATOR SIGNATURE:	DATE: 11/08/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2023

LIC809 (FAS) - (06/04)

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