013420567-9-22-2021-02-CC-CFES-C74TZR-20210922151046

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013420567
Report Date: 09/22/2021
Date Signed: 09/22/2021 03:10:53 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, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME:	CCLC - CLIF BASE CAMP CHILD CARE CENTER		FACILITY NUMBER:	013420567
ADMINISTRATOR:	WOO, LANI		FACILITY TYPE:	850
ADDRESS:	6529 HOLLIS STREET		TELEPHONE:	(510) 596-6699
CITY:	EMERYVILLE	STATE: CA	ZIP CODE:	94608
CAPACITY:	48	CENSUS: 29	DATE:	09/22/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:09 AM
MET WITH:	Lani Woo		TIME COMPLETED:	03:30 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 9/22/21 at 10:09am, Licensing Program Analyst (LPA) Catherine Fernandes and Licensing program Manager (LPM) Mayla Mendoza arrived at the facility for an unannounced 1 year required inspection. LPA met with Director Lani Woo. There were 29 children in care and 6 finger print cleared staff. The facility operates Monday thru Friday 7:45am - 5:30pm. This facility is licensed for a preschool program with a toddler option and the other component on site is an infant program. LPA and LPM completed a tour of all of the classrooms and outdoor spaces, to conduct a health and safety inspection with Director Woo. LPA and LPM observed that all of the classrooms have sufficient heating, lighting and ventilation for the safety and comfort of children and staff. The classroom floors and surfaces appear to be safe and in good repair. There is an ample supply of age appropriate furniture, toys, activities and equipment which appear to be in good condition and safe. There is adequate storage for children's belongings. The mats are stored appropriately, and there is a sufficient supply for the amount of children enrolled. Children's restrooms are sanitary and in operational condition today. There are separate bathrooms for staff. LPA and LPM observed that the kitchen is clean, free from hazards and adequately equipped. Parents pack lunches and snacks for the children. There are snacks available to the children if needed. LPA and LPM did not observe any food stored with cleaning supplies. The facility uses individual water bottles for children to supply water for children both indoors and outdoors. The outdoor play spaces are fully fenced and there is a sufficient amount of shade. There is an ample supply of age appropriate equipment and the play structure is secure and has soft rubber underneath for cushioning, to absorb the impact from a fall. LPA did not observe any bodies of water, hazardous items, toxins or medication accessible to children today. All required forms are posted. The last disaster drill was completed on 8/6/21. The facility is equipped with first aid kits, a working telephone, carbon monoxide detectors, centralized smoke detection system, pull down fire alarms and fully charged 3A40BC fire extinguishers. continued on 809C

SUPERVISOR'S NAME: Mayla Mendoza	TELEPHONE: (510) 873-6408
LICENSING EVALUATOR NAME: Catherine Fernandes	TELEPHONE: (510) 725-7002
LICENSING EVALUATOR SIGNATURE:	DATE: 09/22/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2021

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 2

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, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: CCLC - CLIF BASE CAMP CHILD CARE CENTER	FACILITY NUMBER: 013420567
	VISIT DATE: 09/22/2021

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
26
27
28
29
30
31
32

Due to COVID-19 the facility signs the children in and out. LPA and LPM reviewed staff files for all teachers and children's files.

Incidental Medical Services (IMS) policy was discussed. 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)/ (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.

The Director confirmed that as of right now no children currently require medication.

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.

Director Woo 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/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA and LPM discussed the safe sleep regulations with Director 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 the Director 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.

A notice of site visit was given and must remain posted for 30 days
Exit interview conducted and report was reviewed with the Director Lani Woo

SUPERVISOR'S NAME: Mayla Mendoza	TELEPHONE: (510) 873-6408
LICENSING EVALUATOR NAME: Catherine Fernandes	TELEPHONE: (510) 725-7002
LICENSING EVALUATOR SIGNATURE:	DATE: 09/22/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2021

LIC809 (FAS) - (06/04)

Page: 2 of 2