013422061-12-13-2021-52-CC-SKAR-C9NU9D-20211213142300

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013422061
Report Date: 12/13/2021
Date Signed: 12/13/2021 02:23:10 PM

Document Has Been Signed on 12/13/2021 02:23 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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME:	PRIMROSE SCHOOL OF LIVERMORE		FACILITY NUMBER:	013422061
ADMINISTRATOR:	GUPTA, SHUBRA		FACILITY TYPE:	840
ADDRESS:	2901 LAS POSITAS RD		TELEPHONE:	(925) 215-7372
CITY:	LIVERMORE	STATE: CA	ZIP CODE:	94551
CAPACITY: 30	TOTAL ENROLLED CHILDREN: 15	CENSUS: 14	DATE:	12/13/2021
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	10:20 AM
MET WITH:			TIME COMPLETED:	02:35 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 November 13, 2021, Licensing Program Analyst (LPA) Simerjit Kaur met with Director Shubra Gupta for an UNANNOUNCED ANNUAL REQUIRED INSPECTION. The facility was toured to conduct a Health and Safety Inspection. Present for the inspection was 14 school age children in care and 2 fingerprint clear and associated staff. This program current operates Monday-Friday 7:15am-5:30pm. The school age program is operating in Kindergarten classroom. The room has operable 2 toilets and 3 sinks for use by the children. The toilets and sinks were safe, sanitary and in operable condition. Furniture and equipment are in good condition, and floors are free of tripping hazards. Disinfectants, cleaning solutions, poisons and other items that are dangerous to children were inaccessible during the visit. Menus are posted. The facility provides breakfast, lunch, and snacks. The food preparation and storage areas are clean, free of litter & rubbish, and free of rodents and other vermin. The food is labeled with names of children. All food and beverages that require refrigeration are stored in covered containers. Drinking water is available both indoors and outdoors. There are no medications . There are no pools or similar bodies of water at this facility. Outdoor activity space and playground equipment observed to be safe and free of hazards. Climbing equipment is properly anchored to the ground with adequate and appropriate cushioning material to absorb falls. There is a shaded area provided for the children. Fire/Disaster Drills are conducted at least every six months, and a review of the log shows the last drill was conducted 11/17/21. Required licensing documents were posted. Sign in/out logs are maintained. Teacher Sarika Bhopal has current First Aid/CPR, which expires on 11/4/2022. Director has current First Aid/CPR, which expires on 11/4/2022. Teacher's mandated reporter training will expire on 12/2022. Per director, there are multiple fire extinguishers, carbon monoxide and smoke detectors, which meet the State Fire Marshall standards by Bay Alarm Company. Continued on LIC 809C...

SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Simerjit Kaur
LICENSING EVALUATOR SIGNATURE:	DATE: 12/13/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2021

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: PRIMROSE SCHOOL OF LIVERMORE	FACILITY NUMBER: 013422061
	VISIT DATE: 12/13/2021

NARRATIVE

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Per Director, there are no firearms on the premises of the child care center. All children and staff records were reviewed, and contained required licensing documents. Teachers present today meet the qualification requirements. Staff have required immunizations and mandated reporter training.

Director 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.

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 Evaluator Manual – Regulation Interpretations and Procedures for Child Care Center Sections 101173 and 101226. 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.

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 and report was reviewed with the director Shubra Gupta.

SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Simerjit Kaur
LICENSING EVALUATOR SIGNATURE:	DATE: 12/13/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2021

LIC809 (FAS) - (06/04)

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