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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423109
Report Date: 09/03/2021
Date Signed: 09/03/2021 10:48:17 AM

Document Has Been Signed on 09/03/2021 10:48 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
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:TWIRL, INC.FACILITY NUMBER:
013423109
ADMINISTRATOR:CAZAREZ, SABRINAFACILITY TYPE:
830
ADDRESS:1424 PARK STREETTELEPHONE:
(415) 810-9057
CITY:ALAMEDASTATE: CAZIP CODE:
94501
CAPACITY: 9TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
09/03/2021
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Sabrina CazarezTIME COMPLETED:
11:07 AM
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A Prelicensing Visit was conducted today by Licensing Program Analysts (LPAs) Melissa Domantay and Melissa Guirit. LPAs met with Director Sabrina Cazarez. The applicant submitted an application for an infant license. A health and safety inspection was conducted inside and outside. The center has a preschool program on-site (license #013423110). The infant program will operate in 1 Area of the building, in the back right corner behind the play structure. Monday to Friday from 7:30am-6:00pm. The measurements are as follows:

INDOORS: 311.73 square feet = 9 children
OUTDOORS: 289.2 square feet = 4 children

Infant area is equipped with varied age appropriate materials and equipment. The infant program will serve crib-aged infants in Infant area. There is a separate crib area with 5 cribs for crib-aged infants. The diaper changing table is within arms reach of a sink.There is 1 sink available for infants. There is a separate small infant play yard that is separate from preschool children that can be used until it reaches the max capacity of 4 infants, a waiver will need to be submitted for infant play yard area, no more than 4 infants at any given time. The infant yard is fenced all around and has soft turf all around. The staff bathroom will serve as isolation areas for ill children. Separate infant outdoor area has sufficient shading. Infants will only utilize designated infant outdoor area, separate from preschool children. Food will not be provided for infants. There is a backup snack supply bin for children if needed. Facility will utilize electronic sign in/out.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Melissa Domantay
LICENSING EVALUATOR SIGNATURE: DATE: 09/03/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/03/2021
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, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: TWIRL, INC.
FACILITY NUMBER: 013423109
VISIT DATE: 09/03/2021
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The owner was notified about Incidental Medical Services – IMS. 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.


Mandated reporter, appeal rights, civil penalties, unusual incident reporting, fingerprint requirements, and COVID protocols were discussed today. Licensee is also being informed of the web address (www.ccld.ca.gov) for downloading child care forms, and checking Provider Information Notices (PINs). The director is encouraged to email ChildCareAdvocatesprogram@dss.ca.gov to be included in the Child Care Quarterly Updates distribution list. The director is also reminded that mandated reporter training is required for all staff and is to be renewed every 2 years at www.mandatedreporterca.com.

Zero Tolerance policies were explained. The center is found to be clean, safe, sanitary, and in good repair.

A fire clearance for 45 children including 9 infants was received from Alameda City Department on 2/26/2021. Facility is equipped with a 3A40BC fire extinguisher, fire alarm, centralized smoke and carbon detection system, working telephone, and first aid supplies.

The facility will be licensed as of today 9/3/2021.
A copy of this report, notice of site visit, and appeal rights was provided to applicant Sabrina.

An exit interview was conducted.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Melissa Domantay
LICENSING EVALUATOR SIGNATURE:

DATE: 09/03/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2021
LIC809 (FAS) - (06/04)
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