015700539-6-10-2024-52-CC-LDBX-D64U68-20240610151756

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 015700539
Report Date: 06/10/2024
Date Signed: 06/10/2024 03:18:11 PM

Document Has Been Signed on 06/10/2024 03:18 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 EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME:	CROSSPOINT CHURCH PRESCHOOL OF PLEASANTON		FACILITY NUMBER:	015700539
ADMINISTRATOR:	HUI, EMILY		FACILITY TYPE:	850
ADDRESS:	5627 GIBRALTAR DRIVE		TELEPHONE:	(408) 586-8688
CITY:	PLEASANTON	STATE: CA	ZIP CODE:	94588
CAPACITY:	49	CENSUS: 24	DATE:	06/10/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	12:55 PM
MET WITH:	Emily Hui		TIME COMPLETED:	03:45 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 June 10, 2024 at approximately 12:55PM, Licensing Program Analyst (LPA) Lorraine Dacanay Breaux conducted an unannounced 1 Year Required Annual Inspection and met with the director, Emily Hui. LPA disclosed the purpose of the inspection and was granted entry into the facility. This facility is on the campus with Crosspoint Church of Silicon Valley. There were 24 children present during this inspection and seven additional staff members, this includes administrative staff. The facility was toured for a health and safety inspection. The hours of operation are 08:15 AM-5:30 PM, Monday -Friday. The summer session has begun school started June 28, 2023 - July 31, 2024. New school year will start August 5, 2024. CLASSROOMS: There are a total of four (4) classrooms. All classrooms were inspected, since it is summer session only uses 1 classroom is being used. LPA inspected and observed the children napping in Room 111, three (3) staff were in the classroom. There are adequate play and learning materials available. The floors, furniture, and equipment are age appropriate and in good repair. The isolation area for sick children is in the front lobby away from the children in care, until parents arrive. Drinking water is available inside and outside of the center. There are 4 fully charged 2A10BC fire extinguisher, a functioning carbon monoxide detectors one the main lobby and one in toddler classroom), wired smoke detectors, sprinkler system, fully stocked first aid supplies, and a pull down fire alarm system. All solid waste storage containers have tight fitting covers on, and appear to be in good repair. FOOD SERVICE AREAS: This facility provides snacks for children in care and there are weekly menus posted at the facility. LPA observed an area where they have a refrigerator this area is clean and free of evidence of rodents. There is a kitchen area that is clean during today's inspection, LPA inspected the area. Pesticides and other similar toxic substances are not stored in cabinets that contains food. The families will bring the children's lunches and/or they are able to purchase from a third party vendor that the facility uses for an additional fee. OUTDOOR PLAY AREAS: There's an outdoor play area, there is no play structure, cushioning to absorb falls (artificial grass). The staff will bring the children's water bottles outdoors to keep the children hydrated. The playground is fully fenced. This facility also has a large indoor gym for indoor play that is neat and clean. Director confirmed there are no swimming pools and/or bodies of water at the facility. See 809-C

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Lorraine Dacanay-Breaux	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 06/10/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2024

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: CROSSPOINT CHURCH PRESCHOOL OF PLEASANTON	FACILITY NUMBER: 015700539
	VISIT DATE: 06/10/2024

NARRATIVE

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BATHROOMS AND TOILETING AREAS: The staff's bathroom is separate from the children's bathroom. All sinks and faucets are in safe and sanitary operating condition. The children can reach the sinks and toilets. Supplies are available to the children. There is a diaper changing table in the women's restroom that is in arm reach of the sinks.

RECORDS: All individuals subject to criminal record review have a clearance or exemption and have been associated to the facility. Four (4) children's files and three (3) staff files were reviewed around 2:10 PM. All staff files have required Health Screening, Employee Rights, and Criminal Record Statements and all children files contain Identification & Emergency, Parent Rights and Medical Consent forms. LPA reviewed the facility roster and obtained a copy. At least one opening/ closing staff member has a current CPR & First Aid Certificate. Mandated Reporter Training was discussed, and certificates were reviewed. The facility representative's CPR and First Aid certificate is current. The center is in compliance with the sign in and out procedure. Disaster drills are being conducted at least once every 6 months and the last one conducted was on 03/19/2024. All required documents are posted in a public accessible area.

HEALTH RELATED SERVICES: Per director the facility is not administering medication. A refrigerator shall be used to store any medications that requires refrigeration. The center is equipped with fully stocked first aid kits that is available in the classroom.

California Law requires Child Care Centers licensees to report unusual incidents or injuries to children in care to child's parents and to the Department of Social Services using the Unusual Incident/Injury form (LIC 624). Incidents must be reported within 24 hours by phone, fax, or electronic mail. Roster of the children must be properly maintained, and fire/disaster drill every six months must be documented.

Incidental Medical Services (IMS): This facility does provide Incidental Medical Services (IMS). LPA inspected storage of medications and equipment/supplies, and reviewed children’s, personnel, and administrative records. All children’s medications are securely stored, accompanied by their prescription labels, and are in compliance with expiration dates. 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)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at http://www.ada.gov/resources/child-care-centers/.

See 809-C.

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Lorraine Dacanay-Breaux	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 06/10/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2024

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: CROSSPOINT CHURCH PRESCHOOL OF PLEASANTON	FACILITY NUMBER: 015700539
	VISIT DATE: 06/10/2024

NARRATIVE

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MyChildCarePlan.org: Director 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.

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.

Facility representative 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.

There's no deficiency cited today. A notice of site visit was given and must remain posted for 30 days. Appeal rights provided. Exit interview conducted and report was reviewed with the facility representative, Emily Hui.

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Lorraine Dacanay-Breaux	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 06/10/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2024

LIC809 (FAS) - (06/04)

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