015700574-8-30-2022-52-CC-MOTI-CHSSN5-20220830140055

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 015700574
Report Date: 08/30/2022
Date Signed: 08/30/2022 02:00:59 PM

Document Has Been Signed on 08/30/2022 02:00 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:	TOTS UNIVERSITY PRESCHOOL		FACILITY NUMBER:	015700574
ADMINISTRATOR:	BOGA, PRIYANKA		FACILITY TYPE:	850
ADDRESS:	7890 OXBOW LANE		TELEPHONE:	(225) 368-6002
CITY:	DUBLIN	STATE: CA	ZIP CODE:	94568
CAPACITY: 44	TOTAL ENROLLED CHILDREN: 44	CENSUS: 12	DATE:	08/30/2022
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Priyanka Boga		TIME COMPLETED:	02:20 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 8/30/2022, a Prelicensing Visit was conducted today by Licensing Program Analyst (LPA), Melanie Otsuji. LPA met with Applicant, Priyanka Boga. The applicant has submitted an application for a CHANGE OF OWNERSHIP for a PRESCHOOL license. Also present during today's visit were 2 additional staff members and 12 preschool aged children. A health and safety inspection was conducted inside and outside. The preschool program will operate in 5 classrooms. Operating hours Monday through Friday from 6:30AM - 6:30PM. The Applicant states that no changes to the facility have been made. LPA has obtained measurements from previous report and are as follows: INDOORS: 1191.01 square feet = 34 children OUTDOORS: 3286.29 square feet = 43 children There is a separate staff bathroom located in the staff room. Facility will utilize the reading area for ill children. They will also use the staff toilet should it be needed for ill children. There is a fully stocked first aid kit with all required equipment available. No exit doors were blocked. There is ample toys and furnishings throughout the center for children's use. There are cots available for children. There are a total of 3 toilets, and 3 sinks available for children use. Heating and lighting was adequate. There is ample play space for the children. There is 1 play yard for the preschool aged children. And areas under high climbing equipment have material that can absorb a fall. Facility has a sandbox on site and Applicant is reminded of the importance of doing a daily visual inspection of sandbox prior to children use. The center Facility will provide Breakfast, Lunch and AM/PM snacks. Applicant is currently in the process of finding a fully qualified director. A complete Director packet is to be submitted once the hiring determination has been made.

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Melanie Otsuji
LICENSING EVALUATOR SIGNATURE:	DATE: 08/30/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2022

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: TOTS UNIVERSITY PRESCHOOL	FACILITY NUMBER: 015700574
	VISIT DATE: 08/30/2022

NARRATIVE

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Facility has received an approved fire clearance from Dublin Fire Prevention Services on 7/1/2022. Playground equipment is in good condition. Applicant is aware that visual supervision must be utilized while on the playground. Play structure is to be utilized only by children the play structure is rated for. Drinking water is available inside and outside. All toilets and hand washing facilities are in safe and sanitary operating conditions. All licensing required documents are posted. This facility plans to provide Incidental Medical Services - IMS. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers 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
Applicants were reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, 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 discussed the safe sleep regulations with Applicants 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 Applicants 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. LPA reviewed with Applicants the LIC 311A, Records To Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted. Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform. To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

A license for 34 preschoolers operating out of 5 classrooms will be approved once the following is received:

-Complete director packet
An exit interview was conducted with Applicant, Priyanka Boga.

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Melanie Otsuji
LICENSING EVALUATOR SIGNATURE:	DATE: 08/30/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2022

LIC809 (FAS) - (06/04)

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