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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700616
Report Date: 10/24/2023
Date Signed: 10/24/2023 04:09:10 PM

Document Has Been Signed on 10/24/2023 04:09 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:MAGIC BEINGS PRESCHOOLFACILITY NUMBER:
015700616
ADMINISTRATOR:HAYWARD, CHARMAINE ANNITEFACILITY TYPE:
850
ADDRESS:7250 AMADOR VALLEY BOULEVARDTELEPHONE:
(925) 560-8603
CITY:DUBLINSTATE: CAZIP CODE:
94568
CAPACITY: 72TOTAL ENROLLED CHILDREN: 72CENSUS: 10DATE:
10/24/2023
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
02:18 PM
MET WITH:Charmaine HaywardTIME COMPLETED:
04:30 PM
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A Prelicensing inspection was conducted today 10/24/2023 by Licensing Program Analyst (LPA) Melanie Otsuji. LPA met with Applicant/Director, Charmaine Hayward. The applicant has submitted a CHANGE IN OWNERSHIP application for a PRESCHOOL license for 72 preschoolers. The program will operate from 7AM - 6PM, Monday through Friday, in 2 classrooms (Caterpillar and Butterflies). Also present during today's visit with the Director, were 3 additional staff members and 10 preschool aged children. A health and safety inspection was conducted inside and outside. Measurements were taken previously and are as follows:

INDOORS: 2967.79 square feet = 84 children
OUTDOORS: 6539.47 square feet = 87 children

The center has obtained an approved fire inspection clearance from the Dublin Fire Prevention Services on 09/13/2023

The facility consists of 2 classrooms. The preschool rooms are equipped with varied age appropriate materials and equipment. There are 5 toilets and 5 sinks available for children use. There is a staff toilet located in the building. Facility will provide lunch and AM/PM snacks. Menu is posted at least one week in advance in a place visible for the authorized representative to see. Facility will utilize the Director's office and staff bathroom as necessary for an ill child. Cots were observed today. Charmaine Hayward is a fully qualified director and a complete director packet has been submitted.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Melanie Otsuji
LICENSING EVALUATOR SIGNATURE: DATE: 10/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/24/2023
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: MAGIC BEINGS PRESCHOOL
FACILITY NUMBER: 015700616
VISIT DATE: 10/24/2023
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Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. 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) or (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
LPA reviewed with Applicant the LIC 311A, Records to Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.
LPA discussed the safe sleep regulations with applicant 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 Applicant of the importance of checking for 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.

Applicant was informed of the MyChildCarePlan.org site, 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.

Exit interview conducted and report was reviewed with the Applicant/Director, Charmaine Hayward.

A license for 72 preschool children, will be issued effective today 10/24/2023.

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 platforms.
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.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Melanie Otsuji
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2023
LIC809 (FAS) - (06/04)
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