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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700616
Report Date: 11/06/2024
Date Signed: 11/06/2024 12:04:05 PM

Document Has Been Signed on 11/06/2024 12:04 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:MAGIC BEINGS PRESCHOOLFACILITY NUMBER:
015700616
ADMINISTRATOR/
DIRECTOR:		HAYWARD, CHARMAINE ANNITEFACILITY TYPE:
850
ADDRESS:7250 AMADOR VALLEY BOULEVARDTELEPHONE:
(408) 601-0331
CITY:DUBLINSTATE: CAZIP CODE:
94568
CAPACITY: 72TOTAL ENROLLED CHILDREN: 72CENSUS: 15DATE:
11/06/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:director, Charmaine HaywardTIME VISIT/
INSPECTION COMPLETED:
12:20 PM
NARRATIVE
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Licensing Program Analyst (LPA) Jyoti Saini met facility representative Charmaine Hayward for an unannounced Annual Random Inspection. LPA disclosed the purpose of the inspection and was granted entry into the facility by the director. Present during the inspection, director and Two (2) staff members were supervising 15 children. The facility operates Monday through Friday, 7:00 a.m. to 6:00 p.m., in room #1, also known as the Butterflies room, and room #2, also known as Caterpillar. During the inspection, the facility was reminded about the past annual fee. The facility was inspected indoors and outdoors today for health and safety hazards, and the following was observed.
The Center is in good condition with proper temperature and ventilation and is free of any hazards. The facility has a working smoke and carbon monoxide detector, a fully charged fire extinguisher, and a working telephone available. All furniture is in good repair. The Center has age-appropriate toys and equipment. The classrooms have cubbies labeled with the children's names to place their personal belongings. The program provides daily snacks and lunch.LPA reviewed the food storage and advised the facility to keep the food in its original packaging or labeled with expiration date. The classroom has appropriate postings. The last Emergency Drill was conducted on 10/17/2024 and is properly logged. The facility utilizes a bright wheel app to sign in and out the children. Per director there are no firearms stored in the facility. During today's inspection, LPA did not observe any bodies of water. A review of eight children's files and three staff files was completed. All children have a record of emergency identification information and immunization records on file. All staff have a criminal record clearance on file. The opening and closing staff have a current Pediatric First Aid/CPR certificate on file.
see next page...
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE: DATE: 11/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/06/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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Document Has Been Signed on 11/06/2024 12:04 PM - It Cannot Be Edited


Created By: Jyoti Saini On 11/06/2024 at 10:41 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: MAGIC BEINGS PRESCHOOL
FACILITY NUMBER: 015700616

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/06/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101227(a)(19)
Food Service
(19) All food shall be protected against contamination. Contaminated food shall be discarded immediately.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above. During the inspection, LPA observed expired food (snacks) in the kitchen, which poses a potential health, safety, or personal rights risk to persons in care.
POC Due Date: 11/12/2024
Plan of Correction
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The Director immediately disposed of the expired foods in the trash bin and stated that the facility will replenish the snacks. The facility will also ensure that snack expiration dates are tracked moving forward.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Wynn Norona
LICENSING EVALUATOR NAME:Jyoti Saini
LICENSING EVALUATOR SIGNATURE:
DATE: 11/06/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/06/2024


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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: MAGIC BEINGS PRESCHOOL
FACILITY NUMBER: 015700616
VISIT DATE: 11/06/2024
NARRATIVE
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During inspection,

Criminal Record Clearance -

Facility representative was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Lead Testing –


CCC COMPLETED TESTING
Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for
drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test.

Incidental Medical Services (IMS)
This facility provides Incidental Medical Services – IMS. Currently there are no children on medications.
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) or (800) 514-0383 (TTY) and link to publication. Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

MyChildCarePlan.org
Facility representative was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

see next page.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE:

DATE: 11/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2024
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: MAGIC BEINGS PRESCHOOL
FACILITY NUMBER: 015700616
VISIT DATE: 11/06/2024
NARRATIVE
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To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process.

Type B deficiency cited today.



A notice of site visit was given and must remain posted for 30 days.


Exit interview conducted and report was reviewed with director, Charmaine Hayward.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE:

DATE: 11/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2024
LIC809 (FAS) - (06/04)
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