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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073407414
Report Date: 03/15/2024
Date Signed: 03/15/2024 04:58:49 PM

Document Has Been Signed on 03/15/2024 04:58 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:YMCA CHILDCARE - GOLDEN VIEWFACILITY NUMBER:
073407414
ADMINISTRATOR:WILLIAMS, JENNIFERFACILITY TYPE:
840
ADDRESS:5025 CANYON CREST DRTELEPHONE:
(925) 735-3981
CITY:SAN RAMONSTATE: CAZIP CODE:
94582
CAPACITY: 115TOTAL ENROLLED CHILDREN: 115CENSUS: 17DATE:
03/15/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
03:35 PM
MET WITH:Facility StaffTIME COMPLETED:
04:58 PM
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On 3/15/2024 at 3:35pm Licensing Program Analyst (LPA) Morgan Pringle met with a Facility Staff member for a case management inspection. Present during the inspection were six (6) staff members and seventeen (17) school age children. An application was submitted to a add one (1) additional room (Room16) with no additional capacity change. The facility is on the Golden View Elementary School campus and is currently licensed to operate in the YMCA portable, the library, Room 20, and Room 17. The facility operates from 6:30am to 6:30pm, Monday - Friday. Hours of Operation in Room 20 is 2:30pm-5:30pm, and on Wednesday's the hours are 12:50pm - 5:30pm LPA conducted a health and safety inspection.

Fire clearance was approved by the San Ramon Valley Fire Protection District on 3/11/2024.

The facility has ample age-appropriate materials in the rooms that were observed to be clean and in good condition. All toxins, cleaning products, medications, and hazardous materials were observed to be in inaccessible areas. All sinks and toilets in the portable were observed to be clean and in proper working order. Children will be using the elementary school bathrooms when they are in the other rooms. All children have access to clean drinking water in each room. Each room has a working smoke detector, carbon monoxide detector and a fully charged fire extinguisher. There is a separate staff bathroom on site.

The play yard is shared with the Golden View Elementary School. The play structure is sturdy, anchored into the ground and has sufficient cushioning underneath with shade for the children. LPA did not observe any harmful or unattended bodies of water in or around the facility. The food prep areas are clean, well maintained, and all hazards are in inaccessible areas. All children bring their lunch on days school is not in session, and all snacks are provided by the school. The facility conducts field trips during the summer and uses rented school buses to transport the children. No facility staff drive the buses or transport children.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Morgan Pringle
LICENSING EVALUATOR SIGNATURE: DATE: 03/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/15/2024
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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: YMCA CHILDCARE - GOLDEN VIEW
FACILITY NUMBER: 073407414
VISIT DATE: 03/15/2024
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The facility is operating within their licensed capacity and is in ratio today. All required postings are made visible on the wall over the sign in/out sheets. All staff working have obtained a criminal record clearance, exemption, or transfer. The fire/disaster drill log is complete. A physical census of the children was taken and cross referenced with the sign-in and out logs. All children have been properly signed in by their parent or authorized representative.

There are no deficiencies being cited during LPAs inspection.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. 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.

A license approving the use of Room 16, and previously licensed spaces for the YMCA portable, school Library, Room 17, and elementary school playground, is effective on today's date, 3/15/2024.

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

Exit interview conducted and report was reviewed with facility staff.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Morgan Pringle
LICENSING EVALUATOR SIGNATURE:

DATE: 03/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2024
LIC809 (FAS) - (06/04)
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