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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073407443
Report Date: 05/16/2024
Date Signed: 05/16/2024 02:09:23 PM

Document Has Been Signed on 05/16/2024 02:09 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
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:ST. PAUL PRESCHOOLFACILITY NUMBER:
073407443
ADMINISTRATOR/
DIRECTOR:		BARTLETT, SARAHFACILITY TYPE:
850
ADDRESS:1825 CHURCH LANETELEPHONE:
(510) 233-3080
CITY:SAN PABLOSTATE: CAZIP CODE:
94806
CAPACITY: 21TOTAL ENROLLED CHILDREN: 21CENSUS: 15DATE:
05/16/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Sofia MunozTIME VISIT/
INSPECTION COMPLETED:
12:45 PM
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On May 16, 2024, Licensing Program Analyst, (LPA) M. Domantay met with Director, Sofia Flores Munoz, for the purpose of an unannounced case management inspection for an application that was submitted for a change of capacity and adding a room. Facility is requesting to increase preschool capacity to 40 children. Facility is also requesting to add Room 2 to the preschool program license. Facility operates Monday through Friday from 7:30 AM to 6:30 PM. The fire clearance was granted on 9/13/2023 by the Contra Costa County Fire Protection Department for 40 preschoolers, ages 2 years to first grade entry. Per fire clearance each rooms maximum capacity is 20 children.

INDOOR ACTIVITY SPACE:
There are 2 classrooms designated for the Preschool program, all measurements for Room 1 remain the same from previous inspection. Measurements for Room 2 is provided below.LPA observed a sufficient amount of equipment, toys, tables, chairs, cubbies, and cots. LPA observed cleaning disinfectants are appropriately stored and inaccessible to children. Applicant stated there are no poisons or firearms on the premises. LPA observed a functional carbon monoxide detector in Classroom 2. Children's bathrooms is shared with the on site Private School, waiver on file. LPA observed 2 toilets, 2 urinals, and 3 sinks, all with stepping stools designated for the preschool program. Applicant is adding an additional sink and will install a stepping stool. Applicant will send photo of stool for sink once installed. LPA observed a electronic sign-in/sign-out system.

LPA measured the new room being added to the Preschool program, Room 2. The total classroom space contains a total of 679.55 square feet, which will accommodate Applicant's request for the additional 19 preschool children. There is a separate private restroom for the staff located in the building, in the hallway. Individual measurements are recorded on the Capacity Worksheet (LIC 9024). Children who become ill during the day will be isolated in the Director's desk area or the lobby area and will use the staff restroom, if necessary.
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SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Melissa Domantay
LICENSING EVALUATOR SIGNATURE: DATE: 05/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/16/2024
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 CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: ST. PAUL PRESCHOOL
FACILITY NUMBER: 073407443
VISIT DATE: 05/16/2024
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OUTDOOR ACTIVITY SPACE:
There are 2 preschool outdoor spaces. All outdoor measurements remain the same from previous inspections. The Preschool outdoor play area is fenced with a steel fencing that is at least four feet tall. LPA observed a sufficient amount of equipment and toys. There is no play structure present in the outdoor play yard area. There are shaded areas supplied by wooden awning. The playground is free of debris and other hazards. There are no pools, hot tubs, or other bodies of water present.

LPA discussed 100% supervision is always required in all areas that children have access to including the
bathroom. Personal Rights, inspection authority, reporting requirements, maintaining buildings and grounds
was reviewed. Staff Qualifications, Staff to Children’s ratios and Capacity was explained to ensure
compliance. LPA discussed with Applicant any changes that may occur regarding the director or an employee acting in the director’s absence must be reported to the department within 10 working days.

Applicant 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.



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.

Exit interview conducted and report was reviewed with Director, Sofia Flores Munoz.

The following items are required before a license will be issued:
1. Licensing Program Manager (LPM) final file review.
2. Requested required documents must be submitted by Applicant.
3. Photo of stepping stool for additional sink.
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SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Melissa Domantay
LICENSING EVALUATOR SIGNATURE:

DATE: 05/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2024
LIC809 (FAS) - (06/04)
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