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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073408280
Report Date: 12/20/2022
Date Signed: 12/20/2022 06:14:37 PM

Document Has Been Signed on 12/20/2022 06:14 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, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:FOOTPRINTS PRESCHOOLFACILITY NUMBER:
073408280
ADMINISTRATOR:WELDON, TRACIFACILITY TYPE:
850
ADDRESS:50 WOODSWORTH LNTELEPHONE:
(925) 685-7354
CITY:PLEASANT HILLSTATE: CAZIP CODE:
94523
CAPACITY: 32TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
12/20/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
03:25 PM
MET WITH:Mary- Margaret Robbers TIME COMPLETED:
06:20 PM
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On 12/20/22 at 3:25pm, Licensing Program Analyst (LPA) Catherine Fernandes met with Director Mary- Margaret Robbers for an Unannounced Required Annual Inspection and to put the center back on active status. There were no preschool children in care or enrolled as of now. The center was toured for a health and safety inspection. The facility operates from Monday through Friday from 7:45am–6:00pm.

The center operates out of the Faith Lutheran church, the entrance to the preschool is on the left side of the building. There are three classrooms, little fish, Seahorse, and sand dollars. The room floors, surfaces, furniture and equipment appear to be safe, sanitary and in good repair. The heating, lighting and ventilation is adequate. There is a total of four toilets and three sinks available for the children which are sanitary and in operational conditions. There are supplies available for the children to wash and dry their hands. There is a separate bathroom for staff. The activities and toys appear to be age appropriate for preschool aged children. The outside play area is the fully fenced and divided in to two sections. One of the two sections has a large play structure with rubber bark for cushioning, to absorb the impact from a fall. There is a shaded area over the play structure and the center plans on bringing out a portable canopy for additional shaded area. There are age appropriate outdoor toys, that appear to in good repair. LPA did not observe any bodies of water, free standing water, cleaning supplies, or toxic items accessible to children during todays inspection. The center prepares and provides snacks to the children while in care and lunches are brought from home. There is a current snack menu that is posted. In the event a child forgets lunch, or does not have enough, the facility will provide a lunch and/or inform the parent or guardian. The kitchen area was maintained in a clean manner. The children have their own cubbies in each of the classrooms to store their belongings. All children will have individual water bottles and while in the classroom and outdoors. There will be water jugs available in each of the classrooms. The center's fire and smoke system is hardwired with three pull station. There is a carbon monoxide detector in the hallway that leads to the outdoor play area, and two fully charged fire extinguishers.


All proper postings are made visible by the entrance of the preschool. The Director's file was complete and current.

REPORT CONTINUES ON 809C

SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Catherine Fernandes
LICENSING EVALUATOR SIGNATURE: DATE: 12/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/20/2022
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, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: FOOTPRINTS PRESCHOOL
FACILITY NUMBER: 073408280
VISIT DATE: 12/20/2022
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Director was reminded that EMSA approved Pediatric CPR & First Aid training must be completed every two (2) years. Personnel Roster must be properly maintained, and fire/disaster drill must be conducted every six (6) months and documented. Director was reminded that California Law requires all facilities to report unusual incidents or injuries to children in care, to child's parents, and to the Department of Social Services using the Unusual Incident/Injury form (LIC 624). Incidents must be reported within 24 hours by phone, fax, or email. LPA informed Director that all forms can be downloaded at www.ccld.ca.gov. Director was also informed that Mandated Reporter Training ("General" and "Child Care Providers") is required for all staff and is to be renewed every 2 years by visiting www.mandatedreporterca.com.

This facility provides 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.

Center does plan on providing IMS.

Director was reminded that all adults 18 and over, 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.

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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/process.

The following is needed to be on active status:


LIC308 Designation of Facility Responsible
Finger print clearance for the director

Notice of site visit needs to be posted for 30 days.
Exit interview conducted
Report and Appeal Rights provided
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Catherine Fernandes
LICENSING EVALUATOR SIGNATURE:

DATE: 12/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2022
LIC809 (FAS) - (06/04)
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