073408882-8-19-2021-02-CC-PPEN-C62TXN-20210819150726

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 073408882
Report Date: 08/19/2021
Date Signed: 08/19/2021 03:07:32 PM

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:	ADVENTURE KINDERLAND AKADEMY		FACILITY NUMBER:	073408882
ADMINISTRATOR:	SCOTT, THOMAS		FACILITY TYPE:	850
ADDRESS:	12411 SAN PABLO AVENUE		TELEPHONE:	(510) 680-5242
CITY:	RICHMOND	STATE: CA	ZIP CODE:	94805
CAPACITY:	35	CENSUS: 0	DATE:	08/19/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Victoria Scott/Thomas Scott		TIME COMPLETED:	03:15 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst (LPA) Paul Petersen conducted an annual required site inspection for this facility at 1:30 PM. LPA met with licensees, Thomas Scott, and , Vicktoriya Scott, who arrived while LPA was present. There were no children in care during this inspection and per licensee, the facility has not enrolled children to active day care since becoming licensed. The facility is within ratio and capacity. Both licensees are background cleared and associated to this facility. This program is a preschool which operates out of 3 classroom areas, the snack/arts & craft room, indoor gross motor area/activity space and adjacent hallway space all located on the first floor of a two story building. The entire upstairs is off limits to children and there is child safety gating at the base of the stairs. The indoor gross motor area/activity space has slides and climbing equipment which are securely anchored and free of sharp or broken pieces. The preschool classrooms have age-appropriate furnishings, equipment and play items which are free of broken or sharp pieces. There are smoke detectors and carbon monoxide detectors present. The most recent fire department inspection was 06/2021. Fire Extinguishers are fully charged. Counters and surfaces, including floors, are free of toxins and observed hazardous conditions. There were no toxins/cleaning agents/hazardous materials observed to be accessible to children. Bathrooms are age appropriate and toilets and faucets are in working condition. In door and outdoor drinking water is available via water pitchers and cups. The facility appears to be free of pests. The outdoor playground area is fully fenced. There are no pools, ponds or other bodies of water present. There are no pieces of high climbing equipment or swings present outdoors. There is a storage shed in the outdoor area which will remain closed/latched and off limits to children in care. Continued on Page 2********************************************************************

SUPERVISOR'S NAME: Mayla Mendoza	TELEPHONE: (510) 292-2724
LICENSING EVALUATOR NAME: Paul Peterson	TELEPHONE: (510) 368-2672
LICENSING EVALUATOR SIGNATURE:	DATE: 08/19/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2021

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: ADVENTURE KINDERLAND AKADEMY	FACILITY NUMBER: 073408882
	VISIT DATE: 08/19/2021

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Facility personnel and children's records packets were reviewed. Children's packets are complete. The facility will submit director qualification paperwork for the facility's new director prior to enrolling children in care.

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 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

Staff are encouraged to visit www.ccld.ca.gov for licensing updates and forms. To subscribe to receive licensing PINs use: https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe https://www.cdss.ca.gov/inforesources/community-care/self-assessment-guides-and-key-indicator-tools/quarterly-updates.
Contra Costa Public Health COVID Guidance for Childcare Facilities: www.coronavirus.cchealth.org/for-schools-and-childcare

No deficiencies were cited during today's inspection. A copy of the appeal rights was provided and a notice of site visit which is to remain posted for 30 days. A copy of this report was is to be maintained in the facility records for a period of three years.

SUPERVISOR'S NAME: Mayla Mendoza	TELEPHONE: (510) 292-2724
LICENSING EVALUATOR NAME: Paul Peterson	TELEPHONE: (510) 368-2672
LICENSING EVALUATOR SIGNATURE:	DATE: 08/19/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2021

LIC809 (FAS) - (06/04)

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