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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073408951
Report Date: 03/24/2023
Date Signed: 03/24/2023 04:34:25 PM

Document Has Been Signed on 03/24/2023 04:34 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:KIDS FIRST ACADEMYFACILITY NUMBER:
073408951
ADMINISTRATOR:AIMEE KRISTINA G. CARRILLOFACILITY TYPE:
850
ADDRESS:3764 CLAYTON RDTELEPHONE:
(925) 323-1737
CITY:CONCORDSTATE: CAZIP CODE:
94521
CAPACITY: 40TOTAL ENROLLED CHILDREN: 40CENSUS: 0DATE:
03/24/2023
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Aimee Kristina Carrillo
TIME COMPLETED:
04:30 PM
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On 03/24/23, Licensing Program Analysts (LPAs) Melissa Guirit and Melissa Domantay conducted a Prelicensing inspection today for the initial application that was submitted by the applicant. LPAs met with applicant, Kristina Carrillo and toured all areas of the facility for a health and safety inspection. The facility operates in one building with five levels. The entrance to the facility is to the right of the building, which is considered the ground floor. The hours of operation are Monday through Friday from 6:00am to 6:00pm. The measurements are as follows:

INDOORS: 2,111.36 = 60 children
OUTDOORS : 5,452.38 square feet = 73 children

A fire clearance, with a total capacity of 40 preschoolers, ages 2 years to first grade entry was received from the Contra Costa County Fire Protection Department on 03/17/23.

Each level of the facility will be utilized for children in care. The ground floor (entrance): area for school-age and preschool; Second floor: eating area, kitchen, children's bathroom and two preschool rooms; Third floor: two preschool classrooms and preschool bathroom; Fourth floor: preschool school-age areas; Fifth floor: preschool and school age room (may be utilized for therapy sessions/quiet area. LPAs observed that the classrooms has sufficient lighting and appears to be clean and in good condition. LPAs observed an ample supply of age appropriate activities, equipment and furniture. The facility has a total of nine sinks and six toilets for children to utilize and a separate staff bathroom on the fourth floor. The building has fully charged 3A40BC fire extinguishers, working fire alarm and carbon monoxide detectors, and first aid supplies. There is a working telephone at the center. LPAs did not observe any hazardous items that would be accessible to children. Facility will provide water for children, with water still accessible to children inside and outside. Facility will be part of the food program and will provide breakfast, AM snack, lunch, and early dinner. Facility will utilize electronic sign in/out. See 809-C for continuance.
SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Melissa Guirit
LICENSING EVALUATOR SIGNATURE: DATE: 03/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/24/2023
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: KIDS FIRST ACADEMY
FACILITY NUMBER: 073408951
VISIT DATE: 03/24/2023
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LPAs observed the two outdoor play areas, which are fully fenced. A waiver is needed for the outdoor play area on the ground level to be utilized by both preschool and school age components, ensuring there will be no commingling. There is sufficient cushion to absorb a child's fall under the play areas. LPAs observed shaded areas for children on the second level play yard. The ground level play yard will need some kind of shaded area for children. The isolation area will be in the the front desk area.

Maria Monica Barcena is considered a qualified Director with current CPR/First Aid, which expires 08/27/2023 and mandated reporter training's completed.

If this facility plans to provide Incidental Medical Services – IMS. A Plan of Operation that includes IMS must be submitted to the Department. 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.

Mandated reporter and appeal rights, civil penalties, unusual incident reporting and fingerprint requirements were discussed today. LPAs reviewed responses and provided technical assistance including postings. Licensee is also being informed of the web address (www.ccld.ca.gov) for downloading child care forms, and the director is encouraged to email ChildCareAdvocatesprogram@dss.ca.gov to be included in the Child Care Quarterly Updates distribution list. The director is also reminded that mandated reporter training is required for all staff and is to be renewed every 2 years at www.mandatedreporterca.com.

A preschool license for a capacity of 40 children, will remain pending until pending waivers are approved by LPM. There are no deficiencies being cited today. Exit interview conducted with applicant, Kristina Carrillo.
SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Melissa Guirit
LICENSING EVALUATOR SIGNATURE:

DATE: 03/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2023
LIC809 (FAS) - (06/04)
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