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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073409577
Report Date: 09/07/2023
Date Signed: 09/07/2023 01:47:06 PM

Document Has Been Signed on 09/07/2023 01:47 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:APPLETREE CHRISTIAN PRESCHOOL AT VINEYARD ACADEMYFACILITY NUMBER:
073409577
ADMINISTRATOR:APRIL BOWLES-CUDDIHYFACILITY TYPE:
850
ADDRESS:1770 ADAMS LANETELEPHONE:
(925) 518-7274
CITY:BRENTWOODSTATE: CAZIP CODE:
94513
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 0DATE:
09/07/2023
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:April CuddihyTIME COMPLETED:
02:00 PM
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On 09/7/23 Licensing Program Analyst (LPA) Melissa Domantay arrived at the facility for an announced pre licensing inspection. LPA met with the Applicant/Director April Cuddihy. An application for a preschool license was received for this facility. The facility will operate Monday-Friday 8:00AM to 10:30AM and 10:40AM to 1:10PM. The preschool has 1 designated classroom for children to utilize, Classroom B. The program will operate on the grounds of The Vineyard Academy. LPA toured all areas that will be used by and for children, to conduct a health and safety inspection, and the measurements are as follows:

INDOORS: 353.35 square feet= 10 children
OUTDOORS: 1617.00 square feet= 21 children

A fire clearance, with a total capacity of 60 preschoolers, ages 2 years to first grade entry, was received from the Contra Costa County Fire Protection Department, dated 8/10/23. Fire clearance granted for 60 preschoolers, maximum of 17 occupants in the classroom at any given time.

LPA observed that all areas have sufficient lighting, heating and ventilation for the safety and comfort of children and staff. The floors and surfaces are clean and in good condition. There is an ample supply of age appropriate activities, equipment, and furniture that is in good condition. There is a total of 1 toilet and 1 sink available for children, and they are in sanitary and operational condition. There is a separate bathroom for staff. The office will be used for the isolation of sick children. Snacks and lunch will be provided by families from home, facility will offer emergency snacks when needed. Children will utilize personal reusable water bottles and facility will provide water for children, with water still accessible to children inside and outside. The facility will utilize a manual sign in/out system. The facility is equipped with a fire extinguisher by the facility entrance, pull down fire alarms, a centralized smoke and carbon monoxide detection system, working telephone, and first aid supplies. LPA did not observe any hazardous items, toxins, bodies of water or medication accessible to children during today's inspection. See 809-C for continuance
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Melissa Domantay
LICENSING EVALUATOR SIGNATURE: DATE: 09/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/07/2023
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
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: APPLETREE CHRISTIAN PRESCHOOL AT VINEYARD ACADEMY
FACILITY NUMBER: 073409577
VISIT DATE: 09/07/2023
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LPA observed the outdoor play area, it is fully fenced and have amply supply of age appropriate activities, equipment, and furniture There is sufficient cushioning for children to cushion a fall. LPA observed ample amount of shade for children. Applicant/Director is reminded that children below the age of 3 years old should not utilize larger play structure per manufacturer instructions, it is intended for children 3 years to 10 years of age.

April Cuddihy is considered a qualified Director with current CPR/First Aid 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. LPA 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 10 children will be made part of the Preschool License with a total capacity of 10 is approved as of 9/7/2023. There are no deficiencies being cited today. Exit interview conducted with Applicant, April Cuddihy
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Melissa Domantay
LICENSING EVALUATOR SIGNATURE:

DATE: 09/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2023
LIC809 (FAS) - (06/04)
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