483009973-8-29-2024-01-CC-CCAO-D8LQ8A-20240829115624

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 483009973
Report Date: 08/29/2024
Date Signed: 08/29/2024 11:56:31 AM

Document Has Been Signed on 08/29/2024 11:56 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA CC RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME:	VCUSD GLEN COVE CDC P/S		FACILITY NUMBER:	483009973
ADMINISTRATOR/ DIRECTOR:	CLAUDETTE, KELLY		FACILITY TYPE:	850
ADDRESS:	501 GLEN COVE PARKWAY		TELEPHONE:	(707) 556-8491
CITY:	VALLEJO	STATE: CA	ZIP CODE:	94591
CAPACITY: 48	TOTAL ENROLLED CHILDREN: 0	CENSUS: 0	DATE:	08/29/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:39 AM
MET WITH:	Claudette Kelly		TIME VISIT/ INSPECTION COMPLETED:	12:15 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

A required annual/random inspection was made to the facility by Licensing Program Analyst (LPA), Cindy Castro. LPA met with Site Supervisor, Claudette Kelly. Facility representative was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated. This program operates in DK and A-5 classrooms on the premise of the Glen Cove Elementary School, is operated by a public agency and is a Title 5 funded program. The facility did not have a waiver.

The facility’s operating hours are 7:00AM- 5:30PM, Monday – Friday, year-round. The facility was toured inside and outside, and the floor and yard plan submitted were verified. Items which could pose a danger to children (such as detergents, cleaning compounds and medications) were observed to be inaccessible to children and located out of reach of children.

LPA did not observe any poison(s). The facility was free of flies, insects and rodents. The toys, floors, and other equipment and surfaces appeared clean, toxic free, safe for children and in good condition. Facility had age-appropriate furniture and equipment. The bathrooms and hand washing area appeared to be in safe and sanitary operating condition. There was sufficient napping equipment available that met the requirements.

Continued on LIC 809-C.

SUPERVISORS NAME: Alexis Hollon
LICENSING EVALUATOR NAME: Cindy Castro
LICENSING EVALUATOR SIGNATURE:	DATE: 08/29/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 3

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA CC RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: VCUSD GLEN COVE CDC P/S	FACILITY NUMBER: 483009973
	VISIT DATE: 08/29/2024

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
26
27
28
29
30
31
32

The center’s isolation area for any child who becomes ill while in care is in the Site Supervisors office which is located in the A-pod. There is uncontaminated drinking water available to children both indoors and outdoors. Classrooms have a drinking fountain and bottled water is keep in DK classroom storage room. A current menu and activities schedule were posted. The school district food services provides breakfast, lunch and snacks to the facility. Food is properly stored and refrigerated as needed. Garbage cans containing solid waste have tight fitting lids. The playground was free of hazards and there was wood chips underneath and around the areas of the high climbing equipment(s). The playground equipment and surface areas are in safe condition. Classrooms had a working carbon monoxide and smoke detectors, and a fully charged fire extinguisher rated at least 2A10BC. There were no bodies of water observed on the site. Site Supervisor stated no weapons are stored on site, and none were observed.

During today's inspection there were no children being supervised. Site Supervisor stated that program is currently in the process of enrolling children. Present during inspection was one Teacher and one Child Development Associate (CDA). At least one staff member present during the visit possessed current CPR and First Aid certification, which expires 11/18/2025.

Three staff files were reviewed.

LPA verified that the lead testing was completed in accordance with the Written Directives outlined in PIN 21-21.1-CCP. Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For childcare center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP). CCC completed testing and is compliant. Continued on LIC809-C

SUPERVISORS NAME: Alexis Hollon
LICENSING EVALUATOR NAME: Cindy Castro
LICENSING EVALUATOR SIGNATURE:	DATE: 08/29/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2024

LIC809 (FAS) - (06/04)

Page: 2 of 3

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA CC RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: VCUSD GLEN COVE CDC P/S	FACILITY NUMBER: 483009973
	VISIT DATE: 08/29/2024

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
26
27
28
29
30
31
32

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication. Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

Facility representative was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process.

There were no Title 22 deficiencies cited during today's inspection.

A notice of site visit was given to facility representative and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

Exit interview conducted and report was reviewed with Site Supervisor, Claudette Kelly.

SUPERVISORS NAME: Alexis Hollon
LICENSING EVALUATOR NAME: Cindy Castro
LICENSING EVALUATOR SIGNATURE:	DATE: 08/29/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2024

LIC809 (FAS) - (06/04)

Page: 3 of 3