010211015-3-18-2022-52-CC-SKAR-CCMT9Z-20220318143245

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 010211015
Report Date: 03/18/2022
Date Signed: 03/18/2022 02:32:54 PM

Document Has Been Signed on 03/18/2022 02:32 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 STE 1102
OAKLAND, CA 94612

FACILITY NAME:	LIVERMORE PLAYSCHOOL		FACILITY NUMBER:	010211015
ADMINISTRATOR:	ZAPIEN, ROBYN		FACILITY TYPE:	850
ADDRESS:	5261 EAST AVENUE		TELEPHONE:	(925) 447-6042
CITY:	LIVERMORE	STATE: CA	ZIP CODE:	94550
CAPACITY:	50	CENSUS: 45	DATE:	03/18/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	07:40 AM
MET WITH:	Robyn Zapien		TIME COMPLETED:	02:45 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	On March 18, 2022, at approximately 7:40 am, Licensing Program Analyst (LPA) Simerjit Kaur arrived to conduct UNANNOUNCED RANDOM REQUIRED 1 YEAR SITE INSPECTION for Preschool age program and met with Director Robyn Zapien. Present during the inspection are 45 preschool age children and 9 fingerprint cleared staff members. The facility was toured for a health and safety inspection. The hours of operation are Monday through Friday, 7:00am to 6:00 pm. The facility has three buildings and the main(first) building is being utilize for the School Age program. The second building is for 2's classroom, and third/last building is for 3's/4's classroom for preschool age component. The main building also utilizes for Junior K's classroom during morning 8;45am-1:15pm. There are 2 combined bathroom for boys and girls, outside play ground, and staff bathroom. The facility has adequate heating and lighting. There is running water, soap, and paper towels available for children to wash and dry their hands. The center does provide morning/afternoon snacks and lunch. The menu is posted in each classroom. Disinfectants, cleaning solutions, poisons and other items that are dangerous to children were inaccessible during the inspection, today. The center is equipped with a First Aid Kit, working telephone, carbon monoxide detector, pull down fire alarm and fire extinguishers. There are no pools or similar bodies of water at this facility. There is drinking water readily available to children indoors and outdoors. The floors were free of tripping hazards during today's inspection. The kitchen/food preparation and storage areas appear to be clean and free of evidence of rodents, and food is protected against contamination. The storage containers for solid waste have tight-fitting covers. The classrooms are equipped with age appropriate tables and chairs. There is adequate storage for children's belongings. There are school materials and art supplies stored in the storage cabinet. Outdoor activity space and playground equipment was observed to be safe during today's inspection. There is cushioning underneath the anchored play structure. The outdoor play space is rotated with school age component. The center is in compliance with the sign in and out procedure. Children and staff records were reviewed and contained required licensing documents. All required documents are posted for public review. LPA reviewed and obtained facility roster. Continued on LIC 809C

SUPERVISOR'S NAME: Jason Jang	TELEPHONE: (510) 622-2631
LICENSING EVALUATOR NAME: Simerjit Kaur	TELEPHONE: (510) 622-2632
LICENSING EVALUATOR SIGNATURE:	DATE: 03/18/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2022

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 STE 1102
OAKLAND, CA 94612

FACILITY NAME: LIVERMORE PLAYSCHOOL	FACILITY NUMBER: 010211015
	VISIT DATE: 03/18/2022

NARRATIVE

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Licensee also has conducted and documented fire/earthquake/disaster drill training on 10/21/21. Teachers present today meet the qualification requirements. All Staff members have current CPR/First Aid certificate (completed on 05/2021) and have current mandated reporter training. The director has current mandated reporter training (completed on 11/02/21). There are no bodies of water at this facility during today's inspection. The facility is operating within its licensed capacity. LPA verified both opening and closing staff have current CPR/First aid training. Sign in/out logs are maintained.

Director is reminded that ALL assistants, volunteers, and staff, that are 18 years of age or older must be fingerprint cleared and associated to this facility prior to being in the presence of children in care or an immediate civil penalty will be assessed from $100 to $3000 per person, per incident. Director was reminded of the responsibility as a mandated reporter.
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 Evaluator Manual – Regulation Interpretations and Procedures for Child Care Center 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.

Licensee was encouraged to frequently visit our website at www.ccld.ca.gov for licensing regulations and updates, and to also email childcareadvocatesprogram@dss.ca.gov to be included in the Child Care Quarterly Updates distribution list.

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.

There were no deficiencies cited during today’s inspection. A notice of site visit was given and must remain posted for 30 days.Exit interview conducted.

SUPERVISOR'S NAME: Jason Jang	TELEPHONE: (510) 622-2631
LICENSING EVALUATOR NAME: Simerjit Kaur	TELEPHONE: (510) 622-2632
LICENSING EVALUATOR SIGNATURE:	DATE: 03/18/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2022

LIC809 (FAS) - (06/04)

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