073400446-5-14-2024-02-CC-AAKE-D59PFV-20240514111721

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 073400446
Report Date: 05/03/2024
Date Signed: 05/14/2024 11:17:32 AM

Document Has Been Signed on 05/14/2024 11:17 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
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME:	SAINT TIMOTHY'S EPISCOPAL NOAH'S ARK PRESCHOOL		FACILITY NUMBER:	073400446
ADMINISTRATOR:	SHIPRA RASTOGI		FACILITY TYPE:	850
ADDRESS:	1550 DIABLO ROAD		TELEPHONE:	(925) 362-8565
CITY:	DANVILLE	STATE: CA	ZIP CODE:	94526
CAPACITY:	40	CENSUS: 21	DATE:	05/03/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Shipra Rastogi		TIME COMPLETED:	12:00 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 5/14/2024 at 8:30 am Licensing Program Analyst (LPA) Ashley Akinleye arrived at Saint Timothy’s Episcopal Noah’s Ark Preschool Center to conduct an unannounced 2 year annual inspection. LPA was met by Director Shipra Rastogi. LPA explained the purpose for today’s visit and was granted access to the facility. Hours of operation are 9:00am – 12:00pm, Monday – Thursday, and Friday as an option for enrichment. Director Shipra Rastogi confirmed that there are 22 children currently enrolled. LPA toured the physical plant with Director Shipra Rastogi for a health and safety inspection. The premises include 5 classrooms, bathrooms and an outdoor playground. The main entrance to the facility is near the hallway of the parking lot. There are 5 classrooms. Four of which are currently in use and one that is used for storage. Room 1, Room 2, Room 3, Room 4, Room 5 The indoor spaces, restrooms, storage and pantries were inspected and observed to be neat and clean. Disinfectants, cleaning solutions, and other items that are dangerous to the health and safety of children were stored in places inaccessible to them. Cabinets, drawers, and rooms used for storage were locked. Furniture and equipment were age appropriate and in good condition, free of sharp, loose, or pointed parts. Restrooms for children were observed to be in safe, sanitary, and functioning condition. Floors were clean and free from tripping hazard. Foods and beverages were stored safely. Food storage area were clean, free of litter, rubbish, and rodents/vermin.

SUPERVISOR'S NAME: Sherelle Johnson	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Ashley Akinleye	TELEPHONE: (510) 926-9152
LICENSING EVALUATOR SIGNATURE:	DATE: 05/03/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2024

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: SAINT TIMOTHY'S EPISCOPAL NOAH'S ARK PRESCHOOL	FACILITY NUMBER: 073400446
	VISIT DATE: 05/03/2024

NARRATIVE

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LPA observed a working a 3A40BC fire extinguisher, along with smoke and carbon monoxide detectors. Fire Drill and Earthquake Log shows that the last Fire Drill was conducted on April 23, 2024. The facility also conducted one during inspection May 14, 2024.

This facility does not provide transportation for children, but center staff understands that children cannot be left alone, unattended in parked vehicles.

Facility’s License, Parents’ Rights Poster PUB 393, Personal Rights, Activity Schedules, and Menus were observed to be posted.

LPA toured the outdoor space with Director Shipra Rastogi. LPA observed multiple play structures, a garden and a storage room. The outdoor space was fenced and play equipment was maintained in good condition and free of hazards. Areas around and under high climbing equipment and slides were cushioned with material that absorbs falls. Shade is provided by way of covered areas. There were no bodies of water observed. Drinking water is arranged to be readily available to children during indoor and outdoor activities.

Children sign in and out procedures and logs were reviewed. A sampling of Children and Staff files was taken for review. All files contained required documents.

There was at least one Teacher with current certification in Pediatric CPR/First Aid present at the facility during inspection. Children's Roster was reviewed, and a copy obtained.

On or before March 30, 2018 any person who works in a child care facility shall complete Mandated Reporter training and renew the training every 2 years. Website provided: https://www.mandatedreporterca.com/training/child-care-providers.

Review of staff files show that one staff has not completed Mandated Reporter training per the stated regulation above. Staff record review revealed that the staff's certificate expired 1/24/24.

SUPERVISOR'S NAME: Sherelle Johnson	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Ashley Akinleye	TELEPHONE: (510) 926-9152
LICENSING EVALUATOR SIGNATURE:	DATE: 05/14/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2024

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: SAINT TIMOTHY'S EPISCOPAL NOAH'S ARK PRESCHOOL	FACILITY NUMBER: 073400446
	VISIT DATE: 05/03/2024

NARRATIVE

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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 child care 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 21-21.1CCP). LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02CCP. When any IMS is provided, an updated 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) 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/.

Center Director 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.

Center Director 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.

SUPERVISOR'S NAME: Sherelle Johnson	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Ashley Akinleye	TELEPHONE: (510) 926-9152
LICENSING EVALUATOR SIGNATURE:	DATE: 05/14/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2024

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: SAINT TIMOTHY'S EPISCOPAL NOAH'S ARK PRESCHOOL	FACILITY NUMBER: 073400446
	VISIT DATE: 05/03/2024

NARRATIVE

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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.

In all areas inspected today no regulatory citations were provided. However, center was reminded that medications need to have proper packaging along with the medication in order to ensure the expiration date has not passed. Also, center was reminded that medications that have expired should be replaced and replenished by parents by or before the expiration date. LPA also provided California Child Passenger Safety Law form to center to be posted as required.

Exit Interview was conducted with center director Shipra Rastogi. A copy of report and appeal rights were provided for review. A notice of site visit was provided to be posted for 30 days.

SUPERVISOR'S NAME: Sherelle Johnson	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Ashley Akinleye	TELEPHONE: (510) 926-9152
LICENSING EVALUATOR SIGNATURE:	DATE: 05/14/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2024

LIC809 (FAS) - (06/04)

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