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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 010205961
Report Date: 08/16/2023
Date Signed: 08/16/2023 02:43:39 PM

Document Has Been Signed on 08/16/2023 02:43 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 SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:FIRST BAPTIST PRESCHOOL - A KIDS KINGDOMFACILITY NUMBER:
010205961
ADMINISTRATOR:LISA MILLERFACILITY TYPE:
850
ADDRESS:18550 REDWOOD ROADTELEPHONE:
(510) 889-8800
CITY:CASTRO VALLEYSTATE: CAZIP CODE:
94546
CAPACITY: 29TOTAL ENROLLED CHILDREN: 29CENSUS: 20DATE:
08/16/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Lisa MillerTIME COMPLETED:
12:00 PM
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On 08/16/2023 at 11:30am, Licensing Program Analyst (LPA) Christina Uribe conducted an unannounced Case Management visit for the purpose of inspecting a new playground in the facility's outdoor play space. LPA met with Site Director, Lisa Miller. Also present during today's visit was 20 children and 2 staff.

LPA Uribe inspected the new play structure for a health and safety check. There is new padded ground surface beneath and surrounding the play structure. The new play structure is age-appropriate for preschool children and is in safe condition free from hazards. There is ample shade available and all other toys and materials appear to be in good condition. The square footage of the outdoor play area and the surrounding fence has not been changed and has remained the same since before the renovation. The director provided LPA with a copy of the manufacturer information for the play structure and the safety report performed by the installer's inspector. The new play structure and surrounding area has been approved for day care use as of today, 08/16/2023.

Notice of site visit was given and must remain posted for 30 days. Exit interview was conducted and report was reviewed with the director, Lisa Miller.
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Christina Uribe
LICENSING EVALUATOR SIGNATURE: DATE: 08/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/16/2023
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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