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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 010209917
Report Date: 05/12/2023
Date Signed: 05/12/2023 11:49:40 AM

Document Has Been Signed on 05/12/2023 11:49 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
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:ALBANY PRESCHOOLFACILITY NUMBER:
010209917
ADMINISTRATOR:MARTLING, NANCYFACILITY TYPE:
850
ADDRESS:850 MASONIC AVENUETELEPHONE:
(510) 527-2281
CITY:ALBANYSTATE: CAZIP CODE:
94706
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 18DATE:
05/12/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Nancy MartlingTIME COMPLETED:
11:30 AM
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On 05/012/23, Licensing Program Analyst (LPA) Melissa Guirit arrived at the facility for an unannounced case management inspection for a change of capacity. LPA met with Director, Nancy Martling. Present for today's inspection were 18 children, 4 staff, and one parent volunteer. The normal hours of operation are Monday-Friday 8:00am-6:00pm. LPA conducted a tour of all the classrooms to conduct a health and safety inspection with Nancy. One classroom will be utilized along with two outdoor play yards. Measurements and classroom remains the same.

A fire clearance was received from the Albany Fire Department for 30 preschoolers two years to first grade entry on 02/22/23.

LPA observed that the classroom has sufficient lighting and appears to be clean and in good condition. LPA observed an ample supply of age appropriate activities, equipment, furniture, and are equipped with varied age appropriate materials and equipment. The outdoor play areas are fully fenced and have ample supply of age appropriate activities, equipment, and furniture. There is sufficient cushion to absorb a child's fall under the play structures and play areas. LPA observed ample amount of shade for children. The building has a fully charged 3A40BC fire extinguisher and first aid supplies. There is a working telephone at the center. The center utilizes manual sign in/out procedures. LPA did not observe any hazardous items that would be accessible to children.

A license for a capacity of 30 preschoolers is effective today 05/12/23, and can be used when the facility is ready. There are no deficiencies being cited today. A Notice of Site inspection was provided to Director, Nancy Martling and an exit interview was conducted.
SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Melissa Guirit
LICENSING EVALUATOR SIGNATURE: DATE: 05/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/12/2023
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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