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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 010211015
Report Date: 04/22/2022
Date Signed: 04/22/2022 10:35:14 AM

Document Has Been Signed on 04/22/2022 10:35 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 STE 1102
OAKLAND, CA 94612
FACILITY NAME:LIVERMORE PLAYSCHOOLFACILITY NUMBER:
010211015
ADMINISTRATOR:ZAPIEN, ROBYNFACILITY TYPE:
850
ADDRESS:5261 EAST AVENUETELEPHONE:
(925) 447-6042
CITY:LIVERMORESTATE: CAZIP CODE:
94550
CAPACITY: 50TOTAL ENROLLED CHILDREN: 50CENSUS: 49DATE:
04/22/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Robyn ZapienTIME COMPLETED:
10:40 AM
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On April 22, 2021 at 8:10pm, Licensing Program Analyst (LPA) Simerjit Kaur met with facility Director Robyn Zapien, for an unannounced case management inspection. Present for today's inspection were 5 fingerprint cleared and associated staff and 49 preschool age children in care.Hours of operation are Monday through Friday from 7:00am - 6:00pm.

The facility has installed a play structure in the outdoor play area, which will be utilized for preschool program and school age program. The play structure was installed by the company Kaplan Playgrounds. The play structure is installed adjacent to preschool building (3's 4's and Junior K rooms). Facility Director Robyn Zapien provided document indicating age and weight appropriateness for play structure. The structure was observed to have sufficient Poured-in-Place Rubber Surface underneath to absorb a fall. LPA Kaur observed the structure to be firmly anchored to the ground throughout the inspection.

LPA reminded the Director that all further additions or changes to the facility, including outdoor play structures, must be approved by the Licensing Department before use by children. LPA reminded the Director that all play structures must be age-appropriate and kept in working order at all times.

There are no deficiencies cited today. This report shall remain on file for 3 years. Exit interview conducted with Director Robyn Zapien.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Simerjit Kaur
LICENSING EVALUATOR SIGNATURE: DATE: 04/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/22/2022
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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