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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 010211015
Report Date: 12/04/2024
Date Signed: 12/04/2024 03:33:31 PM

Document Has Been Signed on 12/04/2024 03:33 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 CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:LIVERMORE PLAYSCHOOLFACILITY NUMBER:
010211015
ADMINISTRATOR/
DIRECTOR:		ZAPIEN, ROBYNFACILITY TYPE:
850
ADDRESS:5261 EAST AVENUETELEPHONE:
(925) 447-6042
CITY:LIVERMORESTATE: CAZIP CODE:
94550
CAPACITY: 50TOTAL ENROLLED CHILDREN: 81CENSUS: 58DATE:
12/04/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:15 PM
MET WITH:Robyn ZapienTIME VISIT/
INSPECTION COMPLETED:
03:45 PM
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On 12/4/2024 at 12:15PM Licensing Program Analyst (LPA) Jaleesa Jackson met with Director Robyn Zapien for an Unannounced Annual/Random Inspection. Present for this inspection were 58 preschool aged children along with 9 fingerprint cleared staff members. Facility operating hours are 7:00AM - 6:00PM Monday to Friday. The facility was toured to conduct a health and safety inspection. The facility holds a school aged license as well #13418185.

The facility operates out of 4 classrooms. All classrooms had age appropriate equipment and toys. The classrooms are clean with heating and ventilation for safety and comfort. During today's inspection all hazardous materials and toxins including disinfectants and cleaning solutions were observed to be made inaccessible to children. Each classroom had individualized storage space for each child that they are able to store their personal belongings. Director stated blankets and sheets are also cleaned weekly by facility staff with the on site laundry room. The facility has water stations throughout the premises for drinking water. The children bring their own water bottles from home.

All outdoor play equipment was observed to be operable and age-appropriate during this inspection. Areas around slides and high climbing structures are cushioned to absorb falls. There are plenty of trees and structures to provide shade. There were also several sheds that are used for toy storage that are locked.

Director stated the menu is updated weekly. The facility provides lunch and snacks in the morning and afternoons. LPA also toured the kitchen and storage area that is OFF limits to children. LPA also reviewed children's medications are also stored in the kitchen area, which has proper documentation and are in original unexpired containers.


Continued 809-C
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Jaleesa Jackson
LICENSING EVALUATOR SIGNATURE: DATE: 12/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/04/2024
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 SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: LIVERMORE PLAYSCHOOL
FACILITY NUMBER: 010211015
VISIT DATE: 12/04/2024
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LPA reviewed 5 children files and 10 staff files. All staff have completed Mandated Reporter training. There is at least one staff member present on site that has pediatric CPR and First Aid. The facility has fire extinguishers, working smoke detectors, working carbon monoxide detectors throughout the facility. Disaster drills are conducted at least once every six months. The last drill was conducted on 9/13/2024. All required forms are posted in public view.

There were no deficiencies cited on today's visit.

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.

Licensee 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.

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 21-21.1- CCP).


Continued 809-C
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Jaleesa Jackson
LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2024
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 SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: LIVERMORE PLAYSCHOOL
FACILITY NUMBER: 010211015
VISIT DATE: 12/04/2024
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LPA referred facility representative to the Department website for lead: Lead Toxicity Prevention and Water Testing Information.


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 PIN 22-02-CCP. 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/.

Facility Representative 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.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Facility Representative Robyn Zapien.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Jaleesa Jackson
LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2024
LIC809 (FAS) - (06/04)
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