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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 010211396
Report Date: 01/07/2025
Date Signed: 01/07/2025 09:44:32 AM

Document Has Been Signed on 01/07/2025 09:44 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 SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:YMCA OF THE EAST BAY Y-KIDS DURHAMFACILITY NUMBER:
010211396
ADMINISTRATOR/
DIRECTOR:		PAYTON MCQUILLANFACILITY TYPE:
840
ADDRESS:40292 LESLIE STREETTELEPHONE:
(510) 683-9107
CITY:FREMONTSTATE: CAZIP CODE:
94538
CAPACITY: 41TOTAL ENROLLED CHILDREN: 41CENSUS: 3DATE:
01/07/2025
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Vicki CosterTIME VISIT/
INSPECTION COMPLETED:
10:30 AM
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Centralized Application Bureau (CAB) Licensing Program Analyst (LPA) Alecia Sifuentes met with Area Manager/Licensee Representative Vicki Coster and Center Director Payton McQuillan for the purpose of a case management inspection. Licensee requests a change of capacity for 112 school-age children ages TK to 5th grade. The fire clearance (STD850) was granted and received on 12/30/2024. The program currently operates Monday through Friday from 7:00 a.m. to 6:00 p.m.

INDOOR ACTIVITY SPACE:
The program is located at Durham Elementary School. There are two school-age rooms located in Y-Kids Portable and the Multipurpose Room (MPR). LPA observed a sufficient amount of equipment, toys, tables, and chairs. Per Health and Safety Code 1596.806, the school-age component is exempt from square footage requirements; therefore, LPA did not take measurements of the school-age classroom. The school-age children will use the school’s restrooms, and a separate private restroom for the staff located in the front of the school.

OUTDOOR ACTIVITY SPACE:
There is one outdoor area on the property. The outdoor play area is fenced with a chain link fence that is at least four feet tall. LPA observed a sufficient amount of equipment and toys. There are no bodies of water on the premises. There are shaded areas supplied by trees and overhangs. Per Health and Safety Code 1596.806, the facility is exempt from square footage requirement; therefore, LPA did not take measurements.

Report continues on LIC809-C.
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Alecia Sifuentes
LICENSING EVALUATOR SIGNATURE: DATE: 01/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/07/2025
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: YMCA OF THE EAST BAY Y-KIDS DURHAM
FACILITY NUMBER: 010211396
VISIT DATE: 01/07/2025
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Director was reminded that all adults 18 and over, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with Area Manager Vicki Coster.

Effective today, 1/7/2025, LPA will approve the change of capacity for 112 school-age children ages TK to 5th grade.
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Alecia Sifuentes
LICENSING EVALUATOR SIGNATURE:

DATE: 01/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2025
LIC809 (FAS) - (06/04)
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