010212490-1-29-2025-02-CC-ILOA-DDDV54-20250129150720

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 010212490
Report Date: 01/29/2025
Date Signed: 01/29/2025 03:07:34 PM

Document Has Been Signed on 01/29/2025 03:07 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
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME:	UCB - HAROLD E. JONES CHILD STUDY CTR/CHILDCARE		FACILITY NUMBER:	010212490
ADMINISTRATOR/ DIRECTOR:	IRIS BRADFORD		FACILITY TYPE:	850
ADDRESS:	2425 ATHERTON STREET		TELEPHONE:	(510) 643-5449
CITY:	BERKELEY	STATE: CA	ZIP CODE:	94704
CAPACITY: 56	TOTAL ENROLLED CHILDREN: 56	CENSUS: 26	DATE:	01/29/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:30 AM
MET WITH:	Alexander "Sasha" Leveton		TIME VISIT/ INSPECTION COMPLETED:	03:20 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On January 29, 2025 Licensing Program Analyst (LPA) Indira Loza met with Director Alexander "Sasha" Levanton for an unannounced Annual/Random inspection. Present during the inspection were 26 preschoolers and 7 fingerprint cleared staff. The teacher/child ratio was being met today. The center was toured for a health and safety check. This center operates Monday through Friday 8:15am to 5:15pm. CLASSROOMS: The preschool operates out of two classrooms. There is adequate heating/air conditioning, ventilation, and lighting. There were no cleaning supplies or toxic items accessible to children. The toys appear to be safe and well maintained. There were play and learning materials available for the children and each classroom had plenty of age appropriate activities. The furniture and equipment are age appropriate and in good repair. There is proper individual storage space for each child. The center is equipped smoke detectors which are hardwired throughout the facility, carbon monoxide detector, telephone, and pull down fire alarm system - all were in working order. There are multiple fully charged 3A40BC fire extinguishers throughout the facility. FOOD SERVICE AREAS: The center provides Breakfast, Lunch, and one afternoon snack to the children. The food is prepared and delivered by the UC Berkeley CalDining program. There are menus posted. Water is provided to the children from Brita water jugs which are filled with tap water. OUTDOOR PLAY AREAS: Both classes have a playground dedicated to their class. The outdoor play areas are fully fenced in. There were plenty of age appropriate activities and shade for the children in care. There is plenty of space for the children to run and develop their gross motor skills. There are no bodies of water or pools on the daycare premises. Both play areas are free of hazards, such as holes, broken glass, and other debris. Each yard has a sandbox which are covered at the end of the day to keep out any hazardous foreign materials. The play structures were anchored and had cushioning material underneath to absorb any falls.

SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Indira Loza
LICENSING EVALUATOR SIGNATURE:	DATE: 01/29/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2025

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
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: UCB - HAROLD E. JONES CHILD STUDY CTR/CHILDCARE	FACILITY NUMBER: 010212490
	VISIT DATE: 01/29/2025

NARRATIVE

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BATHROOMS: The center has separate bathrooms designated for staff and children. Toilets and faucets are in safe and sanitary operating condition. The children are able to reach the sinks and toilets.

RECORDS: LPA reviewed 5 children files and 8 staff files. All files reviewed were complete. All individuals subject to criminal record review have a criminal record clearance. All required documents are posted for public review. There are multiple staff members with current CPR certification during all hours of the day. A physical census of the children was taken and cross referenced with the sign-in and out log. All children were accounted for and properly signed in. The center is up to date with the disaster drills - the last drill was conducted on 12/11/24.

Director was reminded that EMSA approved Pediatric CPR & First Aid training must be completed every two (2) years. Personnel Roster must be properly maintained, and fire/disaster drill must be conducted every six (6) months and documented. Director was reminded that California Law requires all facilities to report unusual incidents or injuries to children in care, to child's parents, and to the Department of Social Services using the Unusual Incident/Injury form (LIC 624). Incidents must be reported within 24 hours by phone or fax. LPA informed Director that all forms can be downloaded at www.ccld.ca.gov. Director was also informed that Mandated Reporter Training ("General" and "Child Care Providers") is required for all staff and is to be renewed every 2 years by visiting www.mandatedreporterca.com.

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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.

Director 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.

This facility is currently providing Incidental Medical Services (IMS). LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see

SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Indira Loza
LICENSING EVALUATOR SIGNATURE:	DATE: 01/29/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2025

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
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: UCB - HAROLD E. JONES CHILD STUDY CTR/CHILDCARE	FACILITY NUMBER: 010212490
	VISIT DATE: 01/29/2025

NARRATIVE

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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/.

Director 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). LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.
CCC COMPLETED TESTING AND IS IN THE PROCESS OF REMEDIATING LEAD EXCEEDANCES, LPA referred Director to the Department website for lead: Lead Toxicity Prevention and Water Testing Information.

See LIC809-D for one Type B citation.

Exit interview conducted.
Report and appeal rights was reviewed with Director Alexander "Sasha" Levaton.
Notice of Site Visit provided and must remain posted for 30 days.

SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Indira Loza
LICENSING EVALUATOR SIGNATURE:	DATE: 01/29/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2025

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 01/29/2025 03:07 PM - It Cannot Be Edited

Created By: Indira Loza On 01/29/2025 at 02:32 PM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: UCB - HAROLD E. JONES CHILD STUDY CTR/CHILDCARE	FACILITY NUMBER: 010212490
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/29/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

101700.3(b)(2)

(2) Licensees shall maintain a lead value at or below the Action Level of 5 ppb in all outlets subject to the testing requirements of these Written Directives, for the health and safety of children in care. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above as outlet "F" exceeded the acceptable amount of lead allowed in a childcare center which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 02/28/2025
	Plan of Correction
1 2 3 4	Director shall permanently disable the water outlet from being used and send photos of the capped water faucet to the LPA no later than February 28, 2025.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME:

Mayla Mendoza

LICENSING EVALUATOR NAME:

Indira Loza

LICENSING EVALUATOR SIGNATURE:

DATE: 01/29/2025

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2025

LIC809 (FAS) - (06/04)

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