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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 010214924
Report Date: 11/12/2024
Date Signed: 11/12/2024 12:27:40 PM

Document Has Been Signed on 11/12/2024 12:27 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:ADVENTURE TIME - WARWICKFACILITY NUMBER:
010214924
ADMINISTRATOR/
DIRECTOR:		SANTOS, LINDAFACILITY TYPE:
840
ADDRESS:3375 WARWICK ROADTELEPHONE:
(510) 797-6122
CITY:FREMONTSTATE: CAZIP CODE:
94555
CAPACITY: 108TOTAL ENROLLED CHILDREN: 87CENSUS: 7DATE:
11/12/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Linda SantosTIME VISIT/
INSPECTION COMPLETED:
12:45 PM
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On 11/12/2024 at 10:00AM, Licensing Program Analyst (LPA) Jaleesa met with Teacher Parimalam Prabahar for an Unannounced Annual/Random Inspection. Present for this inspection are 1 fingerprint cleared staff and 7 school aged children in care. Director Linda Santos arrived at the facility at 10:30AM. Facility operating hours are 7:00AM - 6:00PM Monday to Friday. The facility was toured to conduct a health and safety inspection.

The facility operates in a portable on the site of Warwick Elementary School. The classroom has heating and ventilation for safety and comfort. There are safe age-appropriate toys and learning materials available to children throughout the classroom. During today's inspection, all hazardous materials and toxins including disinfectants and cleaning solutions were observed to be made inaccessible to children. Furniture accessible to children was observed to be age-appropriate. The facility is providing filtered drinking water from a water cooler with disposable cups to children inside and outside the facility. LPA reviewed storage and documentation of children's medications; all medications are made inaccessible to children as it is kept in a locked cabinet and medications are in original containers with unaltered instructions and are not expired. There is one fully charged fire extinguisher. There is also a working carbon monoxide detector, smoke detector and working telephone. All required forms are posted in public view. Children are able to bring their own food from home or the facility escort children to pick up meals at the school cafeteria.

LPA toured the outdoor play area. The facility is sharing bathrooms with the elementary school and two play structures with the Warwick elementary school children. The schedule is staggered from the elementary school for outdoor play. The play structures are surrounded by tan bark to cushion falls. There is also a separate staff bathroom located on the premises. There are no bodies of water accessible to children at the time of inspection.

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SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Jaleesa Jackson
LICENSING EVALUATOR SIGNATURE: DATE: 11/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/12/2024
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: ADVENTURE TIME - WARWICK
FACILITY NUMBER: 010214924
VISIT DATE: 11/12/2024
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LPA reviewed 5 children's files and 2 staff files. All files reviewed were complete. LPA reviewed the sign in and sign out log and all children were properly signed in. There is at least one staff member on the premises with CPR and First Aid training. Disaster drills are conducted at least once every six months. The facility last conducted their drill on 10/17/2024.

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.

Facility representative 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 on 809-C
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Jaleesa Jackson
LICENSING EVALUATOR SIGNATURE:

DATE: 11/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/12/2024
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: ADVENTURE TIME - WARWICK
FACILITY NUMBER: 010214924
VISIT DATE: 11/12/2024
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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 Linda Santos.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Jaleesa Jackson
LICENSING EVALUATOR SIGNATURE:

DATE: 11/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/12/2024
LIC809 (FAS) - (06/04)
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