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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013411129
Report Date: 12/19/2024
Date Signed: 12/19/2024 05:46:33 PM

Document Has Been Signed on 12/19/2024 05:46 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 - NILESFACILITY NUMBER:
013411129
ADMINISTRATOR/
DIRECTOR:
WINKLEY, LINDYFACILITY TYPE:
840
ADDRESS:37141 2ND STREETTELEPHONE:
(510) 797-4806
CITY:FREMONTSTATE: CAZIP CODE:
94536
CAPACITY: 110TOTAL ENROLLED CHILDREN: 110CENSUS: 84DATE:
12/19/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:55 PM
MET WITH:Lindy WinkleyTIME VISIT/
INSPECTION COMPLETED:
05:45 PM
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On December 19, 2024 at approximately 3:55pm, Licensing Program Analyst (LPA) Randy Miranda arrived unannounced for an annual inspection for compliance to Health and Safety. Present for the inspection was the site director Lindy Winkley, nine (9) staff members, and eighty-four (84) children in care. The center currently operates Monday-Friday 7:00AM to 6:00PM.

Adventure Time Niles operates in a portable classroom on the campus of Niles Elementary School. Children have use of the school yard and playground. The playground is generally free of sharp, loose or pointed parts, however LPA observed wooden planks that line the perimeter curbing of the play structure area are loose and/or cracked. Areas around or under high climbing equipment has tanbark material that absorbs a fall. Shade is available under building eaves and large trees on the property line and near the main school buildings. Fresh bottled drinking water is available to children, teachers are always present.



All documents required to be posted were appropriately posted on the walls: License; Emergency Disaster Plan; Earthquake Preparedness checklist; Notification of Parents Rights; Personal rights; Child seatbelt laws; menus; daily activity schedules. There are no waivers for this facility.

The facility has 2 fully charged 3A40BC fire extinguishers, one mounted next to each classroom door. The last annual inspection was conducted 7/17/2024. Adatto Security & Communications – dba. Fremont Alarm conducted a fire system inspection on 11/17/2024; there were no violations, systems passed. The carbon monoxide detectors were tested and functioning. Disaster drills are conducted at least once every six months, the last drill was conducted 11/21/2024. Heating and ventilation in the classroom is acceptable.
The facility is clean and well organized with ample age appropriate furnishings and equipment. Surfaces including floors and counter tops are clean and toxic free. Hazardous items/toxins are kept in a locked cabinet. There are no bodies of water accessible to children in care. Classrooms have trash cans with tight fitting cover for the disposal of solid waste.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Randy Miranda
LICENSING EVALUATOR SIGNATURE: DATE: 12/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/19/2024
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 - NILES
FACILITY NUMBER: 013411129
VISIT DATE: 12/19/2024
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The center provides snacks and children bring their own lunch from home. Dry goods and canned foods were checked, everything was within expire date. LPA observed chocolate milk inside the refrigerator and the director stated it was used for “Parent Night” making hot cocoa. Children use Nile School bathrooms. The staff have separate adult bathrooms located in the school.

Due to time constraints, LPA was not able to complete the annual inspection today. LPA will return on another day to complete today's inspection. No deficiencies were cited today.

A Notice of Site Visit was given and must remain posted for 30 days. Appeal Rights provided.



Exit interview was conducted and report was reviewed with the Site Director Lindy Winkley.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Randy Miranda
LICENSING EVALUATOR SIGNATURE:

DATE: 12/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2024
LIC809 (FAS) - (06/04)
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