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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013415193
Report Date: 09/12/2023
Date Signed: 09/12/2023 10:58:04 AM

Document Has Been Signed on 09/12/2023 10:58 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 EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:CELEBRATION LEARNING CENTERFACILITY NUMBER:
013415193
ADMINISTRATOR:IHRIG, CYNTHIAFACILITY TYPE:
850
ADDRESS:1135 BLUEBELL DRIVETELEPHONE:
(925) 245-1252
CITY:LIVERMORESTATE: CAZIP CODE:
94550
CAPACITY: 45TOTAL ENROLLED CHILDREN: 45CENSUS: DATE:
09/12/2023
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Sarah BakerTIME COMPLETED:
11:15 AM
NARRATIVE
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On 09/12/2023 at 10:00am, Licensing Program Managers (LPMs) Wynn Norona, Chandra Charles & Jason Jang met with Site Director, Sarah Baker and Family Life Pastor & Head of Schools, Coreen Hudson for an in-person office meeting. Also present for today's meeting representing CCLD is Assistant Program Administrator (APA) Carol Marcroft & Licensing Program Analyst (LPA) Christina Uribe. The purpose of today's meeting is to review the Stipulation and Waiver, and Order. The specifications of sections 2D-W were brought to the attention of the facility representatives which identify items that are outstanding and are in need of attention and correction prior to re-issuance of the facility's license. Facility representatives were provided a copy of the legal stipulation discussed today.

The revocation order is stayed and will transition into a probation period at this time. A complete application will need to be submitted by the facility and items starting at 2D will need to be addressed. APA Marcroft discussed Inspection Authority of CCLD and the facility's responsibility and duties pertaining to such as specified in the stipulation. Personnel records are to be completed, maintained, and available for review by the Department at all times, including the Personnel Report (LIC 500) form. The facility will create a written statement declaring the hiring & training practices of the facility which are to be submitted to the Department, including new and on-going training for staff. All hazardous materials including cleaning compounds are to be secured and out of reach to children at all times. Children's and client records are to be completed, maintained, and available for review by the Department at all times, including Facility Roster (LIC 9040) form. The facility must obtain a new fire clearance and a new Facility Sketch (LIC 999) will need to be submitted to the Department. Once a new facility sketch has been received, A new Fire Clearance Request (LIC 850) form will be submitted by CCLD to the Livermore Fire Department.


Page 1 of 2 ***Continued on LIC 809C***
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Christina Uribe
LICENSING EVALUATOR SIGNATURE: DATE: 09/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/12/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: CELEBRATION LEARNING CENTER
FACILITY NUMBER: 013415193
VISIT DATE: 09/12/2023
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Once the application has been received and all requirements stated in the stipulation have been met, a pre-licensing inspection will be performed by CCLD. LPM Norona suggested that the facility representatives perform their own thorough walk through of the facility prior to the pre-licensing inspection appointment to ensure that the facility is ready for the inspection visit to be issued a new license. LPM Jang advised the facility representatives to obtain a copy of the Application Instructions for Child Care Centers (281A) form. The facility will be issued a probationary license which will be for the duration of 2 years, at which point the facility will be issued a regulatory license should all conditions of the terms of the probation be met. Along with the probation period, the facility is subject to receiving a monitoring fee for this duration.

Facility representatives asked questions regarding the Department's right to interview children in a licensed facility and restrictions of the license as it relates to the maximum age of children which are allowed to be in attendance at the facility and these items were discussed with LPMs & APA. LPM Charles instructed the facility representative to complete and submit Designation of Facility Responsibility (LIC 308) form for any staff members who may act as the facility representative in the absence of the director and an additional point of contact for CCLD. Facility representative, Hudson, asked about terms of use for each classroom to be used for each component (preschool & school-age). LPM Norona explained that the capacity of the license is not to be changed, however, these items and classification of the daily use of each room should be specified in the Facility Sketch and on the application.

Exit interview was conducted and report was reviewed with the facility representatives, Director, Sarah Baker, and Family Life Pastor & Head of Schools, Coreen Hudson.











Page 2 of 2 ***End of Report***
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Christina Uribe
LICENSING EVALUATOR SIGNATURE:

DATE: 09/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2023
LIC809 (FAS) - (06/04)
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