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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013415297
Report Date: 04/19/2023
Date Signed: 04/19/2023 10:35:36 AM

Document Has Been Signed on 04/19/2023 10:35 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:LARPD - ALTAMONT CREEK KID'S ZONEFACILITY NUMBER:
013415297
ADMINISTRATOR:JENNIFER SIRANNIFACILITY TYPE:
840
ADDRESS:6500 GARAVENTA RANCH ROADTELEPHONE:
(925) 960-2460
CITY:LIVERMORESTATE: CAZIP CODE:
94550
CAPACITY: 140TOTAL ENROLLED CHILDREN: 140CENSUS: DATE:
04/19/2023
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
07:50 AM
MET WITH:Jennifer SiranniTIME COMPLETED:
10:45 AM
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On April 19, 2023 Licensing Program Analyst (LPA) Simerjit Kaur conducted an UNANNOUNCED ANNUAL INSPECTION. LPA Kaur met with Director Jennifer Siranni and Program Leader Amy Zamora. LPA Kaur toured the facility with Jennifer Siranni. The facility is located on campus of Altamont Creek Elementary School. The campus also has Heritage Charter program: Right At School. The Director is aware the school program may not commingle with the Heritage school and elementary school. The facility operates from Monday through Friday 7:00 AM - 8:30 AM, and 1:30 PM - 6:00 PM. During school district breaks, the facility operates Monday through Friday 7:00 AM - 6:00 PM.

Facility is utilizing Rooms A and B. Room B has staff bathroom, children bathroom, and office. The isolation area is the office. There are adequate play and learning materials available. Furniture and equipment is age appropriate and in good repair. There is adequate heating, ventilation and lighting. Drinking water is available inside the classroom B. There is working telephones on site. There is proper individual storage space for each child. Toilets and faucets working properly. Toilet paper, soap, and paper towels are all available to the children. Facility director has current Mandated Reporter Training completed on 3/17/2022 and Aide Amy Zamora's Mandated Reporter Training completed on 3/15/2023. The facility has multiple carbon monoxide detectors, charged 2A10BC fire extinguishers and smoke detector/alarm system monitored by the Altamont Creek Elementary School. Facility utilizes black top and fenced play structure on the left side for outdoor activity space with the metal dome. The facility also utilizes the grass area and will provide 100% supervision during outdoor play time.
Continue on 809C.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Simerjit Kaur
LICENSING EVALUATOR SIGNATURE: DATE: 04/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/19/2023
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 EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: LARPD - ALTAMONT CREEK KID'S ZONE
FACILITY NUMBER: 013415297
VISIT DATE: 04/19/2023
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The center provides snacks. The menus are posted for review. Per director, there are currently no children on any medication. The first aid kit is available in the classroom B. Sign-in and sign-out logs were reviewed to verify census and signatures. LPA reviewed staff file and children files. There are no bodies of water accessible to children. Per director, there are no firearms on the premises. All storage areas for poisons are locked.

Director was encouraged to frequently visit our website at www.ccld.ca.gov for licensing regulations and updates, and to also email childcareadvocatesprogram@dss.ca.gov to be included in the Child Care Quarterly Updates distribution list.

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.

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 Evaluator Manual – Regulation Interpretations and Procedures for Child Care Center Sections 101173 and 101226. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/(800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

Reminder: California Law requires Child Care Centers 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, fax, or mail.

This report shall remain on file for 3 years. A Notice of Site Visit was provided to the facility director. Exit interview was conducted.

SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Simerjit Kaur
LICENSING EVALUATOR SIGNATURE:

DATE: 04/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2023
LIC809 (FAS) - (06/04)
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