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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013417600
Report Date: 11/18/2021
Date Signed: 11/18/2021 08:30:57 PM

Document Has Been Signed on 11/18/2021 08:30 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 STE 1102
OAKLAND, CA 94612
FACILITY NAME:BETH EMEK PRESCHOOLFACILITY NUMBER:
013417600
ADMINISTRATOR:KATHLEEN ESTILLFACILITY TYPE:
850
ADDRESS:3400 NEVADA CT.TELEPHONE:
(925) 931-1055
CITY:PLEASANTONSTATE: CAZIP CODE:
94566
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 28DATE:
11/18/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Kathleen EstillTIME COMPLETED:
12:25 PM
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LPA Lorraine Dacanay Breaux met with Director Kathleen Estill for an unannounced 1 year required inspection. The center and playground were toured to conduct a Health and Safety inspection. There were 28 children present during the visit. Present for the site inspection were 4 teachers. Hours of Operations Monday - Friday 8:30 AM-1:30 PM

LPA reviewed the sign in/out sheet and crossed referenced it with the children present today. PHYSICAL PLANT: The facility appears to be safe, sanitary and in good repair. All the cleaning products were stored and made inaccessible to the children. LPA reviewed children's, personnel and administrative records. Per Director medications not provided. Furniture and playground equipment are in good condition and free of hazards. The bathroom was toured and toilets flush properly and all faucets are in working order. There is a separate staff bathroom. The kitchen is not accessible to children in care. The food preparation area and storage areas are clean and in sanitary condition. Facility only provides snacks, parents supply lunches and water bottles (labeled). Drinking water is available both indoors and outdoors. The facility has a working carbon monoxide detector located in the hallway (tested). LPA inspected and verified that there is 2 Fully Charged 2A40BC fire extinguishers and 1 Fully Charged 3A40BC. OUTDOOR PLAY AREA: Playground equipment is in good condition and outdoor activity space is maintained in a safe condition and free of any hazards. Climbing equipment is properly anchored to the ground with adequate and appropriate cushioning material to absorb falls. RECORD REVIEWS: LPA reviewed children’s and staffs records. Opening and closing staff have current CPR and first aid training. POSTING REQUIREMENTS: License and other relevant notices are visible for public views and correctly posted on the wall. Fire and disaster drills are being conducted as scheduled every six months with the last drill conducted on 10/2021.

The center consist of 2 (two) preschool classrooms, which appear to be safe, clean, and in good repair. There appears to be adequate furniture, equipment, and toys which are age appropriate and appear to be in good condition. LPA Breaux did not observe any equipment that is prohibited. There are no pools, spas, hot tubs, or free standing water accessible to children. Facility does not provide napping since the hours of operation are 8:30 AM-1:30 PM

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Lorraine Dacanay-Breaux
LICENSING EVALUATOR SIGNATURE: DATE: 11/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/18/2021
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 STE 1102
OAKLAND, CA 94612
FACILITY NAME: BETH EMEK PRESCHOOL
FACILITY NUMBER: 013417600
VISIT DATE: 11/18/2021
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RECORDS: All individuals subject to criminal record review have a clearance or exemption and have been associated to the facility. Children's files and staff files were reviewed. LPA reviewed the facility roster and obtained a copy. At least one opening/ closing staff member has a current CPR & First Aid Certificate. Mandated Reporter Training was discussed and certificates were reviewed. The center is in compliance with the sign in and out procedure. All required documents are posted in a public accessible area.

HEALTH RELATED SERVICES: Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. 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

At this time, no children in care require medication.

California Law requires Child Care Centers licensees 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 electronic mail. Roster of the children must be properly maintained, and fire/disaster drill every six months must be documented.

Facility representative 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.



LPA discussed the safe sleep regulations with facility representative and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

No infants in care at this time.

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Lorraine Dacanay-Breaux
LICENSING EVALUATOR SIGNATURE:

DATE: 11/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2021
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 STE 1102
OAKLAND, CA 94612
FACILITY NAME: BETH EMEK PRESCHOOL
FACILITY NUMBER: 013417600
VISIT DATE: 11/18/2021
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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/process.

The director was provided information regarding effects of Lead Exposure and testing requirements (Assembly Bill 2370).



A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the facility Director Kathleen Estill.
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Lorraine Dacanay-Breaux
LICENSING EVALUATOR SIGNATURE:

DATE: 11/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2021
LIC809 (FAS) - (06/04)
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