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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013418965
Report Date: 07/13/2023
Date Signed: 07/13/2023 02:34:07 PM

Document Has Been Signed on 07/13/2023 02:34 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, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:UCB - HASTE STREET CHILD DEVELOPMENT CENTERFACILITY NUMBER:
013418965
ADMINISTRATOR:MOISES ROMANFACILITY TYPE:
850
ADDRESS:2339 HASTE STREETTELEPHONE:
(510) 642-6673
CITY:BERKELEYSTATE: CAZIP CODE:
94720
CAPACITY: 74TOTAL ENROLLED CHILDREN: 74CENSUS: 43DATE:
07/13/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
12:40 PM
MET WITH:Boris AlvaradoTIME COMPLETED:
02:35 PM
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On 7/13/23, a Case Management Visit was conducted for adding a toddler option by Licensing Program Analyst (LPA), Melissa Domantay. LPA met with Director Boris Alvarado. Present for today's inspection are 12 staff and 43 children. The center has submitted an application to add a toddler option to the preschool component. Hours of operation are from 8:15am-5:15pm, Monday through Friday. A health and safety inspection was conducted inside and outside. Measurements remain the same. Toddlers will utilize Classroom 106. Per the Director when no toddlers are enrolled Classroom 106 will be utilized by the preschool program. Per LPM Mendoza toddler classroom, Room 106 can be utilized for Preschool program when no toddlers are enrolled and classrooms can be shared with a schedule in place when both components have children enrolled. Toddlers have their own outdoor play yard separate from preschool and infant components also on site.

A fire clearance was received from the Berkeley Fire Department for 62 preschoolers, ages 2 years to first grade entry with toddler option, 12 toddlers ages 18 months to 36 months. Total capacity 74 children. Fire clearance dated 5/2/23. Also on site, 18 infants.

The toddler outdoor playground was inspected and observed to be fenced and safe. The play equipment was maintained in good condition and free of hazards. Areas around the outdoor play yard are cushioned with material that absorbs falls. Shade is provided by way of covered areas. There were no bodies of water observed during today's inspection.

Drinking water is available inside and outside. Children utilize personal reusable water bottles. The facility has 2 toilets and 4 sinks for toddler children to utilize inside Classroom 106. All toilets and hand washing facilities are in safe and sanitary operating conditions. Facility provides breakfast, lunch, and snack for children. Facility utilizes manual form sign in and out.

The center is equipped with a fully stocked first aid kit, working telephone, carbon monoxide detector, fire alarm, and fully charged fire extinguishers.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Melissa Domantay
LICENSING EVALUATOR SIGNATURE: DATE: 07/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/13/2023
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
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: UCB - HASTE STREET CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 013418965
VISIT DATE: 07/13/2023
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Director, Boris 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. See 809-C for continuance.

A license for preschool with toddler option is effective today, 7/13/23 for 62 preschoolers and 12 toddlers with a total capacity of 74 and is ready to be used when facility is ready. A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Director, Boris Alvarado.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Melissa Domantay
LICENSING EVALUATOR SIGNATURE:

DATE: 07/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2023
LIC809 (FAS) - (06/04)
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