013420593-4-16-2024-02-CC-CFES-D4DSG9-20240416135135

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013420593
Report Date: 04/16/2024
Date Signed: 04/16/2024 01:51:46 PM

Document Has Been Signed on 04/16/2024 01:51 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:	ALAMEDA HEAD START- COLLEGE OF ALAMEDA HEAD START		FACILITY NUMBER:	013420593
ADMINISTRATOR/ DIRECTOR:	MA, CONNIE		FACILITY TYPE:	850
ADDRESS:	555 RALPH APPEZZATO MEM PKWY		TELEPHONE:	(510) 629-6301
CITY:	ALAMEDA	STATE: CA	ZIP CODE:	94501
CAPACITY: 54	TOTAL ENROLLED CHILDREN: 24	CENSUS: 25	DATE:	04/16/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:30 AM
MET WITH:	Connie Ma		TIME VISIT/ INSPECTION COMPLETED:	02:00 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 4/16/2024 at 8:30am, Licensing Program Analyst (LPA) Catherine Fernandes met with Director Connie Ma for an Unannounced Required Random inspection. There were 20 preschool age children, and five toddlers in care with an additional eight finger print cleared staff members. The center has a toddler option attached to the preschool license and there is an infant component in the same building with license 013422033. The teacher- child ratio was being met today. The center was toured for a health and safety inspection. The facility operates from Monday through Friday from 8:00am–4:00pm. The center operates on the College of Alameda campus, in a building towards the back of the campus. The center is licensed to use classrooms four, five and six for per the preschool license. Currently, room two is for the preschoolers and room four is for the toddlers. The room floors, surfaces, furniture and equipment appear to be safe, sanitary and in good repair. The heating, lighting and ventilation is adequate. The children have their own areas to store their personal belongings and have personal mats for napping. The children's bathrooms are sanitary and in operational conditions. There are supplies available for the children to wash and dry their hands. There are two separate bathrooms for staff. The activities and toys appear to be age appropriate for the children in care. The outside play areas are fully fenced with a shaded area for the children, there is a separate play area for toddlers. The play structures are sturdy and anchored into the ground, there are wood chips and foam flooring for cushioning to absorb the impact from a fall. LPA did not observe any bodies of water, free standing water, cleaning supplies, or toxic items accessible to children during today’s inspection. The center provides lunch and snacks to the children while in care and lunches are brought from an outside vendor. The kitchen area was maintained in a clean manner. There is a current menu posted for the month. The center is providing milk to children in care. There is accessible drinking water available to the children while indoors and outdoors, the center is using a water pitcher with individual disposable cups. The center has conducted their lead testing in 2021. The fire system is hardwired with smoke detectors throughout the building. There is a working carbon monoxide detector in the preschool classroom and a fully charged fire extinguishers throughout. The fire/disaster drill log was complete with the last drill logged 4/5/2024. Report continued on 809C

SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Catherine Fernandes
LICENSING EVALUATOR SIGNATURE:	DATE: 04/16/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2024

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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Document Has Been Signed on 04/16/2024 01:51 PM - It Cannot Be Edited

Created By: Catherine Fernandes On 04/16/2024 at 12:09 PM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: ALAMEDA HEAD START- COLLEGE OF ALAMEDA HEAD START	FACILITY NUMBER: 013420593
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/16/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1596.8662(b)(1)

Administration of Child Day Care Licensing

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above staff members did not have current mandated reporter training which poses safety risk to persons in care.
	POC Due Date: 04/19/2024
	Plan of Correction
1 2 3 4	Center will conduct an audit of all staff files and send a list of the required forms to CCL by POC date.

Type B

Section Cited

HSC

1596.7995(a)(1)

General Provisions and Definitions

(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above in four of four staff members did not have a complete immunization record which poses a potential health risk to persons in care.
	POC Due Date: 04/19/2024
	Plan of Correction
1 2 3 4	Center will ensure all staff members have all immunization's including flu shot or denial and send a statement of understanding to CCL by POC date.

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME:

Mayla Mendoza

LICENSING EVALUATOR NAME:

Catherine Fernandes

LICENSING EVALUATOR SIGNATURE:

DATE: 04/16/2024

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2024

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: ALAMEDA HEAD START- COLLEGE OF ALAMEDA HEAD START	FACILITY NUMBER: 013420593
	VISIT DATE: 04/16/2024

NARRATIVE

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All proper postings are made visible by the classroom's entrances. A physical census of the children and staff were taken and cross referenced with the sign-in and out log. LPA reviewed six children’s files and four staff files and obtained a copy of the children’s roster, an updated Personnel report and Emergency Disaster form (LIC610).

During today's inspection while conducting a file review of staff and children's records, LPA Fernandes observed missing documents.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1CCP). LPA verified that the lead testing was completed.

Center Director was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days 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 PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication. Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-carecenters/.

Director was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Report continued on 809C

SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Catherine Fernandes
LICENSING EVALUATOR SIGNATURE:	DATE: 04/16/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2024

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: ALAMEDA HEAD START- COLLEGE OF ALAMEDA HEAD START	FACILITY NUMBER: 013420593
	VISIT DATE: 04/16/2024

NARRATIVE

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LPA discussed the safe sleep regulations with Director and discussed the Child Care Licensing Safe Sleep web page at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed the Director 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.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process.

See 809D for deficiencies cited during today's inspection.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Director.

Report and Appeal Rights provided

SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Catherine Fernandes
LICENSING EVALUATOR SIGNATURE:	DATE: 04/16/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2024

LIC809 (FAS) - (06/04)

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