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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013420914
Report Date: 11/19/2024
Date Signed: 11/19/2024 12:54:31 PM

Document Has Been Signed on 11/19/2024 12:54 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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:SCHOOL OF IMAGINATIONFACILITY NUMBER:
013420914
ADMINISTRATOR/
DIRECTOR:		SIGMAN, CHARLENEFACILITY TYPE:
850
ADDRESS:9801 DUBLIN BLVDTELEPHONE:
(925) 829-9552
CITY:DUBLINSTATE: CAZIP CODE:
94568
CAPACITY: 87TOTAL ENROLLED CHILDREN: 87CENSUS: 65DATE:
11/19/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:15 AM
MET WITH:Director, Charlene SigmanTIME VISIT/
INSPECTION COMPLETED:
01:00 PM
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Licensing Program Analyst (LPA) Jyoti Saini met with Director Charlene Sigman for an unannounced annual random inspection. LPA disclosed the purpose of the inspection and was granted entry into the facility by the staff. In addition to the director, there were 65 children (12 toddlers and 53 preschoolers) and 20 staff members were present today. The facility operates Monday through Friday from 8:00 AM to 5:00 PM, in rooms #1 through #8. The facility was inspected both indoors and outdoors today for health and safety hazards, and the following was observed:

The facility has a working smoke and carbon monoxide detector, a fully charged fire extinguisher, and a working telephone available. Per director, there are no firearms stored in the facility. During today’s inspection, LPA did not observe any bodies of water. The center is in good condition, with proper temperature and ventilation. All furniture is in good repair. The children have separate cubbies labeled with their names and pictures. Each classroom has a separate first aid kit and first aid backpacks. Medications are stored in first aid backpacks, high up on the shelves. There are separate bathrooms for children and staff, and the bathrooms appear to be safe, sanitary, and free of any hazardous items. Each child has a separate cot and blanket. Per director, the bedding is sent home weekly to be washed by the parents. The children bring their own snacks and lunch; however, the facility does have extra nonperishable snacks for emergencies. Drinking water is readily available through water bottles brought from home and water fountains available indoors and outdoors. The classroom has appropriate postings. The last Emergency Drill was conducted on 11/14/2024 at 11:00 AM and is properly logged. The facility utilizes the Brightwheel app to sign in and out the children. During the inspection,the director confirmed that toddlers are enrolled on a part-time basis and do not participate in nap time. The LPA reminded the director of the safe sleep guidelines regarding the 15-minute sleep check. All children’s records reviewed were complete. Each child has a record of emergency identification information on file. All staff have a criminal record clearance on file. The opening and closing staff members have First Aid/CPR certifications on file. The facility roster was reviewed, and a copy was obtained.

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SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE: DATE: 11/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/19/2024
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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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: SCHOOL OF IMAGINATION
FACILITY NUMBER: 013420914
VISIT DATE: 11/19/2024
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Criminal Record Clearance -

Facility representative 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.

Safe Sleep -


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 licensee 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.

Lead Testing –


CCC COMPLETED TESTING
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.
LPA verified that the lead testing was completed in accordance with the Written Directives outlined in PIN 21-21.1-CCP.

Incidental Medical Services (IMS)
This facility provides Incidental Medical Services – IMS.
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-care-centers/.
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SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE:

DATE: 11/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2024
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: SCHOOL OF IMAGINATION
FACILITY NUMBER: 013420914
VISIT DATE: 11/19/2024
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MyChildCarePlan.org
Facility representative was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

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.

No deficiency cited today.



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

Exit interview conducted and report was reviewed with the facility representative, Charlene Sigman.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE:

DATE: 11/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2024
LIC809 (FAS) - (06/04)
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