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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013421393
Report Date: 10/04/2021
Date Signed: 10/04/2021 11:55:38 AM

Document Has Been Signed on 10/04/2021 11:55 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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:FREE TO BE ME CHILD CAREFACILITY NUMBER:
013421393
ADMINISTRATOR:BILLINGSLEY, JANETFACILITY TYPE:
850
ADDRESS:1040 FLORENCE RD.TELEPHONE:
(925) 292-8377
CITY:LIVERMORESTATE: CAZIP CODE:
94550
CAPACITY: 69TOTAL ENROLLED CHILDREN: 0CENSUS: 58DATE:
10/04/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
08:49 AM
MET WITH:Janette BillingsleyTIME COMPLETED:
12:05 PM
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An unannounced Case Management - Licensee initiated inspection was conducted on this date 10/4/2021 by Licensing Program Analyst (LPA) Melanie Otsuji. LPA met with Center Director, Janette Billingsley. The center has submitted an application for an INCREASE IN CAPACITY from 69 preschool aged children to 90 and adding Room 24 to the license. Hours of operation are from 7:00am-6:00pm, Monday through Friday. Present during today's visit were 14 staff members and 58 preschool aged children. Also on site are an infant/toddler component and school age component. A health and safety inspection was conducted inside and outside. The following is the total overall measurement:

INDOORS: 4436,85 square feet = 127 children
OUTDOORS: 14450 square feet = 193 children

Opening and closing staff have current CPR/FA. Playground equipment is in good condition. Drinking water is available inside and outside by using children's own water bottles. All toilets and hand washing facilities are in safe and sanitary operating conditions. Menus are posted. Snacks are provided and prepared on site. Children bring lunch from home. The sign in and out logs were reviewed. Facility has a functioning carbon monoxide detector, fire extinguisher and smoke detector.

A review of staff records on 10/4/2021 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. The center has obtained an approved fire safety inspection from the Livermore-Pleasanton Fire Department on 9/23/2021. All licensing required documents are posted.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Melanie Otsuji
LICENSING EVALUATOR SIGNATURE: DATE: 10/04/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/04/2021
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: FREE TO BE ME CHILD CARE
FACILITY NUMBER: 013421393
VISIT DATE: 10/04/2021
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Mandated reporter and appeal rights, civil penalties, unusual incident reporting and fingerprint requirements were discussed today. Licensee is also being informed of the web address (www.ccld.ca.gov) for downloading child care forms, and the director is encouraged to email ChildCareAdvocatesprogram@dss.ca.gov to be included in the Child Care Quarterly Updates distribution list. The Licensee is also reminded that mandated reporter (GENERAL) and (CHILD CARE) training is required for all staff and is to be renewed every 2 years at www.mandatedreporterca.com.

Zero Tolerance policies were explained. Notice of Site Visit form was provided and posted.
The center was found to be clean, safe, sanitary and in good repair. There are no deficiencies cited during this visit. A license for 90 preschool aged children and use Room #24 will be issued effective today 10/4/2021. Preschool component operating out of 5 classrooms (Room 22, 24, 27, 32, and 33).

An exit interview was conducted.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Melanie Otsuji
LICENSING EVALUATOR SIGNATURE:

DATE: 10/04/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/04/2021
LIC809 (FAS) - (06/04)
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