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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013421395
Report Date: 10/04/2022
Date Signed: 10/04/2022 11:31:13 AM

Document Has Been Signed on 10/04/2022 11:31 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:
013421395
ADMINISTRATOR:BILLINGSLEY, JANETTEFACILITY TYPE:
830
ADDRESS:1040 FLORENCE RD.TELEPHONE:
(925) 292-8377
CITY:LIVERMORESTATE: CAZIP CODE:
94550
CAPACITY: 36TOTAL ENROLLED CHILDREN: 36CENSUS: 16DATE:
10/04/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Janett BillingsleyTIME COMPLETED:
11:40 AM
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On 10/04/2022 at approximately 8:30 am, Licensing Program Analyst (LPA) Simerjit Kaur conducted an UNANNOUNCED ANNUAL REQUIRED INSPECTION for infant component. LPA met with facility director Janett Billingsley and the facility was toured to conduct a Health and Safety Inspection. There were 16 children and 8 staff members present during the inspection. Hours of operation are Monday through Friday, 7:00am to 6:00pm.

This component operates out of Baby Bees, Itsy Bitsy Bees, and Bumble Bees. The changing table is within arms reach of the sink. Disinfectants, cleaning solutions, poisons and other items that are dangerous to children were inaccessible during the inspection. The sinks were safe, sanitary and in operable condition. Furniture and equipment are in good condition, and floors are free of tripping hazards. The kitchen/food preparation and storage areas appear to be clean and free of evidence of rodents. All storage containers for solid waste have tight-fitting covers that are in good repair. Drinking water is available both indoors and outdoors. There are no pools or similar bodies of water at this facility. Outdoor activity space and playground equipment observed to be safe and free of hazards. Climbing equipment is properly anchored to the ground with adequate and appropriate cushioning material to absorb falls. There is a shaded area provided for the children. LPA observed working carbon monoxide detector and a fully charged fire extinguisher. Smoke detectors and fire alarms inspections are conducted Livermore School District.

All required postings are posted. The facility serves AM/PM snacks. The menu is also posted. The food, medication and medical equipment/supplies is inaccessible Per director, there are no firearms present on the premises.

Continue on LIC 809-C

SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Simerjit Kaur
LICENSING EVALUATOR SIGNATURE: DATE: 10/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/04/2022
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: 013421395
VISIT DATE: 10/04/2022
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A copy of the facility personnel roster and children’s roster was obtained. LPA reviewed children and staff members files. The opener/closer teachers have current CPR/First Aid certificates. The center conducts fire and earthquake drills and the drills were conducted on 9/11/2022. Sign in/out logs are maintained

LPA discussed the Individual Infant Sleep Plan (LIC 9227) and infant/toddler sleep logs. Per director all sleep, feeding and diaper logs are logged. The director was reminded that baby bouncers, exersaucers, johnny jumpers and similar items are not allowed in licensed day care.

Director 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.

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 Evaluator Manual – Regulation Interpretations and Procedures for Child Care Center Sections 101173 and 101226. 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.Licensee was encouraged to frequently visit our website at www.ccld.ca.gov for licensing regulations and updates, and to also email childcareadvocatesprogram@dss.ca.gov to be included in the Child Care Quarterly Updates distribution list.

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.


There are no deficiencies cited today. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Simerjit Kaur
LICENSING EVALUATOR SIGNATURE:

DATE: 10/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/04/2022
LIC809 (FAS) - (06/04)
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