<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013422062
Report Date: 10/21/2022
Date Signed: 10/21/2022 01:45:10 PM

Document Has Been Signed on 10/21/2022 01:45 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 STE 1102
OAKLAND, CA 94612
FACILITY NAME:PRIMROSE SCHOOL OF LIVERMOREFACILITY NUMBER:
013422062
ADMINISTRATOR:GUPTA, SHUBRAFACILITY TYPE:
830
ADDRESS:2901 LAS POSITAS RDTELEPHONE:
(925) 215-7372
CITY:LIVERMORESTATE: CAZIP CODE:
94551
CAPACITY: 45TOTAL ENROLLED CHILDREN: 45CENSUS: 31DATE:
10/21/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Shubra GuptaTIME 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 October 21, 2022, Licensing Program Analyst (LPA) Simerjit Kaur conducted an UNANNOUNCED ANNUAL REQUIRED INSPECTION and met with site director Shubra Gupta. The facility was toured to conduct a Health and Safety Inspection. Present the inspection were 11 staff and 31 infant age children. The facility is within ratio and capacity compliance today. The facility operates Monday - Friday from 7:00am - 6:00pm.

This is infant age component and it operates out of classrooms Young Infant, Infant Two, Toddlers, Toddlers Two. The changing table is within arms reach of the sink. All classrooms were inspected for age appropriate furnishings, equipment, and adequate storage for children’s belongings. The classrooms have age appropriate faucets in working condition. The outdoor play areas are fully fenced. 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. There are no pools, hot tubs or other accessible bodies of water.
Per facility director, there are no firearms present on the premises. LPA observed working carbon monoxide detector and a fully charged fire extinguisher. Smoke detectors and fire alarms inspections are conducted by Bay Alarm Company. Cleaning supplies/toxins are inaccessible to children during the inspection. All required postings are posted in the classroom and hallway. The facility provides breakfast, lunch and snacks. The menu is also posted. LPA reviewed storage of food and reminded director that all food must be in original packaging or labeled with expiration date. Bedding is washed weekly by facility. The center also conducts and documents fire and earthquake drills once every 6 months and the logs show that drills were conducted on 9/29/2022. A copy of children’s roster and personnel report was obtained. LPA reviewed the children and staff members files.
See LIC 809-C for continuance
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Simerjit Kaur
LICENSING EVALUATOR SIGNATURE: DATE: 10/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/21/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
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: PRIMROSE SCHOOL OF LIVERMORE
FACILITY NUMBER: 013422062
VISIT DATE: 10/21/2022
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
26
27
28
29
30
31
32
 All staff have current Mandated Reporter training and proof of immunization. All opener and closer staff have current CPR/First Aid certificates, and proof of education and/or experience was also present. Sign in/out logs are maintained.
LPA discussed the Individual Infant Sleep Plan (LIC 9227) and infant/toddler sleep logs. Per acting director all sleep, feeding and diaper logs are logged on facility daily log form.

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 Centers 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

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.

Facility 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.

LPA also encouraged facility director to frequently visit our website at www.ccld.ca.gov for licensing regulations and updates, as well as all forms can be downloaded. For licensing updates and Quarterly Child Care Distribution email, email childcareadvocatesprogram@dss.ca.gov and ask to be added to the email list.

There are no deficiencies cited today. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted with Shubra Gupta.

SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Simerjit Kaur
LICENSING EVALUATOR SIGNATURE:

DATE: 10/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2022
LIC809 (FAS) - (06/04)
Page: 2 of 3