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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013422419
Report Date: 08/24/2023
Date Signed: 08/24/2023 04:11:21 PM

Document Has Been Signed on 08/24/2023 04:11 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:YMCA OF THE EAST BAY Y-KIDS PATTERSONFACILITY NUMBER:
013422419
ADMINISTRATOR:KAY, MORIAHFACILITY TYPE:
840
ADDRESS:35521 CABRILLO DR.TELEPHONE:
(925) 808-5287
CITY:FREMONTSTATE: CAZIP CODE:
94536
CAPACITY: 60TOTAL ENROLLED CHILDREN: 46CENSUS: 13DATE:
08/24/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:20 PM
MET WITH:Jennifer KincheloeTIME COMPLETED:
04:20 PM
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On August 23, 2024 at approximately 1:20pm, LPA Haderer arrived unannounced for an annual inspection for compliance to Health and Safety. Present for the inspection was site director Jennifer Kincheloe; 2 teachers aids Angela Rostami and Shruti Shah, and 13 children in care. The center operates from 7:00am to 8:30, then closes briefly and reopens from 11:30am to 6:00PM.

The child care center operates in a large portable room on the campus of Patterson Elementary School. The children use the school yard and playground, all is in safe condition and free from sharp, loose or pointed parts and the areas around or under high climbing equipment has appropriate cushioned material that absorbs a fall. Access to drinking water is available and teachers are always present.



Sign in/out sheets were reviewed and are accurate. Classroom has trash cans with tight fitting cover for the disposal of solid waste. There are two children that require Incidental Medical Services (IMS): One child requires an inhaler, a second child requires both an inhaler and an EpiPen. Medications were checked and not expired, all required IMS plans and signed authorization forms were available. First aid kit was available and complete.

The facility has 2 fully charged 3A40BC fire extinguishers, one mounted next to each door in the classroom. The last annual inspection was done 9-28-2022. Bay Alarms Company inspects the fire alarm system, the last inspection was completed January 13, 2023, systems tested and passed. The carbon monoxide detector was tested and functioning. Heating and ventilation in the classroom is acceptable.

Disaster drills are conducted at least once every six months, the last drill was completed 5-26-2023. Children use the single bathroom in the classroom and if needed, use the school bathrooms on campus. There are enough towels and soap supplies. The staff have separate adult bathroom located in the classroom.
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Russell Haderer
LICENSING EVALUATOR SIGNATURE: DATE: 08/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/24/2023
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: YMCA OF THE EAST BAY Y-KIDS PATTERSON
FACILITY NUMBER: 013422419
VISIT DATE: 08/24/2023
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All documents required to be posted were appropriately posted on the walls: License; Emergency Disaster Plan; Earthquake Preparedness checklist; Notification of Parents Rights; Personal rights; Child seatbelt laws; menus; daily activity schedules. One waiver for the facility was posted regarding outdoor shared space with the elementary school.

The facility is clean and well organized with ample age appropriate furnishings and equipment. Surfaces including floors and counter tops are clean and toxic free. Hazardous items/toxins are kept in a cabinet in the staff restroom out of the access of children. There are no bodies of water accessible to children in care. Children bring their own food from home, the center provides snacks. There is a drinking fountain on the sink basin in the classroom and also bottled water and a water dispenser for children in the classroom. Snacks foods were checked, all items were fresh and not expired.

Children's records were reviewed: LPA requested the children's facility roster and made a copy for the files. All files selected were complete and up to date.

Staff files were reviewed. Opening and closing staff have current CPR and first aid training. All staff subjected to criminal review have been cleared and associated to the facility. A new staff member (since August 11, 2023) will need to complete Mandated Reporter certificate within 90 days of hire. Site director reminded that Mandated Reporter certificates and CPR/First Aid certificates must be renewed every two years.

Site 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.

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

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Russell Haderer
LICENSING EVALUATOR SIGNATURE:

DATE: 08/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2023
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: YMCA OF THE EAST BAY Y-KIDS PATTERSON
FACILITY NUMBER: 013422419
VISIT DATE: 08/24/2023
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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-care-centers/.

Site 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.

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.

There were no deficiencies issued today.

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

Exit interview conducted and report was reviewed with Site Director Jennifer Kincheloe.

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Russell Haderer
LICENSING EVALUATOR SIGNATURE:

DATE: 08/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2023
LIC809 (FAS) - (06/04)
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