013422426-9-8-2023-52-CC-SKAR-CVGT8U-20230908143054

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013422426
Report Date: 09/08/2023
Date Signed: 09/08/2023 02:30:59 PM

Document Has Been Signed on 09/08/2023 02:30 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:	KIDDIE ACADEMY		FACILITY NUMBER:	013422426
ADMINISTRATOR:	BRUCE, SHANNON		FACILITY TYPE:	840
ADDRESS:	1400 N VASCO RD		TELEPHONE:	(925) 292-1948
CITY:	LIVERMORE	STATE: CA	ZIP CODE:	94551
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 0	DATE:	09/08/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:00 AM
MET WITH:	Antjuanette Carter		TIME COMPLETED:	02:40 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 September 8, 2023, Licensing Program Analysts (LPAs) Simerjit Kaur and Julia Placencia arrived to conduct UNANNOUNCED RANDOM REQUIRED 1 YEAR SITE INSPECTION and met with facility representative Antjuanette Carter. There are no school age children and no staff members present during the inspection. The facility was toured for a health and safety inspection. The hours of operation are Monday through Friday, 7:00am to 6:00pm. The center consists of 2 rooms (Room Wise Owls, and Room Ravens), combined bathroom for boys and girls, and outside play ground. The facility has adequate heating and lighting. The classrooms are equipped with age appropriate tables and chairs. There is adequate storage for children's belongings. There are school materials and art supplies stored in the storage cabinet. There is running water, soap, and paper towels available for children to wash and dry their hands. The center provide AM/PM snack and the weekly menu is posted outside the door. Disinfectants, cleaning solutions, poisons and other items that are dangerous to children were inaccessible during the inspection today. The center is equipped with working telephone, carbon monoxide detector, pull down fire alarm and fire extinguishers. There is drinking water readily available to children indoors and outdoors. The floors were free of tripping hazards during today's inspection. The storage containers for solid waste have tight-fitting covers. The facility utilize the outdoor playground with preschool component. Outdoor activity space and playground equipment was observed to be safe during today's inspection. There is cushioning underneath the anchored play structure. The center is in compliance with the sign in and out procedure. Children and staff files were reviewed. All required documents are posted for public review. The facility has conducted and documented fire/disaster drill training on 8/10/23. Continued on LIC809C

SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Simerjit Kaur
LICENSING EVALUATOR SIGNATURE:	DATE: 09/08/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2023

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: KIDDIE ACADEMY	FACILITY NUMBER: 013422426
	VISIT DATE: 09/08/2023

NARRATIVE

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The opener and closer of facility has current CPR/First Aid certificate (expires on 1/14/24). There are no bodies of water at this facility during today's inspection. The facility is operating within its licensed capacity.
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.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. 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/.

LPAs referred facility representative to the Department website for lead: Lead Toxicity Prevention and Water Testing information.
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.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted Antjuanette Carter.

SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Simerjit Kaur
LICENSING EVALUATOR SIGNATURE:	DATE: 09/08/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2023

LIC809 (FAS) - (06/04)

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