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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013422482
Report Date: 07/01/2021
Date Signed: 07/01/2021 10:58:56 AM

Document Has Been Signed on 07/01/2021 10:58 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, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:AFS-ROSALIE STERLING HEAD START/EARLY HEAD STARTFACILITY NUMBER:
013422482
ADMINISTRATOR:JULIE GIESSLERFACILITY TYPE:
850
ADDRESS:1700 SANTA CLARA AVENUETELEPHONE:
(510) 629-6350
CITY:ALAMEDASTATE: CAZIP CODE:
94501
CAPACITY: 16TOTAL ENROLLED CHILDREN: 0CENSUS: 6DATE:
07/01/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Julie GiesslerTIME COMPLETED:
11:30 AM
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On 07/01/2021 at 08:50 AM Licensing Program Analyst (LPA) Arminder Singh conducted an unannounced Annual/Random inspection at AFS-Rosalie Sterling Head Start/Early Head Start. LPA met with Administrator, Julie Giessler and explained the purpose of today's inspection. Facility’s License, Emergency Disaster Plan, Parents’ Rights Poster PUB393, Personal Rights, and Activity Schedules were observed to be posted. Facility's operating days and hours are Monday to Friday (except Wednesday due to COVID-19 Pandemic) 8:00AM- 3:00PM . The facility is located in the Back side of the Episcopal Church.

At 09:35 AM the physical plant was inspected. LPA toured the premises with the Administrator.
Indoor space: During today's inspection there were 6 children (1 infant (toddler option) and 5 preschoolers), Administrator , two qualified teachers, and one aide. Facility was observed to be in compliance with teacher to children ratio requirement during LPAs' inspection. The classroom, restroom, and office area were inspected. Children were engaged in outdoor activities in the outside yard and under full visual supervision of the teachers and aide. Disinfectants, cleaning solutions, and other items that are dangerous to the health and safety of children were stored in places inaccessible to them. Cabinets, drawers, and rooms used for storage were locked. Furniture and equipment were age appropriate and in good condition, free of sharp, loose, or pointed parts. Restroom for children were observed to be in safe, sanitary, and functioning condition. Floors were clean and free from tripping hazard. The facility does use the Episcopal Church's kitchen to prepare food/snacks. Trash cans for solid waste had tight-fitting covers on and were in good repair. Administrator stated that facility does not possess nor store any weapons on the premises. LPA observed a 3A40BC Fire extinguisher, Smoke and Carbon Monoxide Detectors, and fire pull stations. Log shows that the last Fire Drill/Earthquake Drill was conducted on 06/15/2021. Facility does not provide transportation for children, but Administrator understands that children cannot be left alone, unattended in parked vehicles.
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SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Arminder Singh
LICENSING EVALUATOR SIGNATURE: DATE: 07/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/01/2021
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, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: AFS-ROSALIE STERLING HEAD START/EARLY HEAD START
FACILITY NUMBER: 013422482
VISIT DATE: 07/01/2021
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Outdoor Space: Outdoor playground was inspected and observed to be fenced and safe . The play equipment was maintained in good condition and free of hazards. The outdoor play area has a padded surface. The outdoor area has two sheds that are properly locked and inaccessible to children. Shade is provided by way of large canopy/umbrella. There were no bodies of water observed. Drinking water is arranged to be readily available to children during indoor and outdoor activities.

File Review: Children sign in and out procedures and logs were reviewed. A sampling of two (2) Children's files(c1-c2) and two (2) Staff (s1-s2) files was taken for review. All child files contained Admission Agreement, Identification/Emergency Information, Consent for Medical Treatment, Immunization's, Parents rights, Personal rights.
All Staff files contained immunization and TB clearance records, Employee rights, Criminal Record Statement, transcripts. Both teacher's present today has current certification in Pediatric CPR and First Aid.

Administrator stated that the facility does handle medications and the facility does have a current IMS plan for the individual children who require Incidental Medical Services. LPA reviewed storage of medication and equipment / supplies. Isolation of sick child was discussed, and Administrator explained that a sick child is brought to the Office Area to be isolated from other children. An adult restroom which is used for the isolation restroom. Child is always under visual supervision while being cared for.

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.

Beginning January 1, 2019 AB 2370 requires licensed homes and centers to share information on the risks and effects of lead exposure with enrolling and re-enrolling families.
"Mandated Reporter" training for CA Child Care Providers that all staff are required to complete as of January 1, 2018. [Starting May 2019, both General Training followed by Child Care Providers Training is required to be taken]. The website for the online training is: http://www.mandatedreporterca.com/training/childcare.htm.

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SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Arminder Singh
LICENSING EVALUATOR SIGNATURE:

DATE: 07/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2021
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, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: AFS-ROSALIE STERLING HEAD START/EARLY HEAD START
FACILITY NUMBER: 013422482
VISIT DATE: 07/01/2021
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Administrator is encouraged to visit the Department’s website at www.cdss.ca.gov to access resources for Providers.


In the areas that were evaluated, no regulatory violations were observed.

At 10:50 AM Exit Interview was conducted, where this report was reviewed and discussed with Administrator. Report was signed by the Administrator confirming receipt of documents.

Website for provider resources:
http://www.cdss.ca.gov/inforesources/Community-Care/Self-Assessment-Guides-and-Key-Indicator-Tools/Quarterly-Updates

childcareadvocatesprogram@dss.ca.gov

A NOTICE OF SITE VISIT WAS ISSUED, AND MUST BE POSTED ON OR ADJACENT TO THE INTERIOR SIDE OF THE MAIN DOOR INTO THE FACILITY FOR 30 CONSECUTIVE DAYS.

END OF REPORT
SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Arminder Singh
LICENSING EVALUATOR SIGNATURE:

DATE: 07/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2021
LIC809 (FAS) - (06/04)
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