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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423087
Report Date: 05/19/2023
Date Signed: 05/19/2023 11:17:31 AM

Document Has Been Signed on 05/19/2023 11:17 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:YMCA KIDS CLUB - OCEAN VIEWFACILITY NUMBER:
013423087
ADMINISTRATOR:MAJANO, AILEENFACILITY TYPE:
840
ADDRESS:920 TALBOT AVENUETELEPHONE:
(510) 867-8349
CITY:ALBANYSTATE: CAZIP CODE:
94706
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 16DATE:
05/19/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Kendrika WatsonTIME COMPLETED:
10:30 AM
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On 5/19/23, Licensing Program Analyst (LPA) Melissa Guirit conducted a case management inspection at this facility. LPA met with Director, Kendrika Watson. There were 16 children and three staff present during today's inspection. An application was received with a request to add a room to the license, Room #7, mulit-purpose room and "blue area", which will be used as an eating area. Per Director, the new rooms will be used at the beginning of Fall 2023. The facility will operate Monday-Friday 1:40pm-6:30pm on the grounds of Cornell Elementary School.

A tour of the rooms were conducted for a health and safety inspection with Director, Kendrika Watson. LPA observed that the classrooms has sufficient lighting and appears to be clean and in good condition. LPA observed an ample supply of age appropriate activities, equipment, furniture, and are equipped with varied age appropriate materials and equipment. LPA did not observe any hazardous items, defects or dangerous conditions. The entrance area of the room has a fully charged fire extinguisher and centralized combination carbon monoxide/smoke detection system. A fire clearance, dated 1/18/23, was received from the Albany Fire Protection Department for a clearance of 60 school-age children, ages 4.9 years to 12 years.

Room #7, Multi-purpose room and "blue area" will be added to the school age license effective 5/19/23 with a capacity of 60 children. There are no deficiencies being cited. An exit interview was conducted with Director, Kendrika Watson. Appeal rights were provided.
SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Melissa Guirit
LICENSING EVALUATOR SIGNATURE: DATE: 05/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/19/2023
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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