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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423087
Report Date: 12/13/2023
Date Signed: 12/13/2023 05:34:04 PM

Document Has Been Signed on 12/13/2023 05:34 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, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:Y-KIDS CORNELLFACILITY NUMBER:
013423087
ADMINISTRATOR:MAJANO, AILEENFACILITY TYPE:
840
ADDRESS:920 TALBOT AVENUETELEPHONE:
(510) 867-8349
CITY:ALBANYSTATE: CAZIP CODE:
94706
CAPACITY: 60TOTAL ENROLLED CHILDREN: 57CENSUS: 35DATE:
12/13/2023
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
01:39 PM
MET WITH:Kendrika WatsonTIME COMPLETED:
05:45 PM
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On 12/13/2023 at 1:39pm, Licensing Program Analyst (LPA) Catherine Fernandes met with head teacher Kendrika Watson for an Unannounced Required Inspection. The Director was not available today, LPA reminded the center that a Director is required to be at the center during working hours. There were 43 school age children in care with an additional three staff members. The teacher/child ratio was being met today. The center was toured for a health and safety inspection. The facility operates from 8:00am – 9:30am for the before school program and 1:00pm - 6:00pm, Monday through Friday. The center follows the Albany school district calendar.

The center operates at the Cornell Elementary School, with one classroom (room 7) and the multipurpose room which is next to room 7. The room floors, surfaces, furniture and equipment are sanitary. The heating and lighting and ventilation is adequate. There are restrooms for the children and staff have a separate restroom near the office. Restrooms are sanitary and operational conditions. The activities and toys appear to be age appropriate for the children in care. The playground equipment is in good condition and outdoor activity space is maintained in a safe condition and free of any hazards. There is a shaded area provided for the children. LPA did not observe any bodies of water, free standing water accessible to children during todays inspection. The center prepares and provides snacks to the children while in care and there is a current menu posted. The center provides cups for the children and has an Alhambra water dispenser in room 7 and there is a water cooler in the multipurpose room.


All required documents are posted for public review. Disaster drills are being conducted at least once every 6 months, the last drill was done with the school in 12/13/23. The center is equipped with a fully stocked first aid kit, working telephone, a carbon monoxide detector in room 7, and a fire extinguisher near the front door. The fire system is hardwired with pull stations near the doors. LPA reviewed 12 children and four staff files. There is an open and close staff member with a current CPR. The sign in and out binder was reviewed and reflects the number of children at the center. Report continued on 809C
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Catherine Fernandes
LICENSING EVALUATOR SIGNATURE: DATE: 12/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/13/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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: Y-KIDS CORNELL
FACILITY NUMBER: 013423087
VISIT DATE: 12/13/2023
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During today's inspection, LPA observed accessible cleaning products in room 7 under the sink. When reviewing the children's files, there were parents and personal rights missing. Staff files were missing medical assessments, the required immunization, and mandated reporter training. LPA did not observe proof of lead testing, Watson stated that the school had the Lead report.

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.

Center 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.

LPA referred Assistant Director Watson to the Department website for lead: Lead Toxicity Prevention and Water Testing Information.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02CCP. 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/.

See 809C

SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Catherine Fernandes
LICENSING EVALUATOR SIGNATURE:

DATE: 12/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2023
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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: Y-KIDS CORNELL
FACILITY NUMBER: 013423087
VISIT DATE: 12/13/2023
NARRATIVE
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Assistant 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.

LPA Fernandes informed Assistant Director Watson that this report dated 12/13/23 documents one Type A citations which shall be posted for 30 consecutive days as there is an immediate risk to the safety of children in care.

Also, LPA Fernandes informed the Watson to provide a copy of this licensing report dated 12/13/23 that documents any Type A citations to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

See 809D for citations.

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

Exit interview conducted and report was reviewed with Watson

Report and Appeal Rights provided

SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Catherine Fernandes
LICENSING EVALUATOR SIGNATURE:

DATE: 12/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2023
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Document Has Been Signed on 12/13/2023 05:34 PM - It Cannot Be Edited


Created By: Catherine Fernandes On 12/13/2023 at 04:58 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: Y-KIDS CORNELL
FACILITY NUMBER: 013423087

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/13/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
101238(g)(1)
Buildings and Grounds
(g) Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children. (1) Storage areas for poisons shall be locked.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above there were cleaning products under the sink which poses an immediate safety risk to persons in care.
POC Due Date: 12/14/2023
Plan of Correction
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Center will remove all cleaning products and store them in a locked area.


CLEARED WHILE AT THE CENTER
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Mayla Mendoza
LICENSING EVALUATOR NAME:Catherine Fernandes
LICENSING EVALUATOR SIGNATURE:
DATE: 12/13/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/13/2023


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Document Has Been Signed on 12/13/2023 05:34 PM - It Cannot Be Edited


Created By: Catherine Fernandes On 12/13/2023 at 04:58 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: Y-KIDS CORNELL
FACILITY NUMBER: 013423087

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/13/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1597.16(a)(1)
Lead Testing
(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on interview, the licensee did not comply with the section cited above no lead report was available which poses a potential health risk to persons in care.
POC Due Date: 01/13/2024
Plan of Correction
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Center will schedule or provide the Lead report, with LIC9275, LIC9276 and facility sketch to CCLD by POC date.
Type B
Section Cited
CCR
101216(g)(1)
Personnel Requirements
(1) Except as specified in (3) below, good physical health shall be verified by a health screening, including a test for tuberculosis, performed by or under the supervision of a physician not more than one year prior to or seven days after employment or licensure.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above staff were missing medical assessments which pose a potential health risk to persons in care.
POC Due Date: 01/13/2024
Plan of Correction
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All staff will complete the medical assessments and place a copy in the file. Center will send a statement of completion to CCL by POC date.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Mayla Mendoza
LICENSING EVALUATOR NAME:Catherine Fernandes
LICENSING EVALUATOR SIGNATURE:
DATE: 12/13/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/13/2023


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