013423087-2-27-2024-02-CC-MDOY-D2USAV-20240227124257

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013423087
Report Date: 02/27/2024
Date Signed: 02/27/2024 12:43:21 PM

Document Has Been Signed on 02/27/2024 12:43 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 CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME:	Y-KIDS CORNELL		FACILITY NUMBER:	013423087
ADMINISTRATOR:	MAJANO, AILEEN		FACILITY TYPE:	840
ADDRESS:	920 TALBOT AVENUE		TELEPHONE:	(510) 867-8349
CITY:	ALBANY	STATE: CA	ZIP CODE:	94706
CAPACITY: 60	TOTAL ENROLLED CHILDREN: 60	CENSUS: 0	DATE:	02/27/2024
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	09:25 AM
MET WITH:	Karina Martin		TIME COMPLETED:	01:00 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 Tuesday February 27, 2024, Licensing Program Analyst (LPA) M. Domantay met with Head Teacher Karina Martin, for the purpose of an unannounced case management inspection for an application that was submitted to change the capacity and increase the facility capacity to 70 School Age Children. Present during today's inspection were Head Teacher, Karina Martin and 1 staff. There were no School Age children upon arrival. Hours of operation are Monday through Friday from 7:30AM to 6:00PM. The fire clearance was granted on 10/16/2023 for 70 School Age, ages 4.7 to 13 years. LPA toured all areas designated for the School Age Program with Head Teacher, Karina Martin. The program operates in 2 indoor areas, Classroom #7 and the Multi-Purpose Room and 1 outdoor area. Disinfectants, cleaning solutions, and other items that are dangerous to the health and safety of children were stored in places inaccessible to them, by child locks on storage cabinets. Furniture and equipment were age appropriate and in good condition, free of sharp, loose, or pointed parts. Restrooms for children were observed to be in safe, sanitary, and functioning condition. Floors were clean and free from tripping hazard. Food storage area were clean, free of litter, rubbish, and rodents/vermin. Trash cans had tight fitting lids and were in good repair. LPA observed a 3A40BC Fire extinguisher in Classroom #7 and a 4A60BC fire extinguisher in the Multi-Purpose Room, combination smoke and Carbon Monoxide Detector in Classroom #7. School Age Program operates on the grounds of Cornell Elementary School, which exempts program from square footage for indoor and outdoors areas. The restrooms are located outside Classroom #7 in the main school building across Classroom #7 and there are 2 bathrooms in the Multi-Purpose Room for children's use. There is a separate private restroom for the staff. Children who become ill during the day will be isolated in the reading corner of Classroom #7 and will use the staff restroom, if necessary.

SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Melissa Domantay
LICENSING EVALUATOR SIGNATURE:	DATE: 02/27/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2024

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 CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: Y-KIDS CORNELL	FACILITY NUMBER: 013423087
	VISIT DATE: 02/27/2024

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There is 1 outdoor area on the property for the School Age children to utilize. Outdoor playground was inspected and observed to be safe. Head Teacher, Karina Martin is reminded that 100% supervision of children must be provided. There are currently no climbing play structures being utilized in the outdoor playground. LPA observed a new play area with a play structure that is under construction. LPA notified Head Teacher, Karina that once the new play area with play structure is completed, their assigned analyst should be notified and new outdoor areas and play structure should be inspected before being utilized by children. There are shaded areas supplied by canopies. The playground is free of debris and other hazards. There are no pools, hot tubs, or other bodies of water present.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms.
To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

A notice of site visit was given to Head Teacher, Karina Martin and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

Exit interview conducted and report was reviewed with the Head Teacher, Karina Martin.

The following items are required before a license will be issued:

1. Licensing Program Manager (LPM) final file review.

2. Completed, revised LIC200A and LIC610 should be submitted by Applicant.

3. Carbon Monoxide Detector must be installed in the Multi-Purpose Room.

SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Melissa Domantay
LICENSING EVALUATOR SIGNATURE:	DATE: 02/27/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2024

LIC809 (FAS) - (06/04)

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