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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423735
Report Date: 11/17/2022
Date Signed: 11/17/2022 11:37:07 AM

Document Has Been Signed on 11/17/2022 11:37 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 OF THE EAST BAY-M.ROBINSON BAKER EARLYFACILITY NUMBER:
013423735
ADMINISTRATOR:MELANIE MUELLERFACILITY TYPE:
830
ADDRESS:3265 MARKET STREETTELEPHONE:
(510) 640-5836
CITY:OAKLANDSTATE: CAZIP CODE:
94608
CAPACITY: 32TOTAL ENROLLED CHILDREN: 32CENSUS: 0DATE:
11/17/2022
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Carla Cooper and Joshua JacksonTIME COMPLETED:
11:45 AM
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On 11/17/22, Licensing Program Analysts (LPAs) Melissa Guirit and Melissa Domantay conducted a Prelicensing inspection today, for the new initial application for infant/toddler. LPAs met with Director of Operations, Carla Cooper and Area Manager, Joshua Jackson and toured all areas of the facility for a health and safety inspection. There were no children present during today's inspection. The hours of operation are Monday through Friday from 7:00am to 5:00pm. Measurements are as follows:

INDOOR: 1,597.29 sq ft = 44 children
OUTDOOR: 2,367.25 sq ft = 32 children

A fire clearance, with a total capacity of 32 children, 16 infants and 16 toddlers was received from the Oakland Fire Department on 11/7/22.

LPAs observed that the classrooms has sufficient lighting and appears to be clean and in good condition. LPAs observed an ample supply of age appropriate activities, equipment and furniture. The infant component will utilize the classroom on the right, while the toddlers will utilize the classroom on the left side. The infant crib area has six cribs for crib age children. The facility has a total of 10 sinks and 2 toilets and the changing tables are within arms reach of a sink. The building has fully charged 3A40BC fire extinguishers, working fire alarm and carbon monoxide detector, and first aid supplies. There is a working telephone at the center. LPAs did not observe any hazardous items that would be accessible to children. Facility will provide water for children, with water still accessible to children inside and outside. Facility will provide breakfast, lunch, and afternoon snack. For infants, formula, wipes, diapers will be provided. If milk is provided by parent, facility is able to store it properly. Facility will utilize electronic sign in/out.

See 809-C for continuance.
SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Melissa Guirit
LICENSING EVALUATOR SIGNATURE: DATE: 11/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/17/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
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: YMCA OF THE EAST BAY-M.ROBINSON BAKER EARLY
FACILITY NUMBER: 013423735
VISIT DATE: 11/17/2022
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LPAs observed the outdoor play areas, which is fully fenced and split into two sections. There is sufficient cushion to absorb a child's fall under the play areas. LPAs observed ample amount of shade for children. The isolation area will be in the front lobby area.

Rochelle LaRue Williams is considered a qualified Director with current CPR/First Aid and mandated reporter training's completed.

If this facility plans to provide Incidental Medical Services – IMS. A 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)/ (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.

Mandated reporter and appeal rights, civil penalties, unusual incident reporting and fingerprint requirements were discussed today. LPAs reviewed responses and provided technical assistance including postings. Licensee is also being informed of the web address (www.ccld.ca.gov) for downloading child care forms, and the director is encouraged to email ChildCareAdvocatesprogram@dss.ca.gov to be included in the Child Care Quarterly Updates distribution list. The director is also reminded that mandated reporter training is required for all staff and is to be renewed every 2 years at www.mandatedreporterca.com.

An infant license for a capacity of 32 children, 16 infants and 16 toddlers will be granted today, 11/17/22. There are no deficiencies being cited today. Exit interview conducted with Director of Operations, Carla Cooper and Area Manager, Joshua Jackson.
SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Melissa Guirit
LICENSING EVALUATOR SIGNATURE:

DATE: 11/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2022
LIC809 (FAS) - (06/04)
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