015700537-9-2-2021-52-CC-MOTI-C6GUME-20210902154212

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 015700537
Report Date: 09/02/2021
Date Signed: 09/02/2021 03:42:35 PM

Document Has Been Signed on 09/02/2021 03:42 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 STE 1102
OAKLAND, CA 94612

FACILITY NAME:	CAPE SUNSET SITE		FACILITY NUMBER:	015700537
ADMINISTRATOR:	GARCIA, REGINA		FACILITY TYPE:	850
ADDRESS:	22100 PRINCETON STREET		TELEPHONE:	(925) 443-3434
CITY:	HAYWARD	STATE: CA	ZIP CODE:	94541
CAPACITY: 36	TOTAL ENROLLED CHILDREN: 0	CENSUS: 0	DATE:	09/02/2021
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	12:15 PM
MET WITH:	Regina Garcia & Jessica Fleck		TIME COMPLETED:	04:01 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	A Prelicensing inspection was conducted today 9/2/2021 by Licensing Program Analyst (LPA) Melanie Otsuji. LPA met with Applicant, Regina Garcia and Child Development Manager, Jessica Fleck. The applicant has submitted a NEW application for a PRESCHOOL license for 36 preschoolers including up to 16 toddlers in the toddler option program. This is TITLE V facility. The program will operate from 7:00AM - 6:00PM, Monday through Friday, in 2 classrooms (E1 and E2). Toddler Room will serve the toddler option program with up to 16 toddlers in Room E2. A health and safety inspection was conducted inside and outside and the measurements are as follows: INDOORS: 1568.76 square feet = 45 children OUTDOORS: 8367.38 square feet = 112 children The center has obtained an approved fire inspection clearance from the Hayward Fire Department on 8/19/2021. The preschool rooms are equipped with varied age appropriate materials and equipment. There are 4 toilets and 6 sinks available for children. Staff toilet is located in the last stall of the bathroom area in E1. Facility will provide catered lunch and AM/PM snacks. Menu will be posted at least one week in advance in a place visible for the authorized representative to see. The teacher's desk and the last stall in the E1 bathroom will serve as isolation areas for sick children. Cots were observed today. This facility plans to provide Incidental Medical Services - IMS. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Melanie Otsuji
LICENSING EVALUATOR SIGNATURE:	DATE: 09/02/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/02/2021

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 STE 1102
OAKLAND, CA 94612

FACILITY NAME: CAPE SUNSET SITE	FACILITY NUMBER: 015700537
	VISIT DATE: 09/02/2021

NARRATIVE

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The play yards are fenced in all around. The small climbing structures are cushioned to absorb a fall. Building overhang and umbrella provides sufficient shade in the play yards. The center has pitchers and cups, as well as water bottles for indoor and outdoor activities. No cleaning agents were found stored with food. There is a refrigerator available. First aid supplies are available in the center. There is a working telephone on site. Carbon monoxide detector is is available and operable. Sign in/out sheets were observed and have ample space to record the authorized representative's full legal signature and records the day and time.

Jamila Mohamed is a fully-qualified preschool director and has completed 16 hours of health and safety training including pediatric CPR and First Aid.

Mandated reporter and appeal rights, civil penalties, unusual incident reporting and fingerprint requirements were discussed today. 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.

Zero Tolerance policies were explained. The center was found to be clean, safe, sanitary, and in good repair.

A license for 36 preschool children (operating out of 2 rooms - E1 and E2) which includes up to 16 toddlers in the toddler option program will be issued on today's date, 9/2/2021.

An exit interview was conducted was Child Development Manager, Jessica Fleck.

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Melanie Otsuji
LICENSING EVALUATOR SIGNATURE:	DATE: 09/02/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/02/2021

LIC809 (FAS) - (06/04)

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