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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700612
Report Date: 06/20/2023
Date Signed: 06/20/2023 05:13:21 PM

Document Has Been Signed on 06/20/2023 05:13 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:LILY OF THE VALLEY EARLY EDUCATION & PRESCHOOLFACILITY NUMBER:
015700612
ADMINISTRATOR:LOCUS, LISAFACILITY TYPE:
830
ADDRESS:348 NORTH CANYONS PARKWAYTELEPHONE:
(408) 431-9226
CITY:LIVERMORESTATE: CAZIP CODE:
94551
CAPACITY: 64TOTAL ENROLLED CHILDREN: 64CENSUS: 0DATE:
06/20/2023
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
02:05 PM
MET WITH:Marvel PhilipTIME COMPLETED:
05:30 PM
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An ANNOUNCED PRE-LICENSING INSPECTION was conducted on this date 6/20/2023 by Licensing Program Analyst (LPA) Melanie Otsuji. LPA met with Applicant, Marvel Philip, Director of Operations, Bertha Taitague and Director, Lisa Locus. An application was submitted for a NEW INFANT COMPONENT. Also on site is a NEW PRESCHOOL COMPONENT (#015700613) operating out of 6 classrooms. Operating Monday through Friday from 7AM - 6PM. A health and safety inspection was conducted inside and outside. Measurements were taken and are as follows:

INDOORS: 1793.09 square feet = 51 children
OUTDOORS: 4442.76 square feet = 59 children

There are a total of 4 sinks available for children use. Drinking water is available inside and outside by way of water dispensers and bottles brought from home. Facility provides catered lunch and AM/PM snacks. Menus are posted. Facility has a functioning carbon monoxide detector, smoke detector and fire extinguisher accessible throughout the facility.

An approved Fire Clearance was received on 6/2/2023 from Livermore/Pleasanton Fire Department.

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: 06/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/20/2023
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 STE 1102
OAKLAND, CA 94612
FACILITY NAME: LILY OF THE VALLEY EARLY EDUCATION & PRESCHOOL
FACILITY NUMBER: 015700612
VISIT DATE: 06/20/2023
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 There is a play yard for children and is fenced in all around. Building overhang and trees provide sufficient shade in the play yard. Director is aware that at no times should Infants and Preschool aged children commingle inside or outside. 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. Facility will utilize an electronic sign/in out program where each authorized representative has a unique identifier. Facility will utilize a paper sign in/out sheet that records the date, time and full legal signature of authorized representative should the electronic software not be available.

Lisa Locus is a fully qualified preschool director and has completed her 16 hours of Pediatric CPR/First Aid and Preventative Health Training. Applicant was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with applicant and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed applicant of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchases.

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 platform. 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 license for 51 infant aged children operating out of 3 classrooms (infant (C102), toddler 1 (C103) , toddler 2 (C104)) will be issued effective today, 06/20/2023.



Exit interview conducted with Applicant, Marvel Philip.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Melanie Otsuji
LICENSING EVALUATOR SIGNATURE:

DATE: 06/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2023
LIC809 (FAS) - (06/04)
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