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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 070211591
Report Date: 06/25/2021
Date Signed: 06/25/2021 11:42:14 AM

Document Has Been Signed on 06/25/2021 11:42 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:CONTRA COSTA CO. CHILD DEV. CENTER - CRESCENT PARKFACILITY NUMBER:
070211591
ADMINISTRATOR:CORRINNE WILLIAMS-LINDSEYFACILITY TYPE:
850
ADDRESS:5050 HARTNETT AVENUETELEPHONE:
(510) 374-3701
CITY:RICHMONDSTATE: CAZIP CODE:
94804
CAPACITY: 89TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
06/25/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Linda TIME COMPLETED:
11:55 AM
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A Case Management Visit was conducted today 6/25/21 by Licensing Program Manager (LPM) Mayla Mendoza and Licensing Program Analyst (LPA) Melissa Domantay. LPM and LPA met with Director/applicant, Linda Frazier-Stafford. Facility is a Title V program. Applicant has requested to return back to Active status. The preschool program will operate in Classroom 1 and 4. The program will operate from 6:45AM - 5:45PM, Monday through Friday. A health and safety inspection was conducted inside and outside and the measurements are as follows:

INDOORS: 1646.84 square feet = 47 children
OUTDOORS: 6894.13 square feet = 92 children

The preschool rooms are equipped with varied age appropriate materials and equipment. There are 6 toilets, 2 urinals, and 7 sinks available for children. The play therapy room and the staff toilet in the play therapy room will serve as isolation areas for sick children. There is a kitchen available. Mats are available. The 2 play yards are fenced in all around. The small climbing structures are sufficiently cushioned with poured rubber and turf. Canopies provide sufficient shade in the play yard. The center has functioning drinking fountains inside and outside, as well as jugs and cups. The center will provide am/pm snacks and lunch. No cleaning agents were found stored with food. First aid supplies are available in the center. There is a working telephone on site. Carbon monoxide is available. Facility will utilize electronic sign in/out.

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.
SUPERVISORS NAME: Diane Perez
LICENSING EVALUATOR NAME: Mayla Mendoza
LICENSING EVALUATOR SIGNATURE: DATE: 06/25/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/25/2021
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, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: CONTRA COSTA CO. CHILD DEV. CENTER - CRESCENT PARK
FACILITY NUMBER: 070211591
VISIT DATE: 06/25/2021
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Linda Frazier-Stafford is a fully-qualified preschool director and has completed 16 hours of health and safety training including pediatric CPR and First Aid and Lead Poisoning Training.

Mandated reporter, appeal rights, COVID 19 protocols, Provider Information Notices (PINs), 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. 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.

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

An active license for 47 preschool children in 2 classrooms will be issued effective 6/25/21.

An exit interview was conducted.
SUPERVISORS NAME: Diane Perez
LICENSING EVALUATOR NAME: Mayla Mendoza
LICENSING EVALUATOR SIGNATURE:

DATE: 06/25/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2021
LIC809 (FAS) - (06/04)
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