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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073404440
Report Date: 04/18/2023
Date Signed: 04/18/2023 05:58:16 PM

Document Has Been Signed on 04/18/2023 05:58 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
BAY AREA-CC OAKLAND, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:CONTRA COSTA CO. CSD - GEORGE MILLER IIICH.CENTERFACILITY NUMBER:
073404440
ADMINISTRATOR:VILLARPANDO, KARLAFACILITY TYPE:
850
ADDRESS:300 S. 27TH STREETTELEPHONE:
(510) 374-3526
CITY:RICHMONDSTATE: CAZIP CODE:
94804
CAPACITY: 200TOTAL ENROLLED CHILDREN: 200CENSUS: 81DATE:
04/18/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:01 PM
MET WITH:Ruth Hunter and Karla VillarpandoTIME COMPLETED:
06:13 PM
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On Tuesday, April 18, 2023, Licensing Program Analyst (LPA) Caroline Colson, arrived at the facility at 1:01 PM and met with Karla Villarpando, Center Director, and Ruth Hunter, Site Administrator lll to conduct an annual required inspection. A guided tour was provided by the center. Hours of Operation are Mondays - Fridays from 7:30 AM to 5:00 PM. LPA made the following observations:

Capacity/Staffing: The facility is a preschool with ten classrooms. There are 81 preschool children present with 17 staff members including the Center Director.

Physical Plant: There are bathrooms within each classroom. There is adequate heating, lighting and ventilation. There are no cleaning solutions, chemicals or other hazards accessible to children.

Classrooms: Furniture and equipment age appropriate and in good repair. There are separate storage areas for children’s belongings. Children do take naps at facility. There are mats and bedding materials for the children. Bedding materials are washed every week by staff. The facility provides breakfast, lunch and snacks. The menu is posted for review.

Restrooms: Toilets and sinks are operable. There is soap, toilet paper and paper towels for sanitary use.

Play yard: Climbing structures, swings, slides are safe and in good condition. There is a shaded area. Playground is free of debris and other hazards. Drinking water is readily available. There are no pools, hot tubs or other bodies of water present.
CONTINUED
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Caroline Colson
LICENSING EVALUATOR SIGNATURE: DATE: 04/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/18/2023
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
BAY AREA-CC OAKLAND, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: CONTRA COSTA CO. CSD - GEORGE MILLER IIICH.CENTER
FACILITY NUMBER: 073404440
VISIT DATE: 04/18/2023
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Emergency Preparedness/Safety: There are Smoke Detectors and Carbon Monoxide Detectors in each classroom and were checked on July 14, 2022. The 3A40BC fire extinguishers was serviced on July 14, 2022. First Aid Kit is available and complete. Emergency Disaster Plan is posted. The facility utilizes a land line telephone.

Postings: Facility License, Emergency Disaster Plan, Notification of Parent's Rights, Earthquake Preparedness Checklist.

Sign in Sheet/Class Roster: All parents use an electronic signature to sign in and sign out. The roster is current and available.

Training/Record Review:
All staff present on this date have criminal background clearances and are associated to the facility. Staff have current CPR/First Aid and Mandated Reporter certificates on file. Immunization records including influenza and or a statement declining vaccination.

The facility is currently providing Incidental Medical Services to children in care. Incidental Medical Services (IMS) policy was discussed. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (US DOJ) 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

Center Director will send a copy of the Operations and Record Keeping Orientation Certificate to our department by mail.


Please See LIC 809 C For Additional Information
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Caroline Colson
LICENSING EVALUATOR SIGNATURE:

DATE: 04/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/18/2023
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
BAY AREA-CC OAKLAND, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: CONTRA COSTA CO. CSD - GEORGE MILLER IIICH.CENTER
FACILITY NUMBER: 073404440
VISIT DATE: 04/18/2023
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Karla Villarpando was reminded that all adults 18 and over, 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.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process


A copy of this report shall be maintained for 3 years and available for public review upon request.

A Notice of Site Visit was issued and shall remain posted for 30 days. Failure to keep this notice posted for the 30 consecutive days will result in an immediate $100 civil penalty.

Please visit our website at www.ccld.ca.gov for training videos, forms, and other resources.

Exit interview conducted and report was reviewed with the licensee, Karla Villarpando .

There were no deficiencies cited during this inspection.

SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Caroline Colson
LICENSING EVALUATOR SIGNATURE:

DATE: 04/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/18/2023
LIC809 (FAS) - (06/04)
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