073407453-8-9-2023-52-CC-MPRE-CUJUNC-20230809154342

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 073407453
Report Date: 08/09/2023
Date Signed: 08/09/2023 03:43:50 PM

Document Has Been Signed on 08/09/2023 03:43 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:	GRACIE'S PLACE PRESCHOOL		FACILITY NUMBER:	073407453
ADMINISTRATOR:	PLATTS, DENISE		FACILITY TYPE:	850
ADDRESS:	17011 BOLLINGER CANYON ROAD		TELEPHONE:	(925) 302-9092
CITY:	SAN RAMON	STATE: CA	ZIP CODE:	94582
CAPACITY: 13	TOTAL ENROLLED CHILDREN: 0	CENSUS: 0	DATE:	08/09/2023
TYPE OF VISIT:	Case Management - Other	ANNOUNCED	TIME BEGAN:	03:00 PM
MET WITH:	Denise Platts		TIME COMPLETED:	03:42 PM

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On 8/9/2023 at 3:00pm Licensing Program Analyst (LPA) Morgan Pringle met with Director Denise Platts for a Case Management Visit. Facility license has been on Inactive Status since 1/30/2023 and Licensee is requesting to reactivate the license. Facility has been operating at the Rancho San Ramon Community Park Center at 1998 Rancho Park Loop, San Ramon, CA 94582 due to construction at the current building. Facility will be reopening on Monday 8/14/2023. There were no children present during LPA's visit and the facility will be operating from 9:00am - 1:00pm, Monday - Friday. The facility will be operating inside the Dougherty Station Community Center in room 102 and use the Ridgeview Room as an activity space.

LPA toured the facility for a health and safety inspection. The facility has age appropriate materials in the classroom that are observed to be clean and in good condition. All toxins, cleaning products and hazardous materials were observed to be in inaccessible areas. The children's sink and toilet are observed to be clean and in proper working order. LPA did not observe any harmful or unattended bodies of water in or around the facility.

Children will bring their lunch and snacks from home. The food prep area is clean and free from defects. All children have access to clean drinking water in the classroom. There are smoke detectors, carbon monoxide detectors and fire extinguishers throughout the building. There is a first aid kit on site as well.

Director was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Morgan Pringle
LICENSING EVALUATOR SIGNATURE:	DATE: 08/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2023

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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: GRACIE'S PLACE PRESCHOOL	FACILITY NUMBER: 073407453
	VISIT DATE: 08/09/2023

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Director was reminded that EMSA approved Pediatric CPR & First Aid training must be completed every two (2) years. Mandated Reporter Training ("Child Care Providers") is required for all staff and is to be renewed every 2 years by visiting https://mandatedreporterca.com/. Personnel and facility roster must be properly maintained, and fire/disaster drills must be conducted at least every six (6) months and documented. Licensee was reminded that California law requires facilities to report unusual incidents and/or injuries to children in care, to the child's parents, and to the Department within 24 hours by phone, fax, or email. Within seven (7) days from the incident, facilities must submit the Unusual Incident/Injury form (LIC 624) to the Department. LPA informed Director that all forms can be downloaded at www.ccld.ca.gov.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of “medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication. Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

Facility License will be reactivated as of today 8/9/2023.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Director Denise Platts.

SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Morgan Pringle
LICENSING EVALUATOR SIGNATURE:	DATE: 08/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2023

LIC809 (FAS) - (06/04)

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