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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073408286
Report Date: 07/30/2021
Date Signed: 07/30/2021 04:30:19 PM

Document Has Been Signed on 07/30/2021 04:30 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, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:KIDDIE ACADEMYFACILITY NUMBER:
073408286
ADMINISTRATOR:AUTUMN BROOKSFACILITY TYPE:
830
ADDRESS:8680 BRENTWOOD BLVD.TELEPHONE:
(925) 683-3369
CITY:BRENTWOODSTATE: CAZIP CODE:
94513
CAPACITY: 24TOTAL ENROLLED CHILDREN: 0CENSUS: 8DATE:
07/30/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Autumn BrooksTIME COMPLETED:
04:45 PM
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Licensing Program Analysts (LPAs) Cherie Acosta and Diana Campos conducted an unannounced Annual Required inspection. There were 2 staff and 8 children present during the inspection. The facility has age appropriate furniture and napping equipment which was observed to be in good condition. The indoor and outdoor activity space for the infant program is physically separate from the preschool and school age components. Disinfectants, cleaning solutions, poisons and other items that are dangerous to children were inaccessible during the visit. The toilets and sinks was observed to be sanitary and in operable condition. The floors are free of tripping hazards. The kitchen/food preparation and storage areas was observed to be clean. Food is protected against contamination. All storage containers for solid waste have tight-fitting covers that are in good repair. Drinking water is available both indoors and outdoors. Menus are posted and visible for parents to review. Outdoor activity space and playground equipment was observed to be safe and free of hazards. Climbing equipment is properly anchored to the ground with adequate and appropriate cushioning material to absorb falls. There is a shaded area provided for the children

The facility is operating within its licensed capacity. The facility is within ratio today with one teacher supervising no more than 4 Infants. LPA did not observe any child left without visual supervision during the inspection. At least one person trained in CPR and Pediatric First Aid is present when children are at the facility as stated by the Director. LPA verified both opening and closing staff have current CPR/First aid training. A physical census was taken of all children present and crossed referenced with the sign in and out.

The director understands that prior to working or volunteering in a licensed child care facility, all individuals subject to criminal record review shall obtain a clearance or criminal record exemption.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Cherie Acosta
LICENSING EVALUATOR SIGNATURE: DATE: 07/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/30/2021
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, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: KIDDIE ACADEMY
FACILITY NUMBER: 073408286
VISIT DATE: 07/30/2021
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A sample of children’s records were reviewed. Files reviewed contained emergency information, health assessments, and needs and service plan. Staff records reviewed have required health screening. Teacher present today meet the qualification requirements.

LPAs discussed safe sleep regulations with the director.

Safety precaution in regards to COVID-19 were discussed with the director.

There were no deficiencies cited during today’s inspection.

An exit interview was conducted with Autumn Brooks.
The director was provided a copy of her appeal rights.
A Notice of Site visit was provided at the time of inspection and must be posted for 30 days.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Cherie Acosta
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2021
LIC809 (FAS) - (06/04)
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