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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073408905
Report Date: 08/26/2021
Date Signed: 08/26/2021 12:29:47 PM

Document Has Been Signed on 08/26/2021 12:29 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:CONTRA COSTA CO. CDC-CRESCENT PARKFACILITY NUMBER:
073408905
ADMINISTRATOR:FRAZIER-STAFFORD, LINDAFACILITY TYPE:
830
ADDRESS:5050 HARTNET AVENUETELEPHONE:
(510) 374-3701
CITY:RICHMONDSTATE: CAZIP CODE:
94804
CAPACITY: 18TOTAL ENROLLED CHILDREN: 0CENSUS: 4DATE:
08/26/2021
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Linda Frazier-Stafford and Michele FreemanTIME COMPLETED:
12:45 PM
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A Prelicensing Visit was conducted today by Licensing Program Analysts (LPAs) Melissa Domantay and Melissa Guirit. LPAs met with Director Linda Frazier-Stafford and on boarding site supervisor Director Michele Freeman. The applicant submitted an application for an infant license. A health and safety inspection was conducted inside and outside. The center has a preschool program on-site (license #07021159). The infant program will operate in 1 classroom, Room 3, Monday to Friday from 6:45am-5:45pm. The measurements are as follows:

INDOORS: 579.4 square feet = 17 children
OUTDOORS: 4799.05 square feet = 64 children

All classrooms are equipped with varied age appropriate materials and equipment. The infant program will serve crib-aged infants in Room 3. There is a separate crib area with 6 cribs for crib-aged infants. The diaper changing table is within arms reach of a sink. There are 3 sinks available for children. The play therapy room and staff bathroom will serve as isolation areas for ill children. There is a separate small infant play yard that is separate from preschool children that can be used until it reaches the max capacity of 14 infants. Infants will also share toddler play yard. Director is reminded that toddler play structure will be off limits to the infants and will require 100% supervision. The infant yard is fenced all around and is cushioned with poured rubber. There is sufficient shade in the infant play yard and snacks, breakfast, and lunch are provided to infants. There is a kitchen available. Facility will utilize electronic sign in/out.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Melissa Domantay
LICENSING EVALUATOR SIGNATURE: DATE: 08/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/26/2021
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. CDC-CRESCENT PARK
FACILITY NUMBER: 073408905
VISIT DATE: 08/26/2021
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This facility is reminded of Incidental Medical Services – IMS. A Plan of Operation that includes IMS has been 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.

Mandated reporter, appeal rights, civil penalties, unusual incident reporting, fingerprint requirements, and COVID protocols were discussed today. Licensee is also being informed of the web address (www.ccld.ca.gov) for downloading child care forms, and checking Provider Information Notices (PINs). 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 is found to be clean, safe, sanitary, and in good repair. A license for 17 infants will be issued effective today 8/26/21

An exit interview was conducted with Site Supervisor/ Director Linda Frazier-Stafford. A copy of this report, notice of site visit, and appeal rights was provided to Director Linda.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Melissa Domantay
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2021
LIC809 (FAS) - (06/04)
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