073409590-7-31-2024-02-CC-MDOY-D7PQZS-20240731123712

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 073409590
Report Date: 07/31/2024
Date Signed: 07/31/2024 12:37:50 PM

Document Has Been Signed on 07/31/2024 12:37 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
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME:	GRACE CHILDCARE CENTER / GRACE ARMS OF ANTIOCH		FACILITY NUMBER:	073409590
ADMINISTRATOR/ DIRECTOR:	BEATE BELL		FACILITY TYPE:	860
ADDRESS:	3415 OAKLEY RD		TELEPHONE:	(925) 522-2017
CITY:	ANTIOCH	STATE: CA	ZIP CODE:	94509
CAPACITY: 29	TOTAL ENROLLED CHILDREN: 29	CENSUS: 0	DATE:	07/31/2024
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:30 AM
MET WITH:	Kirkland Smith		TIME VISIT/ INSPECTION COMPLETED:	12:00 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Centralized Application Bureau (CAB) Licensing Program Analyst (LPA) M. Domantay and Christina Watts met with Applicant Kirkland Smith for the purpose of a pre-licensing inspection to measure the outdoor play yard. All renovations of play yard has been completed. Applicant requests a single licensed child care center for a Preschool program ages 2 years to first grade entry license to serve a total of 29 children. The program will operate Monday through Friday from 7:00 a.m. to 6:00 p.m. The fire clearance was granted and received on 2/14/2024 from the Contra Costa Fire Protection Department with occupancy code I-4. OUTDOOR ACTIVITY SPACE: There is 1 outdoor area on the property, Playground 1. The outdoor play areas are fenced wrought iron fencing that is at least four feet tall. LPAs observed a sufficient amount of equipment and toys. There is a play structure present in the outdoor play yard area. Play area and Play structure are filled with tan bark and turf as cushioning to cushion a child's fall. There are no bodies of water on the premises. There is sufficient outdoor shading provided by canopies. LPAs observed barriers between parking lot area and surrounding modular has been installed to secure walk way/entrance to outdoor preschool play yard. LPA measured the outdoor activity space. The outdoor play area contains a total of 2,284.31 square feet, which will accommodate Applicant's request for 29 preschool children. Individual measurements are recorded on the Capacity Worksheet (LIC 9024). Applicant was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, 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. Page 1

SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Melissa Domantay
LICENSING EVALUATOR SIGNATURE:	DATE: 07/31/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/31/2024

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
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: GRACE CHILDCARE CENTER / GRACE ARMS OF ANTIOCH	FACILITY NUMBER: 073409590
	VISIT DATE: 07/31/2024

NARRATIVE

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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. Applicant was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. 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) or (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

Exit interview conducted and report was reviewed with the Applicant, Kirkland Smith.

The following items are required before a license will be issued:

1. Licensing Program Manager (LPM) final file review.

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SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Melissa Domantay
LICENSING EVALUATOR SIGNATURE:	DATE: 07/31/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/31/2024

LIC809 (FAS) - (06/04)

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