Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073403280
Report Date: 02/05/2016
Date Signed 02/05/2016 10:54:03 AM

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:CENTER OF ARTS, TECHNOLOGY AND SCIENCEFACILITY NUMBER:
073403280
ADMINISTRATOR:CHENG, CHRISTOPHERFACILITY TYPE:
840
ADDRESS:961 FIRST STREETTELEPHONE:
(925) 283-4500
CITY:LAFAYETTESTATE: CAZIP CODE:
94549
CAPACITY:63CENSUS: 9DATE:
02/05/2016
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Cheng ChristopherTIME COMPLETED:
11:00 AM
NARRATIVE
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3 – LPA, Hollie, met with staff member, Sharla Lee for the purpose of a Random Health and Safety Inspection. The Director was not present at the start of the visit but was contacted and arrived shortly after the visit began. Present today are 2 staff and a total of 9 children. There are no bodies of water or fire arms on the premises, per the Director. A tour of the facility was conducted. The child care center is sanitary and appears to be in good condition. Disinfectants, cleaning solutions poisons and other items that are dangerous to children, are inaccessible during this visit. Poisons are locked. Furniture and equipment appear to be in good condition and free of sharp, loose or pointed parts. Toilets are operable, sanitary and there is sufficient soap and paper products. The floors are clean and free of hazards during this visit. The kitchen/food preparation area is free of litter, rubbish and the evidence of rodents and other vermin. Storage containers for solid waste (garbage cans) including moveable bins, have tight-fitting covers that are kept on and are in good repair. Uncontaminated drinking water is readily available both indoors and outdoors. The Outdoor activity space surfaces are free of hazards today. The areas around and under high climbing equipment, swings, slides and similar equipment are cushioned with material that absorbs falls. The facility is in compliance with staff-child ratios. Menus are posted at least one week in advance and are visible by the child’s authorized representative. The facility has a functioning carbon monoxide detector.

SEE PAGE TWO FOR CONTINUED REPORT

SUPERVISOR'S NAME: Zakiya AliTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Ronda HollieTELEPHONE: (510) 725-7004
LICENSING EVALUATOR SIGNATURE:

DATE: 02/05/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2016
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 3


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: CENTER OF ARTS, TECHNOLOGY AND SCIENCE
FACILITY NUMBER: 073403280
VISIT DATE: 02/05/2016
NARRATIVE
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A sampling of Staff and Children’s records were reviewed for medical assessments and educational qualifications.

The licensee was reminded that all person’s 18 years of age or older, who works at the facility must be fingerprint cleared or associated to the facility PRIOR to being in the presence of day care children.

The licensee was encouraged to review Title 22 Regulations on line at CCLD.CA.GOV to stay informed and up to date on changes in laws or regulations as it relates to Child Care Centers.

THE LICENSEE WAS PROVIDED A COPY OF THEIR APPEAL RIGHTS (LIC 9058 12/15) AND THEIR SIGNATURE ON THIS FORM ACKNOWLEDGES RECEIPT OF THESE RIGHTS.

LPA POSTED THE REQUIRED POSTINGS FOR PUBLIC VIEWING

Incidental Medical Services was discussed with the Licensee. This facility provides Incidental Medical Services (IMS) LPA reviewed storage of medication and equipment/supplies and reviewed children's, personnel and administrative records.



SEE 809-D FOR TYPE B DEFICIENCY
SUPERVISOR'S NAME: Zakiya AliTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Ronda HollieTELEPHONE: (510) 725-7004
LICENSING EVALUATOR SIGNATURE:

DATE: 02/05/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2016
LIC809 (FAS) - (06/04)
Page: 2 of 3


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: CENTER OF ARTS, TECHNOLOGY AND SCIENCE
FACILITY NUMBER: 073403280
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/05/2016
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/04/2016
Section Cited
101239e4
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101239(e)(4) Fixtures, Furniture, Equipment and Supplies. All toilets, hand-washing and bathing facilities shall be kept in safe and sanitary operation and shall be ADA compliant.
One of the sinks in the boys bathroom is not currently working.
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The Licensee will have the sink repaired and send LPA a copy of the repair receipt or a picture of the faucet with running water by March 4, 2016
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Zakiya AliTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Ronda HollieTELEPHONE: (510) 725-7004
LICENSING EVALUATOR SIGNATURE:

DATE: 02/05/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2016
LIC809 (FAS) - (06/04)
Page: 3 of 3