Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073403397
Report Date: 05/02/2017
Date Signed 05/02/2017 11:21:52 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:LA PETITE ACADEMY SAN RAMON - INFANTFACILITY NUMBER:
073403397
ADMINISTRATOR:ABASTA-CASTRO, MARICARFACILITY TYPE:
830
ADDRESS:1001 MARKET PLACETELEPHONE:
(925) 277-0626
CITY:SAN RAMONSTATE: CAZIP CODE:
94583
CAPACITY:28CENSUS: 23DATE:
05/02/2017
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:MaricarTIME COMPLETED:
11:30 AM
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1) Annual random visit conducted by Licensing Program Analyst, Jason Jang. I met with the Director, Maricar Abasta-Castro. A tour of the facility was made and the buildings and grounds were inspected. All of the correct postings were on the wall. The sign in sign out sheet, first aid kit, snack menu, and fire drill log book were reviewed and found to be complete. Children and staff files were reviewed. Staff had a current CPR and first aid certificate. All staff had the proper vaccination requirements in their files. Licensee was reminded that anyone working at the facility must be fingerprint cleared prior to being in the presence of children, or an immediate civil penalty can be assessed. Also discussed: nutrition education; the new appeal process; and documents to be provided to parents/legal guardians. Exit interview was conducted and this report was reviewed with the Director. Licensee was provided a copy of their appeal rights. Notice of site visit was posted at the time of the inspection, and must remain posted for 30 days. This facility plans to provide Incidental Medical Services – IMS. For IMS information, see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. The IMS plan of operation shall be submitted to the Licensing 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

No deficiencies were cited in today's visit.
SUPERVISOR'S NAME: Zakiya AliTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Jason JangTELEPHONE: (510) 725-7009
LICENSING EVALUATOR SIGNATURE:

DATE: 05/02/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/02/2017
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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