010205790-3-3-2022-52-CC-SDOO-CC6W4L-20220303155742

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 010205790
Report Date: 03/03/2022
Date Signed: 03/03/2022 03:57:58 PM

Document Has Been Signed on 03/03/2022 03:57 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 STE 1102
OAKLAND, CA 94612

FACILITY NAME:	ST. LEANDER PRE-KINDERGARTEN		FACILITY NUMBER:	010205790
ADMINISTRATOR:	LYNNE KENNEDY MULLEN		FACILITY TYPE:	850
ADDRESS:	451 DAVIS STREET		TELEPHONE:	(510) 351-4144
CITY:	SAN LEANDRO	STATE: CA	ZIP CODE:	94577
CAPACITY:	48	CENSUS: 15	DATE:	03/03/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:31 PM
MET WITH:	Brianna Navarro(Lead Teacher)		TIME COMPLETED:	04:00 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	On 03/03/2022 at approximately 12:30pm, Licensing Program Analyst (LPA) Sabina Dodoo met with Lead teacher Brianna Navarro and Director Rebecca Martinez for an UNANNOUNCED ANNUAL REQUIRED INSPECTION for St. Leander Pre-Kindergarten. Present for the inspection were the lead teacher, the director and 1 teacher who are all fingerprint cleared. The total children enrolled are 48 and the census was 15 children at the time of the inspection. The Child Care Center is within ratio. The Child Care Center was toured to conduct a Health and Safety Inspection. The center currently operates Monday through Friday from 7:45am to 2:45pm. Upon arrival at the center LPA observed that the children have been moved to the St. Leander Elementary school. The reason is because there is a gas leakage on the school campus that is in repair. The children have relocated into a multipurpose room at the elementary school. All necessary materials needed to care for the children have been moved. The children are using the playground located at the school and are not comingling with the school age children. LPA still walked with the teacher to the main campus to inspect the empty classrooms and the school grounds. PHYSICAL PLANT: The entrance of the Child Care Center is the main gate leading to the classroom. Parents drive up to the courtyard and drop the children while also signing in. There are two classrooms which are Room 1 and Room 2. They are called the Pre-K Rooms. There are ample amounts of materials for children to use and for learning. LPA observed the bulletin board (parent’s rights, emergency disaster plan, earthquake drills and facility license). LPA observed cubbies with children’s names on them and lunch bags. The children have sleeping mats to nap on. There is a bathroom that is in operable condition for children to use. All hazardous materials and toxins are kept out of reach from children and are not accessible. This Child Care Center has one fully charged fire extinguisher 3A-10- 40 BC, a working smoke detector, a working carbon monoxide, a telephone and a fully stocked first aid kits. The furniture around the classrooms and outdoor area are all child proof and adequate for children to use. The learning materials are organized, and toys are kept in safety bins and cabinets for easy access for the children. *Continued on LIC 809C

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Sabina Dodoo	TELEPHONE: 510-622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2022

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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Document Has Been Signed on 03/03/2022 03:57 PM - It Cannot Be Edited

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 STE 1102
OAKLAND, CA 94612

FACILITY NAME: ST. LEANDER PRE-KINDERGARTEN	FACILITY NUMBER: 010205790
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/03/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type A

Section Cited

CCR

101212(d)(1)(C)

This requirement is not met as evidenced by: Based on observation and interview the Director failed to report a gas leakage which resulted in the children having to move to another location. The playground is off limits to children due to structural issues. Both incidents were not reported to the Department in 24 hours and documented on LIC 624 within 7 business days.
	Deficient Practice Statement
1 2 3 4	Type A Reporting Requirements 101212 (d)(1)(C)Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report... (d)(2) below shall be submitted to the Department within seven days... occurrence of such event.1) Events reported shall include the following (C) Any unusual incident or child absence that threatens the physical or emotional health or safety of any child. This poses an immediate health, safety, and personal rights risks to children in care.
	POC Due Date: 03/22/2022
	Plan of Correction
1 2 3 4	The Director shall submit 2 separate unusual incident report LIC 624 Foms before the POC Due Date documenting 1. The gas leakage and where the children have been moved 2. A separate report should be submitted documenting the structural problems of the play structure and the reason why it is off limits. These reports shall be submitted to LPA by email or faxed to the Oakland Regional office. LPA email: sabina.dodoo@dss.ca.gov

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Sabina Dodoo	TELEPHONE: 510-622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2022

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 STE 1102
OAKLAND, CA 94612

FACILITY NAME: ST. LEANDER PRE-KINDERGARTEN	FACILITY NUMBER: 010205790
	VISIT DATE: 03/03/2022

NARRATIVE

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FOOD & SNACK: The teachers provide AM and PM snacks to the children. There is a snack menu posted on the parent board. The children bring food from home and water bottles.

OUTDOOR: LPA Dodoo observed the outdoor play area, which consist of a climbing play structure with a slide. At this time the play yard is off limits to children due to structural problems that can harm the safety and health of the children. The outdoor play area is also fenced all around with secured gates. There are no bodies of water on the premises. There are no firearms on premises.

RECORDS: At 1pm LPA Dodoo reviewed 8 children’s files and 2 staff files and documented them on LIC 857 and LIC 859. An updated roster was viewed by LPA Dodoo. A copy will be emailed to LPA from Director. The staff interview was completed with Lead Teacher Brianna Navarro. The Director and staff have completed the Health and Safety training and CPR/First Aid is current. The Director and Staff are following the immunization laws and have completed the mandated reporter training. Director has conducted and documented the fire and disaster drills twice a year and the last conducted drill was on March 1st, 2022. All required forms are posted and visible for public view.

CITATION: A Type A deficiency was cited during today’s inspection for violation of Title 22 Regulation. The center is in violation of Regulation number 101212 (d)(1)(C) for failure to report two unusual incidents to the department which poses an immediate health, safety, and personal rights risks to children in care. (Please see LIC 809 D for details).

Incidental Medical Services (IMS) policy was discussed. This facility does not provide IMS (Incidental Medical Services) to children in care. If any IMS is provided, a Plan for Providing 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)/ (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

***Continued on LIC 809 C***

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Sabina Dodoo	TELEPHONE: 510-622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2022

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 STE 1102
OAKLAND, CA 94612

FACILITY NAME: ST. LEANDER PRE-KINDERGARTEN	FACILITY NUMBER: 010205790
	VISIT DATE: 03/03/2022

NARRATIVE

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To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

Director was reminded that all adults 18 and over working in Child Care Center, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Director was reminded of the responsibility as a mandated reporter and the trainings must be done once every two years as well as CPR/First Aid needs to be renewed every two years and must be EMSA approved. LPA also encouraged licensee to frequently visit our website at www.ccld.ca.gov for licensing regulations and updates, as well as all forms can be downloaded. For licensing updates and Quarterly Child Care Distribution email, email childcareadvocatesprogram@dss.ca.gov and ask to be added to the email list.

Effective August 1, 2003 California Law requires Child Care licensees to report unusual incidents or injuries to children in care to child’s parents and to the Department of Social Services using the Unusual Incident/Injury form (LIC 624). Incidents must be reported within 24 hours to the regional office by phone and the written report, LIC 624 within 7 business days.

A Type A Deficiency was cited in todays visit and documented on LIC 809 D. A notice of site visit was given and must remain posted for 30 days. An Appeal rights was also given to the teacher. Exit Interview and staff interview was conducted with Director (Rebecca Martinez) and Lead teacher (Brianna Navarro). This report shall remain on file for the next 3 years.

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Sabina Dodoo	TELEPHONE: 510-622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2022

LIC809 (FAS) - (06/04)

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