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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 010209542
Report Date: 12/22/2023
Date Signed: 12/22/2023 05:33:10 PM


Document Has Been Signed on 12/22/2023 05:33 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:CENTRO VIDA BILINGUAL CHILDCARE CENTERFACILITY NUMBER:
010209542
ADMINISTRATOR:PEDROZA,MARG.&TAMAYO,MARG.FACILITY TYPE:
850
ADDRESS:1000 CAMELIA STREETTELEPHONE:
(510) 525-1463
CITY:BERKELEYSTATE: CAZIP CODE:
94710
CAPACITY:64CENSUS: 32DATE:
12/22/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:57 AM
MET WITH:Martha MelgozaTIME COMPLETED:
05:42 PM
NARRATIVE
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On December 22, 2023 at 8:58am Licensing Program Analysts (LPAs) Indira Loza and Janai McClain met with Executive Director (ED) Martha Melgoza to conduct an unannounced case management in regards to several unusual incidents reported to the Oakland Regional Office on December 5, 2023.

LPAs conducted interviews and reviewed records which revealed that staff pulled a child's arm, spoke to a child causing intimidation,withheld food, and allowed a child to cry excessively before helping the child. This violates the children's Personal Rights and is a Type A violation.

LPAs informed the Director to provide copy of this licensing report dated 12/22/2023 that documents a Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

See LIC809-D for deficiency.

Exit interview conducted.
A copy of the report and appeal rights provided to ED Martha Melgoza.
Notice of Site Visit provided and must remain posted for 30 days.
SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 292-9724
LICENSING EVALUATOR NAME: Indira LozaTELEPHONE: 510-368-3672
LICENSING EVALUATOR SIGNATURE:
DATE: 12/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/22/2023
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 12/22/2023 05:33 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, SUITE 1102
OAKLAND, CA 94612


FACILITY NAME: CENTRO VIDA BILINGUAL CHILDCARE CENTER
FACILITY NUMBER: 010209542

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/22/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/09/2024
Section Cited
CCR
101223(a)

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Personal Rights:(a)The licensee shall ensure that each child is accorded the following personal rights: (1) To be accorded dignity in his/her personal relationships with staff and other persons. This Requirement was not met as evidenced by met as evidenced by:
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The Director shall hold an all staff meeting regarding Personal Rights and discussing various ways a child's rights can be violated. The staff shall write what they have learned from the meeting. The DIrector shall send LPA Loza a copy of the sign in sheet from the All-Staff meeting as well as all the
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Based on interviews it was determined that the staff casued intimidation by not assisting a crying child, withholding food, and inappropriately speaking to children, which poses an immediate risk to the health, safety, and personal rights to children in care.
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statements written from staff. This must be emailed to the LPA no later than January 9, 2023.

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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: Mayla MendozaTELEPHONE: (510) 292-9724
LICENSING EVALUATOR NAME: Indira LozaTELEPHONE: 510-368-3672
LICENSING EVALUATOR SIGNATURE:
DATE: 12/22/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/22/2023
LIC809 (FAS) - (06/04)
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