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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 010212304
Report Date: 02/28/2020
Date Signed: 02/28/2020 01:52:37 PM

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:ST. LEO'S PRE-KINDERGARTENFACILITY NUMBER:
010212304
ADMINISTRATOR:MIAKA HILLFACILITY TYPE:
850
ADDRESS:4238 HOWE STREETTELEPHONE:
(510) 654-7828
CITY:OAKLANDSTATE: CAZIP CODE:
94611
CAPACITY:25CENSUS: 18DATE:
02/28/2020
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Miaka Hill / Jeanette EichelbergerTIME COMPLETED:
02:00 PM
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On 02/28/20 at 12:00 PM Licensing Program Analysts (LPAs) Monica Mathur and Arminder Singh conducted an Unannounced Plan of Correction Inspection (POC). LPAs met with Director, Miaka Hill and Office Manager, Jeanette Eichelberger and explained the purpose of today's inspection. Present in the preschool classroom were 18 children, Director and 2 staff members.

The purpose of today's inspection is to follow up on citations issued during an Annual Inspection on 02/19/20 for:
- Child Records, Employee Records, Personal Rights posting, Emergency Disaster Plan posting, Children Roster, Sign In/Out procedures.
Director submitted pictures and verification of all above required documents. Citations are cleared and a Letters of Clearance provided to Director.

LPAs discussed the Sign In/Sign Out procedure and the necessity to implement the plan submitted by Director immediately to ensure parents are signing their child in and out daily. Staff and Director to ensure they are not signing on behalf of the parent.

With directive from Licensing Department's management, Director and Office Manager are required to attend an in-person Center - Records & Book Keeping Orientation.

No deficiency cited today.

A NOTICE OF SITE VISIT WAS ISSUED, AND MUST BE POSTED ON OR ADJACENT TO THE INTERIOR SIDE OF THE MAIN DOOR INTO THE FACILITY FOR 30 CONSECUTIVE DAYS.
SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 725-5998
LICENSING EVALUATOR NAME: Monica MathurTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 02/28/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/28/2020
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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