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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 010214204
Report Date: 10/21/2022
Date Signed: 11/08/2022 03:06:56 PM


Document Has Been Signed on 11/08/2022 03:06 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:OAKLAND HEAD START - SAN ANTONIO PARKFACILITY NUMBER:
010214204
ADMINISTRATOR:CHEN, TERRYFACILITY TYPE:
850
ADDRESS:1701 EAST 19TH STREETTELEPHONE:
(510) 535-5609
CITY:OAKLANDSTATE: CAZIP CODE:
94606
CAPACITY:18CENSUS: 12DATE:
10/21/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Corrinne Williams-LindseyTIME COMPLETED:
02:55 PM
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LPA Dyer met with Director Corrinne Williams-Lindsey for an unannounced Required - 1 Year Inspection. Present are 5 staff, 12 children, and the director. There are 2 classrooms.
Sign-in/sign-out sheets list the time and parents' full signature. There is a working phone. Fire/emergency drills take place monthly. Director and Designation of Facility Responsibility was updated. There is a carbon monoxide detector and a fire extinguisher.
Classroom furniture is in good condition. There are toys, books, crafts and educational supplies available. Floors were clean and safe. There is adequate heating, ventilation, and lighting. LPA did not observe any child left without visual supervision or unattended during the inspection. Bathroom toilets and sinks are working properly. Children are able to reach the sinks, but there are also platforms that the children can use, if needed. There were adequate bathroom supplies. Kitchen area (including storage areas for food) was clean. No insects or pests were seen. There were storage containers with lids for solid waste in the kitchen. A sample of food product was examined for freshness and expiration dates; there was adequate food for children who did not bring their own and for emergencies. Food is prepared outside the facility at a central kitchen. The center supplies breakfast, lunch and snacks. Menus were posted. Inside, there is proper storage areas for each child with cubbies. There is adequate napping equipment (mats). Blankets are laundered through the program. There is drinking water available at all times inside and outside the center through dispensers, cups, and portable sinks.
Director stated that there were no bodies of water or firearms on the premises. First aid kit is located in a high cabinet. Director has emergency earthquake supplies. Posting requirements were met. Cleaning supplies are inaccessible to children, placed in the kitchen. Poisons and other items dangerous to children were locked.
Outside play area (securely fenced) is safe and free of hazards. There were a variety of toys and play materials. There is an outside shaded area.
(continued)
SUPERVISOR'S NAME: Loretta DysonTELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Phyllis DyerTELEPHONE: (510) 725-7006
LICENSING EVALUATOR SIGNATURE:
DATE: 10/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/21/2022
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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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: OAKLAND HEAD START - SAN ANTONIO PARK
FACILITY NUMBER: 010214204
VISIT DATE: 10/21/2022
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New Regulations were discussed: Required Lead Testing for Drinking Water - A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test.
This facility plans to provide Incidental Medical Services – IMS. A Plan of Operation that includes 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. IMS plan is in file. Medications are located in a high cabinet, inaccessible to children.
Children's files were examined at 11:11 a.m. Employee records were examined at 1:20 p.m. Director's Mandated Reporter Training, CPR/First Aid Training and immunization/medical records are current. The director stated that at least one person trained in CPR/First Aid is always present. All individuals subject to a criminal record review have obtained clearance or a criminal record exemptions.
The director was reminded of the Department's Inspection authority, and the need to comply when notified that termination of an employee is necessary. Also discussed with the director: assistant directors; smoking; mandated reporter training; pest management and emergency drills.

Websites:

Community Care Licensing General Information and Updates:www.ccld.ca.gov. For updates, click the "Receive Important Updates" box.


Mandated Reporter Training: www.mandatedreporterca.com (Child Care Providers Module - required every 2 years).Alameda County Public Health Department Website: www.acphd.org

There are no deficiencies cited today.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the director Corrinne Williams-Lindsey.

SUPERVISOR'S NAME: Loretta DysonTELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Phyllis DyerTELEPHONE: (510) 725-7006
LICENSING EVALUATOR SIGNATURE:

DATE: 10/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2022
LIC809 (FAS) - (06/04)
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