013412489-11-17-2022-02-CC-RHAR-CL9VYB-20221117155053

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013412489
Report Date: 11/17/2022
Date Signed: 11/17/2022 03:51:19 PM

Document Has Been Signed on 11/17/2022 03:51 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:	LITTLE STARS PRESCHOOL		FACILITY NUMBER:	013412489
ADMINISTRATOR:	LEE, WILLIAM		FACILITY TYPE:	840
ADDRESS:	169 - 14TH STREET		TELEPHONE:	(510) 286-9800
CITY:	OAKLAND	STATE: CA	ZIP CODE:	94612
CAPACITY:	5	CENSUS: 0	DATE:	11/17/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	William Lee		TIME COMPLETED:	03:55 PM

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On November 17, 2022 at approximately 9:15am Licensing Program Analyst (LPA) Haderer arrived unannounced and met with site director William Lee to conduct an annual inspection for health and safety. There were no children in care today, the license has been idle, however, site director wishes it remain on Active Status. The center location also has an infant center and preschool license. The inspection today was for the Preschool and School Age license (not the infant license), the physical inspections were done simultaneously.

The school age operates out of 1 dedicated classroom called Future Stars and has an off-limits kitchen area. Children’s bathrooms are available (private for boys and girls for school age children). There are enough towels and soap supplies. The staff have separate adult bathroom.

The children share a large playground area. All equipment was inspected and is in safe condition and free from sharp, loose or pointed parts. Areas around or under high climbing equipment has appropriate cushioned material that absorbs a fall. There is ample shade available through large shade structures. Access to drinking water is available.

The facility has multiple fully charged 3A40BC and fire extinguishers throughout the building. The last annual inspection was completed March 7, 2022. Smoke detectors and carbon monoxide detectors were available and tested. Heating and ventilation in the classroom are acceptable.

The facility is clean and well organized with ample age appropriate furnishings and equipment. Surfaces including floors and counter tops are clean and toxic free. Hazardous items/toxins are kept in staff storerooms out of the access of children. There are no bodies of water accessible to children in care. The facility provides snacks and lunch for the children, monthly menus were available and posted.

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell Haderer	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 11/17/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2022

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: LITTLE STARS PRESCHOOL	FACILITY NUMBER: 013412489
	VISIT DATE: 11/17/2022

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All documents required to be posted were appropriately posted on the walls: License; Emergency Disaster Plan; Earthquake Preparedness checklist; Notification of Parents Rights; Personal rights; Child seatbelt laws; menus; daily activity schedules.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.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

Site Director was reminded that all adults 18 and over, 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 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.

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/inspection-process.

There were no deficiencies issued today

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Site Director William Lee.

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell Haderer	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 11/17/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2022

LIC809 (FAS) - (06/04)

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