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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013416487
Report Date: 02/12/2020
Date Signed: 02/12/2020 04:19:36 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:CHILD EDUCATION CENTERFACILITY NUMBER:
013416487
ADMINISTRATOR:HANIFAH SHUAIBEFACILITY TYPE:
830
ADDRESS:2112 BROWNING STREETTELEPHONE:
(510) 548-1414
CITY:BERKELEYSTATE: CAZIP CODE:
94702
CAPACITY:40CENSUS: 19DATE:
02/12/2020
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Shawinder BrarTIME COMPLETED:
04:20 PM
NARRATIVE
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LPA Dayna Collier met with Assistant Center Director Shawinder Brar for a case management inspection as a result of receiving an unusual incident report. During the inspection, there were 9 staff members supervising 19 infants. An incident occurred when a staff member left a sleeping infant in the crib area while she prepared bottles. The staff member then forgot the infant was napping and left the room to go to the bathroom. Before reaching the bathroom, the staff member remembered the napping infant as another staff member was approaching the classroom. The infant was left alone for 2-3 minutes. Per director, the infant's parent was informed of the incident.

The attached type A deficiency is cited today and must be corrected by the due date. Upon receipt, licensee shall post and provide copies of this licensing report to parent/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months.

An exit interview was conducted and the report was discussed. Licensee was provided a copy of their appeal rights (LIC 9058 12/15) and the signature on this form acknowledges receipt of these rights.

A SITE VISIT NOTICE WAS POSTED BY STAFF.
SUPERVISOR'S NAME: Diane PerezTELEPHONE: (510) 622-2593
LICENSING EVALUATOR NAME: Dayna CollierTELEPHONE: (510) 725-7021
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2020
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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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: CHILD EDUCATION CENTER
FACILITY NUMBER: 013416487
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/12/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/19/2020
Section Cited

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101429 Responsibility for Providing Care and Supervision for Infants
(a) In addition to Section 101229, the following shall apply:
(1) Each infant shall be constantly supervised and under direct visual observation and supervision by a staff person at all times.
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Under no circumstances shall ANY infant be left unattended.
This requirement was not met as evidenced by report review and interviews. This poses an immediate risk to children in care.
A NAPPING INFANT WAS LEFT ALONE IN THE CLASSROOM BY A STAFF MEMBER.
An LIC 421IM form was given to director.
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CORRECTED. A SUBSEQUENT CIVIL PENALTY WITHIN A 12 MONTH PERIOD MAY RESULT IN AN IMMEDIATE CIVIL PENALTY OF $1,000.

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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: Diane PerezTELEPHONE: (510) 622-2593
LICENSING EVALUATOR NAME: Dayna CollierTELEPHONE: (510) 725-7021
LICENSING EVALUATOR SIGNATURE:
DATE: 02/12/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/12/2020
LIC809 (FAS) - (06/04)
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