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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013417642
Report Date: 10/28/2022
Date Signed: 10/28/2022 10:54:50 AM


Document Has Been Signed on 10/28/2022 10:54 AM - 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:SUNSHINE PRESCHOOL (CEID)FACILITY NUMBER:
013417642
ADMINISTRATOR:MCKENRICK, KYLAFACILITY TYPE:
850
ADDRESS:1035 GRAYSON ST, RM #8TELEPHONE:
(510) 848-4800
CITY:BERKELEYSTATE: CAZIP CODE:
94710
CAPACITY:45CENSUS: 17DATE:
10/28/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Ja'Naie SinclairTIME COMPLETED:
11:05 AM
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On October 28, 2022 at 8:50 am Licensing Program Analyst (LPA) Indira Loza met with Interim Director Ja'Naie Sinclaire for a case management inspection as a result of receiving an unusual incident report. There were 17 children and 6 staff.

LPA interviewed children and staff, as a result of this inspection, there are no deficiencies cited. Director is reminded to submit her director’s packet by November 28, 2022.

Exit interview conducted. Appeal rights and report provided to Interim Director Ja'Naie Sinclair.
Notice of site visit 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: 10/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/28/2022
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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