013418968-8-16-2021-02-CC-MGUT-C5XMGJ-20210816093601

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013418968
Report Date: 08/16/2021
Date Signed: 08/16/2021 09:40:28 AM

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:	SMALL SIZE BIG MIND PRESCHOOL & INFANT CENTER		FACILITY NUMBER:	013418968
ADMINISTRATOR:	OBENCHAIN, YVONNE		FACILITY TYPE:	830
ADDRESS:	3300 BRIDGEVIEW ISLE		TELEPHONE:	(510) 521-8025
CITY:	ALAMEDA	STATE: CA	ZIP CODE:	94501
CAPACITY:	12	CENSUS: 0	DATE:	08/16/2021
TYPE OF VISIT:	Case Management - Licensee Initiated	ANNOUNCED	TIME BEGAN:	07:30 AM
MET WITH:	Malyka Chop		TIME COMPLETED:	09:30 AM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 08/16/21 at 7:30 AM, Licensing Program Analysts (LPAs) Melissa Guirit and Melissa Domantay. met with Licensee, Malyka Chop. The licensee has submitted an application for a capacity change and room change. The center will operate 7:00 AM - 6:00PM. What used to be the infant room, is now the preschool room. The preschool room is now the infant room. Per licensee, there will be no crib-age infants, therefore, there will be no cribs being itilized. There are no changes to the other classrooms, bathrooms and outdoor play yards that were previously licensed. LPA toured the rooms that were changed to conduct a health and safety inspection, and completed the following measurements: A health and safety inspection was conducted inside and outside and the measurements are as follows: INDOORS: 140.07 sq ft = 4 children OUTDOORS: 5776.188 sq ft = 77 children (from 10/17/13 report) All other indoor and outdoor measurements remain the same. A fire clearance was received from the Alameda City Fire Department on 07/28/21. LPAs observed that there is sufficient heating, lighting and ventilation in the classrooms, and the classroom floors and surfaces are clean and free of hazards. The rooms have an ample supply of age appropriate furniture, toys and equipment which appear to be in good condition. LPAs did not observe any bodies of water, hazardous items or toxins that would be accessible to children. LPAs observed operating sinks and covered waste cans. The rooms are equipped with fire extinguishers, carbon monoxide detectors and centralized smoke detection systems. The facility has a working telephone and first aid supplies. See 809-C for continuance.

SUPERVISOR'S NAME: Loretta Dyson	TELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Melissa Guirit	TELEPHONE: (510) 566-8898
LICENSING EVALUATOR SIGNATURE:	DATE: 08/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2021

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: SMALL SIZE BIG MIND PRESCHOOL & INFANT CENTER	FACILITY NUMBER: 013418968
	VISIT DATE: 08/16/2021

NARRATIVE

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The classroom now being used by infants, and license for a capacity of 4 infants will be approved once the changing table has been moved to be within arms reach of a sink. A picture will be sent to the LPA via email once finished. There are no deficiencies being cited today. This report will remain on file for 3 years. A Notice of Site inspection was provided to the licensee, and an exit interview was conducted.

SUPERVISOR'S NAME: Loretta Dyson	TELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Melissa Guirit	TELEPHONE: (510) 566-8898
LICENSING EVALUATOR SIGNATURE:	DATE: 08/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2021

LIC809 (FAS) - (06/04)

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