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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013419414
Report Date: 01/10/2020
Date Signed: 01/10/2020 05:13:39 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:OAKLAND GARDEN SCHOOL, INC.FACILITY NUMBER:
013419414
ADMINISTRATOR:CRYSTAL MANEELYFACILITY TYPE:
850
ADDRESS:4012 MAYBELLE AVENUETELEPHONE:
(510) 531-4800
CITY:OAKLANDSTATE: CAZIP CODE:
94619
CAPACITY:72CENSUS: 48DATE:
01/10/2020
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Tae HaTIME COMPLETED:
05:25 PM
NARRATIVE
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On 1/10/20 at 2:30pm, Licensing Program Analyst (LPA) Loretta Dyson arrived at the center for an unannounced required one year inspection. LPA met with the owner, Tae Ha. There were 48 preschoolers and 8 additional staff members also present. The center operates Monday thru Friday 7:30am to 6:00pm, within 5 classroom spaces. LPA toured all areas used by children, indoors and outdoors, to conduct a health and safety inspection. The preschool consists of 3 classrooms, outside yurt on the playground, art room, bathrooms and the playground.

LPA observed that the facility has sufficient heating, lighting and ventilation for the safety and comfort of children and staff. LPA observed that all of the room floors, rugs, surfaces, furniture and equipment are in good condition and safe. The furniture, equipment, toys and activities are age appropriate and there is an ample supply and variety available for the number of children in care. LPA observed that all disinfectants, cleaning solutions and medications are inaccessible to children in care. LPA did not observe any bodies of water accessible to children. There is sufficient napping equipment available and LPA observed that it is stored properly. The center has the appropriate number of toilets and sinks available for the number of children they are licensed for, and they are in safe and sanitary operating condition. All containers used for solid waste are covered with tight fitting covers that are in good repair. The center is equipped with a working centralized smoke alarm system with pull down stations, working carbon monoxide detector, fully charged 2A10BC fire extinguishers, working telephone and first aid kits. LPA observed that the food preparation areas were clean and food was not stored with cleaning supplies. The center only serves soy milk and there is a snack menu posted in each classroom, which is dated a week in advance. LPA observed drinking water available to children both indoors and outdoors.

All required forms are posted and visible for public review. The facility is using an electronic sign in/out process, and has sign in/out sheets if the electronic system is down.
SUPERVISOR'S NAME: Diane PerezTELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Loretta DysonTELEPHONE: (510) 622-2633
LICENSING EVALUATOR SIGNATURE:

DATE: 01/10/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 3
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 GARDEN SCHOOL, INC.
FACILITY NUMBER: 013419414
VISIT DATE: 01/10/2020
NARRATIVE
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The playground is fenced and has shaded rest areas. The play structure is age appropriate, according to the attached label. The areas under the play structures and climbing equipment are cushioned with cushioned pads to absorb a fall.

At 3:05pm, LPA reviewed 3 staff files and 5 children's files. At least one opening and closing staff member has current CPR/first aid certificates, and staff have completed the required mandated reporter training. LPA observed that 3 out of 5 children's files do not have verification receipts, acknowledging that parents/guardians received a copy of the Licensing report dated 5/23/19 in which the facility was cited a deficiency for an immediate health and safety risk to children.

The facility is operating within the limits of the licensed capacity today, and abiding by the required ratio. LPA observed staff interaction with, and supervision of children, and did not observe any child left without supervision.

This facility plans to provide Incidental Medical Services – IMS. 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.

Licensee is reminded that ALL Staff must be fingerprint cleared and associated to this facility prior to being in the presence of children in care. Licensee was encouraged to frequently visit our website at www.ccld.ca.gov for licensing regulations and updates.

See 809D for deficiency being cited today. This report shall remain on file for 3 years. A Notice of Site Visit was provided, and LPA reminded Ms. Ha to have it posted for 30 days. An exit interview was conducted with Ms. Ha, and appeal rights were discussed and provided.
SUPERVISOR'S NAME: Diane PerezTELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Loretta DysonTELEPHONE: (510) 622-2633
LICENSING EVALUATOR SIGNATURE:

DATE: 01/10/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2020
LIC809 (FAS) - (06/04)
Page: 2 of 3
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 GARDEN SCHOOL, INC.
FACILITY NUMBER: 013419414
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/10/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/10/2020
Section Cited

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HSC 1596.8595(c)(4)The licensee shall keep verification of receipt in each child's file.
This requirement has not been met as evidenced by LPA's review of 5 children's file, in which it was observed that 3 out of 5 files does
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 not include a verification receipt indicating that they received the report dated 5/23/19, which included a Type A citation. This poses a potential risk to the health and safety of children in care.
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The owner also agreed to check the files of all children enrolled and ensure that they also include the verification receipts.
Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.

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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) 622-2602
LICENSING EVALUATOR NAME: Loretta DysonTELEPHONE: (510) 622-2633
LICENSING EVALUATOR SIGNATURE:
DATE: 01/10/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/10/2020
LIC809 (FAS) - (06/04)
Page: 3 of 3