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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013419414
Report Date: 11/04/2022
Date Signed: 11/04/2022 10:58:34 AM


Document Has Been Signed on 11/04/2022 10:58 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:OAKLAND GARDEN SCHOOL, INC.FACILITY NUMBER:
013419414
ADMINISTRATOR:ENERIO, CHRISTINAFACILITY TYPE:
850
ADDRESS:4012 MAYBELLE AVENUETELEPHONE:
(510) 531-4800
CITY:OAKLANDSTATE: CAZIP CODE:
94619
CAPACITY:72CENSUS: 44DATE:
11/04/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Anita LeeTIME COMPLETED:
10:45 AM
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On 11/4/22, a Case Management Visit was conducted for adding a toddler option by Licensing Program Analyst (LPA), Melissa Guirit. LPA met with Site Supervisor, Anita Lee . Present for today's inspection are 8 staff and 44 children. The center has submitted an application to add a toddler option to the preschool component. Hours of operation are from 7:30am-6:00pm, Monday through Friday. A health and safety inspection was conducted inside and outside. Measurements and total capacity remain the same. Toddlers will utilize the other half of the classroom on the ground floor. The changing table is within arms reach of sink. The outdoor area will be the outside deck on the right hand side and sandbox.

A fire clearance was received on 11/03/22 from the Oakland Fire Department for 60 preschoolers, ages 2 years to first grade entry with toddler option, 12 toddlers ages 18 months to 36 months.

Playground equipment is in good condition. Drinking water is available inside and outside. The facility has 8 toilets and 12 sinks for children to utilize. All toilets and hand washing facilities are in safe and sanitary operating conditions. Lunch is provided by parents and facility provides snacks. Facility utilizes electronic form sign in and out.

The center is equipped with a fully stocked first aid kit, working telephone, carbon monoxide detector located in each room, a pull down fire alarm, and a 3A40BC fire extinguisher.

Director/owner 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.

See 809-C for continuance.

SUPERVISOR'S NAME: Loretta DysonTELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Melissa GuiritTELEPHONE: (510) 566-8898
LICENSING EVALUATOR SIGNATURE:
DATE: 11/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/04/2022
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: OAKLAND GARDEN SCHOOL, INC.
FACILITY NUMBER: 013419414
VISIT DATE: 11/04/2022
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A license for preschool with toddler option is effective today, 11/4/22 with a total capacity of 72 and is ready to be used when facility is ready. A notice of site visit was given and must remain posted for 30 days
Exit interview conducted and report was reviewed with the Director/Owner, Tae Ha .
SUPERVISOR'S NAME: Loretta DysonTELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Melissa GuiritTELEPHONE: (510) 566-8898
LICENSING EVALUATOR SIGNATURE:

DATE: 11/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2022
LIC809 (FAS) - (06/04)
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