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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013419485
Report Date: 06/11/2019
Date Signed: 06/11/2019 04:32:19 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:TUDORKA TOTS INFANT AND PRESCHOOL CENTERFACILITY NUMBER:
013419485
ADMINISTRATOR:BRAXTON, VICKIFACILITY TYPE:
830
ADDRESS:12000 CAMPUS DRIVETELEPHONE:
(510) 531-2223
CITY:OAKLANDSTATE: CAZIP CODE:
94619
CAPACITY:28CENSUS: DATE:
06/11/2019
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Vicki BraxtonTIME COMPLETED:
01:00 PM
NARRATIVE
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Licensing Program Analyst (LPA) Paul Petersen conducted an unannounced case management site inspection for this infant care facility on 06/11/19 at 1230. LPA observe that the two infant nap rooms have a portable type air conditioner present which was adequately managing the temperature in the rooms, however, the main infant classroom did not have an air conditioner or other air cooling device present at the time of LPA's inspection and the temperature as measured by LPA was 87 to 88 degrees F inside the main infant classroom at approximately 12:40 PM which is over the maximum of 85 degrees F permitted by licensing regulation. Therefore the attached Type B deficiency was cited today.

LPA met with and discussed this issue with the facility director, Vicki Braxton. Facility director and facility licensee arranged for fans to be brought to the facility to assist with cooling. Appeal rights were provided and a notice of site visit was printed and is to remain posted for a period of 30 days. A plan of correction was discussed with facility director. A copy of this report is to remain in the facility records for a period of three years.
SUPERVISOR'S NAME: Wynn NoronaTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Paul PetersonTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 06/11/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2019
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: TUDORKA TOTS INFANT AND PRESCHOOL CENTER
FACILITY NUMBER: 013419485
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/11/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/26/2019
Section Cited
CCR
101239(a)(1)
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101239(a)(1)The licensee shall maintain the temperature in rooms that children occupy between a minimum of 68 degrees F (20 degrees C) and a maximum of 85 degrees F (30 degrees C). This facility was not in compliance with this requirement as evidenced by LPA's observation that the temperature inside the
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Licensee arranged to have fans sent to be used in the main infant classroom while LPA was present. In addition the facility agrees to ensure that the temperature in all classrooms used by children in care will be maintained within the temperature requirements established by licensing. Failure to correct will result in a $100 per

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main infant classroom was measured at 87 to 88 degrees F with infants present in the classroom posing a potential risk to the health and safety of the children.
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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: Wynn NoronaTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Paul PetersonTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 06/11/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2019
LIC809 (FAS) - (06/04)
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