<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013419485
Report Date: 04/22/2022
Date Signed: 04/22/2022 12:20:06 PM


Document Has Been Signed on 04/22/2022 12:20 PM - 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:TUDORKA TOTS INFANT AND PRESCHOOL CENTERFACILITY NUMBER:
013419485
ADMINISTRATOR:ZIMANY, RENATAFACILITY TYPE:
830
ADDRESS:12000 CAMPUS DRIVETELEPHONE:
(510) 531-2223
CITY:OAKLANDSTATE: CAZIP CODE:
94619
CAPACITY:28CENSUS: 14DATE:
04/22/2022
TYPE OF VISIT:POCANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Renata ZimanyTIME COMPLETED:
12:30 PM
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 4/22/22 Licensing Program Analysts (LPAs) Catherine Fernandes, Indira Loza, and Melissa Guiruit arrived to the facility on an announced POC visit to clear the deficiencies that were cited on 3/25/22. LPAs met with Owner/Director Renata Zimany. Present for the inspection were 14 infants and 7 staff. LPA Loza observed food labeled with names, not all food had dates written on them, and a half gallon of whole milk with no name or date written on it. Review of the Children's files had the Individual Feeding Plan, the LIC 9224, and in the Infant Needs and Services Plan. The Bathroom sink has been repaired and is in working condition. LPAs observed the sink next to the changing table clear from any dishes, with no drying rack, or dishwashing supplies. All staff had a current Declaration to Decline the flu shot.

The LPAs will return to the facility for a continuation of todays visit.
Exit Interview was conducted and Appeal Rights were given to the Licensee.
SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 292-9724
LICENSING EVALUATOR NAME: Indira LozaTELEPHONE: 510-368-3672
LICENSING EVALUATOR SIGNATURE:
DATE: 04/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/22/2022
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 1