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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013420933
Report Date: 03/06/2025
Date Signed: 03/06/2025 09:41:20 AM

Document Has Been Signed on 03/06/2025 09:41 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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:LIVE, LEARN AND LAUGH PRESCHOOL - SITE IIFACILITY NUMBER:
013420933
ADMINISTRATOR/
DIRECTOR:		MARYLAND, TYESHAFACILITY TYPE:
850
ADDRESS:14871 BANCROFT AVETELEPHONE:
(510) 326-1164
CITY:SAN LEANDROSTATE: CAZIP CODE:
94578
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 15DATE:
03/06/2025
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:50 AM
MET WITH:Juanita simmonsTIME VISIT/
INSPECTION COMPLETED:
09:55 AM
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On March 6th, 2025, at 8:50 am Licensing Program Analyst (LPA) Michael Mathew conducted a Case Management visit. LPA met with facility representative Juanita Simmons and advised her the purpose of the inspection, of a deficiency that were issued on 1/24/2025 during the Case Management - Lead Testing/Exceedance visit.

LPA was provided a tour of the facility inside and out. There were 15 children in care and 2 staff at the time of the inspection.

LPA observed that the facility has blocked off the sink that tested high for lead by, closing the middle divider and by turning off the water to the sink.

LPA cleared deficiency and provided facility representative with the Plan of Correction (POC) letter.

No deficiencies were sited in today’s visit.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with facility representative Juanita Simmons.

Wynn NoronaTELEPHONE: (510) 421-1324
Michael MathewTELEPHONE: 510-292-8297
DATE: 03/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/06/2025
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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