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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
013420940
Report Date:
12/11/2024
Date Signed:
12/11/2024 04:53:36 PM
Document Has Been Signed on
12/11/2024 04:53 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
OAKLAND CC RO
,
1515 CLAY STREET, SUITE 1102
OAKLAND
,
CA
94612
FACILITY NAME:
LITTLE BEANS PRESCHOOL
FACILITY NUMBER:
013420940
ADMINISTRATOR/
DIRECTOR:
STEPHENS-SMALLEY, HEATHER
FACILITY TYPE:
850
ADDRESS:
2117 ACTON STREET
TELEPHONE:
(510) 649-1751
CITY:
BERKELEY
STATE:
CA
ZIP CODE:
94702
CAPACITY:
40
TOTAL ENROLLED CHILDREN:
32
CENSUS:
31
DATE:
12/11/2024
TYPE OF VISIT:
Case Management - Deficiencies
UNANNOUNCED
TIME VISIT/
INSPECTION BEGAN:
02:15 PM
MET WITH:
Heather Stephens-Smalley
TIME VISIT/
INSPECTION COMPLETED:
05:10 PM
NARRATIVE
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Licensing Program Analyst (LPA) Cherie Acosta and Kayla Merchant conducted an unannounced case management visit. During the visit there were 31 children and 4 staff present when LPAs arrived.
LPAs arrived at the facility during nap time. There were 15 children napping between 5 classrooms with two staff. There were 16 children outside with 2 staff. LPAs observed napping children left without visual supervision during the visit.
See 809-D for deficiency cited today.
Notice of Site visit was provided and must be posted for 30 days.
Exit interview and report reviewed with Heather Stephens-Smalley.
Sherelle Johnson
TELEPHONE:
(510) 622-2592
Cherie Acosta
TELEPHONE:
(510) 856-6376
DATE:
12/11/2024
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
12/11/2024
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
2
Document Has Been Signed on
12/11/2024 04:53 PM
- It Cannot Be Edited
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO
,
1515 CLAY STREET, SUITE 1102
OAKLAND
,
CA
94612
FACILITY NAME:
LITTLE BEANS PRESCHOOL
FACILITY NUMBER:
013420940
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
12/11/2024
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Section Cited
Responsibility for Providing Care and Supervision. The licensee shall provide care and supervision as necessary to meet the children's needs.No child(ren) shall be left without the supervision of a teacher at any
Deficient Practice Statement
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4
POC Due Date:
12/26/2024
Plan of Correction
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3
4
Director shall develop a written plan to ensure children have visual supervision at all times. Director shall submit a copy of this plan to CCL by 12/26/24.
Section Cited
Deficient Practice Statement
1
2
3
4
POC Due Date:
Plan of Correction
1
2
3
4
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Sherelle Johnson
TELEPHONE:
(510) 622-2592
Cherie Acosta
TELEPHONE:
(510) 856-6376
DATE:
12/11/2024
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
12/11/2024
LIC809
(FAS) - (06/04)
Page:
2
of
2