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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013420975
Report Date: 10/06/2022
Date Signed: 10/06/2022 03:26:53 PM


Document Has Been Signed on 10/06/2022 03:26 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:ACADEMIA DE MI ABUELAFACILITY NUMBER:
013420975
ADMINISTRATOR:REIMANN, CYNTHIAFACILITY TYPE:
850
ADDRESS:2162 MOUNTAIN BLVD STE 300TELEPHONE:
(510) 336-7082
CITY:OAKLANDSTATE: CAZIP CODE:
94611
CAPACITY:53CENSUS: 41DATE:
10/06/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
10:14 AM
MET WITH:Yaneldis Diaz & Cynthia ReimanTIME COMPLETED:
03:45 PM
NARRATIVE
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On October 6, 2022 at 10:14am, Licensing Program Analysts (LPAs) Indira Loza and Catherine Fernandes arrived on a case management inspection. LPAs met with Yaneldis Diaz and around 1:00pm Director/Owner Cynthia Reiman arrived. Present for the inspection were ten infants and 31 children in care with additional seven staff members.

The center has four available sinks for the children to use and two of four sinks are not in operating conditions.There are only two sinks available for use which is not in compliance with the capacity of children at the center. This violates California Code of Regulations (CCR) 101239(h)(1), which is a Type A citation.

The garbage cans in the classrooms were not covered with a lid and had food garbage as well as used diapers, which violate CCR 101239(f)(1), resulting in a Type B citation.


One type A deficiency is being cited during todays inspection. The Director must provide a copy of this report to all parents of children currently enrolled, and the parents of newly enrolled children in the next 12 months. In addition, form LIC 9224 (Acknowledgment of Receipt of Licensing Reports) must be signed by each parent and placed in each child's file.

A copy of the LIC 9224 is being provided to the Director during the inspection.

Exit interview conducted. Report, and Appeal Rights provided to Director Cynthia Reiman.
Notice of Site visit must remain posted for 30 days
SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 292-9724
LICENSING EVALUATOR NAME: Indira LozaTELEPHONE: 510-368-3672
LICENSING EVALUATOR SIGNATURE:
DATE: 10/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/06/2022
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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Document Has Been Signed on 10/06/2022 03:26 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
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612


FACILITY NAME: ACADEMIA DE MI ABUELA
FACILITY NUMBER: 013420975

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/06/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/07/2022
Section Cited

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Fixtures, Furniture, Equipment and Supplies - Based on the total licensed capacity, one toilet and one hand washing fixture shall be maintained for every 15 children. This requirement was not met as evidenced by:
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Based on observations, there were only two functional sinks available for the children in care, which poses an immediate Health and Safety risk to the children in care.
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Type B
11/03/2022
Section Cited

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Fixtures, Furniture, Equipment and Supplies - All containers used for storage of solid wastes, including moveable bins, shall have a tight fitting cover that is kept on; shall be in good repair; and shall be leakproof and rodent-proof. This requirement was not met as evidenced by:
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Based on observations, garbage cans in the classrooms did not have tight fitting covers, which poses a potential risk to children in care.
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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: Mayla MendozaTELEPHONE: (510) 292-9724
LICENSING EVALUATOR NAME: Indira LozaTELEPHONE: 510-368-3672
LICENSING EVALUATOR SIGNATURE:
DATE: 10/06/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/06/2022
LIC809 (FAS) - (06/04)
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