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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
013421347
Report Date:
12/05/2024
Date Signed:
12/05/2024 11:57:58 AM
Document Has Been Signed on
12/05/2024 11:57 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 CC RO
,
1515 CLAY STREET, SUITE 1102
OAKLAND
,
CA
94612
FACILITY NAME:
PEAR TREE PRESCHOOL, THE
FACILITY NUMBER:
013421347
ADMINISTRATOR/
DIRECTOR:
FATIMA IBRAHIM
FACILITY TYPE:
850
ADDRESS:
8100 WINTHROPE ST
TELEPHONE:
(510) 636-1810
CITY:
OAKLAND
STATE:
CA
ZIP CODE:
94605
CAPACITY:
14
TOTAL ENROLLED CHILDREN:
14
CENSUS:
11
DATE:
12/05/2024
TYPE OF VISIT:
Case Management - Deficiencies
UNANNOUNCED
TIME VISIT/
INSPECTION BEGAN:
10:38 AM
MET WITH:
Araceli De Anda
TIME VISIT/
INSPECTION COMPLETED:
12:05 PM
NARRATIVE
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LPA D. Campos conducted a case management inspection as a result of a complaint investigation at The Pear Tree School. The facility did not report a recent change in administration when their Director resigned on 7/31/2024. Reporting requirements were discussed with licensee Michele Hamilton and acting Director Araceli De Anda today.
See LIC809D for Type B deficiency cited today.
Sherelle Johnson
TELEPHONE:
(510) 622-2592
Diana Campos
TELEPHONE:
(510) 566-2231
DATE:
12/05/2024
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
12/05/2024
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
12/05/2024 11:57 AM
- 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:
PEAR TREE PRESCHOOL, THE
FACILITY NUMBER:
013421347
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
12/05/2024
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Section Cited
Reporting Requirements
(a)Each licensee or applicant shall furnish to the Department reports as required by the Department including, but not limited to, the following: (b)The name of the child care center director, and any fully qualified teacher(s) designated to act in the child care center director's absence, shall be reported to the Department within 10 days of a change of child care center director or designee(s)..
Deficient Practice Statement
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POC Due Date:
12/19/2024
Plan of Correction
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Facility shall submit by the POC date a written summary of understanding of the Reporting requirement regulation along with an official notice of the administration change that occurred on 7/31/2024.
Section Cited
Deficient Practice Statement
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4
POC Due Date:
Plan of Correction
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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
Diana Campos
TELEPHONE:
(510) 566-2231
DATE:
12/05/2024
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
12/05/2024
LIC809
(FAS) - (06/04)
Page:
2
of
2