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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013421983
Report Date: 12/13/2019
Date Signed: 12/13/2019 05:50:27 PM

COMPREHENSIVE INSPECTION
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:TG LEARNING CENTERFACILITY NUMBER:
013421983
ADMINISTRATOR:LUOH, LISAFACILITY TYPE:
840
ADDRESS:1109 WASHINGTON AVETELEPHONE:
(510) 525-0070
CITY:ALBANYSTATE: CAZIP CODE:
94706
CAPACITY:54CENSUS: 64DATE:
12/13/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Lisa LuohTIME COMPLETED:
06:15 PM
NARRATIVE
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Licensing Program Analysts Arminder Singh and Caroline Colson met with Lisa Luoh center director, for an unannounced random annual inspection at 02:00 PM. There are eight classroom, a computer lab and a playroom for the entire program. C1 and C2 had complete children's files. S1 and S2 had complete immunization records. There are no additional records for review. Present in the facility were 64 school age children with 8 staff members which includes two teachers and one director. Sign-in and sign-out sheets were reviewed to verify census and signatures. The facility is in good repair. CLASSROOMS: The entire center was inspected. There are adequate play and learning materials available. Furniture and equipment is age appropriate and in good repair. There is adequate heating, ventilation and lighting. Drinking water is available inside and outside the center. There is a working telephone on site. There is proper individual storage space for each child. There are separate bathrooms for staff. The isolation area for sick children is located in the director's office. The isolation bathroom is the staff bathroom which is located near the last classroom. BATHROOMS AND TOILETING AREAS: Toilets and faucets work properly. The children are able to reach the sink. Toilet paper, soap, and a hand dryer are all available to the children. Adequate lighting is provided in both bathrooms. The facility has cold and warm water available to the children. INSPECTION OF FOOD SERVICE AREA: The facility provides only serves one snack. Food was inspected for freshness and quantity. INSPECTION OF OUTDOOR PLAY AREA: There are age appropriate toys and materials for the children. HEALTH RELATED SERVICES: Center Director states that there are no medications stored at the center. Earthquake/ disaster drills are conducted every month. The first aid kit is complete and available.

See LIC 809 C for additional information
SUPERVISOR'S NAME: Antranette RobinsonTELEPHONE: (510) -62-2591
LICENSING EVALUATOR NAME: Arminder SinghTELEPHONE: (510) 622-2634
LICENSING EVALUATOR SIGNATURE:

DATE: 12/13/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2019
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 4
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: TG LEARNING CENTER
FACILITY NUMBER: 013421983
VISIT DATE: 12/13/2019
NARRATIVE
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RECORDS: Staff members and children's files were reviewed. Required forms were posted in an public accessible area. CPR and First Aid certificates are current and expire on 03/18/2020. There are no bodies of water accessible to children. There are no firearms on the premises. All storage areas for poisons are locked. Pest Integrated Management and Mandated Reporting was discussed. The website is www.mandatedreporterca.com. Mandated Reporter Training certificated will be submitted in 30 days.

This facility is not providing Incidental Medical Services-IMS at this time. LPAs discussed IMS services and the requirement to update the plan of operation. Specifics on the plan can be found in the child care center evaluator manual (CCC EM) Policy 101173.

The childcareadvocatesprogram@dss.ca.gov is the email address for the applicant to sign up to receive PINS.

Licensee was asked to go to our website at www.ccld.ca.gov to ensure that she is informed of all new laws and regulations.

The attached type A deficiencies are being cited today and must be corrected by the due date. In addition, an attached type B deficiency is being cited during today's inspection. Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. All parents/guardians must sign an acknowledgement form of proof of receiving this report (LIC 9224). The LIC 9224 must be placed in the child's file to be reviewed by licensing.

A site notice was posted. An exit interview was conducted. Appeal rights were discussed and given. This report must remain available for public review for 3 years.

Please See LIC 809 D for deficiencies
SUPERVISOR'S NAME: Antranette RobinsonTELEPHONE: (510) -62-2591
LICENSING EVALUATOR NAME: Arminder SinghTELEPHONE: (510) 622-2634
LICENSING EVALUATOR SIGNATURE:

DATE: 12/13/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2019
LIC809 (FAS) - (06/04)
Page: 2 of 4
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: TG LEARNING CENTER
FACILITY NUMBER: 013421983
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/13/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/16/2019
Section Cited

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Limitations on Capacity and Ambulatory Status

A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation.
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This requirement was not met as evidenced by document review and licensee interview. There were 64 children who arrived at the facility. This poses an immediate health and safety risk to children in care.
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Failure to correct will result in a $100.00 per day civil penalty until corrected. Repeat violations are 250.00 per violation and $100.00 per day until corrected.
Type A
12/17/2019
Section Cited

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Responsibility for Providing Care and Supervision
The licensee shall provide care and supervision as necessary to meet the children's needs.

(1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.
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This requirement was not met as evidenced by document review and licensee interview. There were children located in two classrooms without visual supervision. This poses an immediate health and safety risk to children in care.
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Failure to correct will result in a $100.00 per day civil penalty until corrected. Repeat violations are 250.00 per violation and $100.00 per day until corrected.
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: Antranette RobinsonTELEPHONE: (510) -62-2591
LICENSING EVALUATOR NAME: Arminder SinghTELEPHONE: (510) 622-2634
LICENSING EVALUATOR SIGNATURE:
DATE: 12/13/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/13/2019
LIC809 (FAS) - (06/04)
Page: 3 of 4
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: TG LEARNING CENTER
FACILITY NUMBER: 013421983
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/13/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/20/2019
Section Cited

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Current roster of children provided care in facility required

Each child day care facility shall maintain a current roster of children who are provided care in the facility. The roster shall include the name, address, and daytime telephone number of the child's parent or guardian, and the name and telephone number of the child's physician. This roster shall be available to the licensing agency upon request.

Licensee doesn't have a current roster available.

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This requirement was not met as evidenced by document review and licensee interview. The child care center roster was available for review. This poses a potential health and safety risk to children in care.
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Failure to correct will result in a $100.00 per day civil penalty until corrected. Repeat violations are 250.00 per violation and $100.00 per day until corrected.

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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: Antranette RobinsonTELEPHONE: (510) -62-2591
LICENSING EVALUATOR NAME: Arminder SinghTELEPHONE: (510) 622-2634
LICENSING EVALUATOR SIGNATURE:
DATE: 12/13/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/13/2019
LIC809 (FAS) - (06/04)
Page: 4 of 4