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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
013421994
Report Date:
11/16/2021
Date Signed:
11/16/2021 12:44:09 PM
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:
BABY ACADEMY, THE
FACILITY NUMBER:
013421994
ADMINISTRATOR:
LOVE, YOLANDA
FACILITY TYPE:
830
ADDRESS:
1015 CAMBELL ST
TELEPHONE:
(510) 305-4877
CITY:
OAKLAND
STATE:
CA
ZIP CODE:
94607
CAPACITY:
8
CENSUS:
2
DATE:
11/16/2021
TYPE OF VISIT:
Case Management - Deficiencies
UNANNOUNCED
TIME BEGAN:
09:15 AM
MET WITH:
Porshia Lewis
TIME COMPLETED:
01:00 PM
NARRATIVE
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Licensing Program Analyst (LPA) Melissa Domantay and Licensing Program Manager (LPM) Mayla Mendoza met with Director Poshia Lewis for a case management inspection. Present for the inspection was 1 teachers aide supervising 2 infants.
The attached type B deficiency is cited today and must be corrected by the due date. This report must be available for public review for 3 years.
An exit interview was conducted and the report was discussed. Director Poshia Lewiswas provided a copy of their appeal rights (LIC 9058 12/15) and the signature on this form acknowledges receipt of these rights.
A site visit notice was provided to the Poshia Lewis.
SUPERVISOR'S NAME:
Mayla Mendoza
TELEPHONE:
(510) 292-9724
LICENSING EVALUATOR NAME:
Melissa Domantay
TELEPHONE:
510-725-7021
LICENSING EVALUATOR SIGNATURE:
DATE:
11/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
11/16/2021
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
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:
BABY ACADEMY, THE
FACILITY NUMBER:
013421994
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
11/16/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/17/2021
Section Cited
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Staff-Infant Ratio
(b) There shall be a ratio of one teacher for every four infants in attendance.
This requirement was not met as evidenced by document review and licensee interview. There is no documentation that individual in the classroom is a qualified teacher. This poses an potential health and safety 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 Mendoza
TELEPHONE:
(510) 292-9724
LICENSING EVALUATOR NAME:
Melissa Domantay
TELEPHONE:
510-725-7021
LICENSING EVALUATOR SIGNATURE:
DATE:
11/16/2021
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
11/16/2021
LIC809
(FAS) - (06/04)
Page:
2
of
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