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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013422032
Report Date: 05/21/2024
Date Signed: 05/21/2024 02:28:30 PM


Document Has Been Signed on 05/21/2024 02:28 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 STE 1102
OAKLAND, CA 94612



FACILITY NAME:AB'S PRESCHOOL AND DAYCAREFACILITY NUMBER:
013422032
ADMINISTRATOR:AYALEW, MERATFACILITY TYPE:
830
ADDRESS:301 DOWLING BLVDTELEPHONE:
(510) 564-4276
CITY:SAN LEANDROSTATE: CAZIP CODE:
94577
CAPACITY:12CENSUS: 2DATE:
05/21/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Licensee Merat AyalewTIME COMPLETED:
02:27 PM
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On 5/21/2024 at 1:00pm Licensing Program Analyst (LPA) Morgan Pringle met with Licensee Merat Ayalew for a Case Management visit to follow up on LPA Jackson and LPA Estoesta's visit on 5/15/2024. The facility is located on the left side of the Saint Mary Eritrean Orthodox Church on the first floor and operates in Room 3 (Teddy Bears). The facility holds a license for a preschool component as well (License #013422012).

Present during the inspection were two (2) infants and one (1) additional staff member. LPA toured the facility for a health and safety inspection. Facility operates from 6:00am - 6:00pm, Monday - Friday.

The facility is operating within its licensed capacity and is in ratio today. All adults present have obtained a criminal record clearance or have transferred their existing criminal record clearances.

No deficiencies were cited during LPAs visit.

A Notice of Site Visit was given and must remain posted for 30 days.

Exit interview was conducted and report was reviewed with Licensee Merat Ayalew.
SUPERVISOR'S NAME: Jason JangTELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Morgan PringleTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:
DATE: 05/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/21/2024
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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