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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013422032
Report Date: 07/02/2024
Date Signed: 07/02/2024 11:05:06 AM


Document Has Been Signed on 07/02/2024 11:05 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
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: 0DATE:
07/02/2024
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Administrator Merat AyalewTIME COMPLETED:
11:10 AM
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On 7/2/2024 at 10am, Licensing Program Analysts (LPAs) Manel Estoesta, Jaleesa Jackson and Michael Mathew, and Licensing Program Managers (LPMs) Jason Jang and Wynn Norona conducted an Informal Meeting with the Administrator Merat Ayalew.

LPAs and LPMs discussed to the Administrator the previous Deficiencies and Office Meeting in 2018, Evaluation Reports on dates of 4/17/2024, 5/1/2024 and 5/15/2024, Facility Compliance Plan and the facility's registration to Technical Support Program. The Administrator also stated that she will be sending Plan of Correction for Lead Testing Deficiency by the end of the month and new Director Qualification Packet by 7/5/2204. Also, the Administrator agreed terms as part of the facility compliance plan that will require the Department to conduct annual inspection and or increase monitoring for more support to the facility.

Failure to correct deficiencies by the given due dates, agreed upon during the meeting, could result in a Non-Compliance Conference.

Exit interview was conducted and report was reviewed with Administrator Merat Ayalew.
SUPERVISOR'S NAME: Jason JangTELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Manel EstoestaTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:
DATE: 07/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/02/2024
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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