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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013422470
Report Date: 11/15/2022
Date Signed: 11/15/2022 11:52:49 AM


Document Has Been Signed on 11/15/2022 11:52 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:ROYAL KIDS ACADEMYFACILITY NUMBER:
013422470
ADMINISTRATOR:LOTFI-MASHAW, DELARAMFACILITY TYPE:
850
ADDRESS:30126 MISSION BLVDTELEPHONE:
(510) 489-5437
CITY:HAYWARDSTATE: CAZIP CODE:
94544
CAPACITY:83CENSUS: 0DATE:
11/15/2022
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Junaid BawazirTIME COMPLETED:
11:45 AM
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On November 15, 2022 at 10:00 AM Licensing Program Analyst (LPAs) Elimika Woods, Christina Uribe, and Licensing Program Managers (LPMS) Chandra Charles and Wynn Norona for an announced informal conferenced at the Oakland Regional Office. The informal conference was held to discuss the operation of your Day-Care Center and your license.

The Child Care Licensing regulations regarding Personal Rights, Parents Rights, Employee rights...etc were discuss with the owner along with the lease agreement and a new payment plan for families to pay their tuition(s). LPM Charles reminded the owner that everyone must have a fingerprint clearance in order to be at the facility. Personal or identifiably information is not to be distributed outside the facility and food must be
served to children in care per your agreement.

You were advise that failure to comply with the above and/or reoccurrence of such an incident could result in administrative action against the license.

There are no deficiencies cited in today's office visit. A copy of this report was provided to owner, Junaid Bawazir. This report is to remain in the facility records for three (3) years. Exit interview conducted.
SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Elimika WoodsTELEPHONE: (510) 622-2550
LICENSING EVALUATOR SIGNATURE:
DATE: 11/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/15/2022
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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