013422497-6-4-2019-02-CC-MMEA-BCTST3-20190604140853

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013422497
Report Date: 06/04/2019
Date Signed: 06/04/2019 02:11:42 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:	LITTLE LAMB BILINGUAL PRESCHOOL		FACILITY NUMBER:	013422497
ADMINISTRATOR:	DONG, XIN		FACILITY TYPE:	850
ADDRESS:	924 ADAMS STREET		TELEPHONE:	(510) 610-2421
CITY:	ALBANY	STATE: CA	ZIP CODE:	94706
CAPACITY:	15	CENSUS: 14	DATE:	06/04/2019
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Peiyi Tseng & Xin Dong		TIME COMPLETED:	02:18 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	A Case Management Visit was conducted on this date 6/4/19 by Licensing Program Analyst (LPA), Mayla Mendoza. LPA met with Head Teacher, Peiyi Tseng. Later, Director Xin Dong arrived. The center has submitted an application for an increase in capacity from 15 to 24 children. Preschool will continue to operate in 3 rooms (1 upstairs to the left, downstairs living room and the kitchen area), while the toddler-option (18 months to 36 months) will operate in the upstairs room to the right. Hours of operation are from 8:00am-6:00pm, Monday through Friday. Children were napping upon arrival. Proper teacher-child ratio was observed during this visit. A health and safety inspection was conducted inside and outside. The following is the total overall measurement: INDOORS: 864.6 square feet = 24 children OUTDOORS: 2046 square feet = 27 children Playground equipment is in good condition. Drinking water is available inside and outside. All toilets and handwashing facilities are in safe and sanitary operating conditions. There is a kitchen inaccessible to children. Menus are posted. Lunch and snacks are provided and prepared on site. There is adequate variety and quantity of foods to meet the children's needs. Mats were observed. The sign in and out logs were reviewed. Facility has a functioning carbon monoxide detector. A review of staff records on 6/4/19 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. The center has obtained an approved fire safety inspection from the Albany Fire Department on 5/6/19. All licensing required documents are posted.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Mayla Mendoza	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 06/04/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2019

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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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: LITTLE LAMB BILINGUAL PRESCHOOL	FACILITY NUMBER: 013422497
	VISIT DATE: 06/04/2019

NARRATIVE

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Mandated reporter and appeal rights, civil penalties, unusual incident reporting and fingerprint requirements were discussed today. Licensee is also being informed of the web address (www.ccld.ca.gov) for downloading child care forms, and the director is encouraged to email ChildCareAdvocatesprogram@dss.ca.gov to be included in the Child Care Quarterly Updates distribution list. The director is also reminded that mandated reporter training is required for all staff and is to be renewed every 2 years at www.mandatedreporterca.com.

Zero Tolerance policies were explained. Notice of Site Visit form was provided and posted.
The center was found to be clean, safe, sanitary and in good repair. There are no deficiencies cited during this visit. A license for 24 preschool children, with up to 6 toddlers in the toddler-option program will be issued effective today 6/4/19.

An exit interview was conducted.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Mayla Mendoza	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 06/04/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2019

LIC809 (FAS) - (06/04)

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