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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423044
Report Date: 10/28/2021
Date Signed: 10/28/2021 01:12:10 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:AU BEAU SEJOUR FRENCH PRESCHOOLFACILITY NUMBER:
013423044
ADMINISTRATOR:SOBHANI, CORALIE LECLERCFACILITY TYPE:
850
ADDRESS:860 30TH STREETTELEPHONE:
(510) 817-4532
CITY:OAKLANDSTATE: CAZIP CODE:
94608
CAPACITY:55CENSUS: 51DATE:
10/28/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:09 AM
MET WITH:Lillia RefesTIME COMPLETED:
01:31 PM
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On October 28, 2021, Licensing Program Analyst (LPA) Melissa Domantay and Licensing Program Manager (LPM) Mayla Mendoza arrived at the center for an unannounced random inspection. LPA and LPM met with the assistant director, Lillia Refes. There were 51 preschoolers and 8 staff members also present. The facility's operating hours are from 8:00AM to 5:00 PM. There are Covid-19 postings by front doors of facility. Facility utilizes written form sign in and out method. A copy of the children's roster was provided to LPA.

LPA and LPM completed an inspection of the areas used by the preschool program, to conduct a health and safety inspection. The outdoor area is fully fenced and there are overhangs to provide shade. The outdoor area has 5 play yard areas. LPA and LPM did not observe any defects or dangerous conditions in any of the areas. The play structures are secure and there is sufficient cushioning underneath to absorb a fall. There is a sufficient amount of toys and activities outdoors, which are appropriate and in good condition.



LPA and LPM did not observe any bodies of water, hazardous items, toxins or medication that will be accessible to children. The center has fully stocked first aid kits, functioning telephone, fully charged 3A40BC fire extinguishers, pull down fire alarms, and a centralized smoke detection system.

Heating, lighting and ventilation in each area was sufficient for the safety and comfort of children and staff. LPA and LPM observed that all of the classroom floors, surfaces, furniture and equipment are clean, in good condition and safe. The furniture, equipment, toys and activities are age appropriate and there is an ample supply available for the number of children in care. There is a sufficient amount of storage space for children's belongings. All disinfectants, cleaning solutions and medications are stored in areas that are inaccessible to children.

See 809-C for continuance.
SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 292-9724
LICENSING EVALUATOR NAME: Melissa DomantayTELEPHONE: 510-725-7021
LICENSING EVALUATOR SIGNATURE:

DATE: 10/28/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2021
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: AU BEAU SEJOUR FRENCH PRESCHOOL
FACILITY NUMBER: 013423044
VISIT DATE: 10/28/2021
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To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.


A notice of site visit was given and must remain posted for 30 days.
Exit interview conducted and report was reviewed with the assistant director Lillia Refes
SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 292-9724
LICENSING EVALUATOR NAME: Melissa DomantayTELEPHONE: 510-725-7021
LICENSING EVALUATOR SIGNATURE:

DATE: 10/28/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2021
LIC809 (FAS) - (06/04)
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