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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423074
Report Date: 05/04/2023
Date Signed: 05/04/2023 01:11:45 PM

Document Has Been Signed on 05/04/2023 01:11 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, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:ROCKRIDGE LITTLE SCHOOL 3FACILITY NUMBER:
013423074
ADMINISTRATOR:LYNNE KELLUNDFACILITY TYPE:
850
ADDRESS:5776 BROADWAYTELEPHONE:
(510) 420-1200
CITY:OAKLANDSTATE: CAZIP CODE:
94618
CAPACITY: 28TOTAL ENROLLED CHILDREN: 28CENSUS: 16DATE:
05/04/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Lynne KellundTIME COMPLETED:
01:20 PM
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On 5/4/23, a Case Management Visit was conducted for adding a toddler option by Licensing Program Analyst (LPA), Melissa Domantay. LPA met with Director, Lynne Kellund. Present for today's inspection are 2 staff and 16 children. The center has submitted an application to add a toddler option to the preschool component. Hours of operation are from 8:00am-5:30pm, Monday through Friday. A health and safety inspection was conducted inside and outside. Measurements remain the same. Toddlers will utilize the upper classroom and the community center and outdoor play yard will be shared between both components with a schedule in place to ensure there is no commingling between components. The changing table is within arms reach of sink.

A fire clearance was received on 5/4/23 from the Oakland Fire Department for 20 preschoolers, ages 2 years to first grade entry with toddler option, 12 toddlers ages 18 months to 36 months. Total capacity 32 children. Fire clearance dated 3/16/23.

Playground equipment is in good condition. Drinking water is available inside and outside. Children utilize personal reusable water bottles. The facility has 3 toilets and 3 sinks for children to utilize. All toilets and hand washing facilities are in safe and sanitary operating conditions. Lunch is provided by parents and facility provides 2 snacks. Facility utilizes electronic form sign in and out.

The center is equipped with a fully stocked first aid kit, working telephone, carbon monoxide detector located in each room, a pull down fire alarm, and 3A40BC fire extinguishers.

Director, Lynne Kellund was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated. See 809-C for continuance.
Mayla Mendoza
Melissa Domantay
DATE: 05/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/04/2023
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: ROCKRIDGE LITTLE SCHOOL 3
FACILITY NUMBER: 013423074
VISIT DATE: 05/04/2023
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A license for preschool with toddler option is effective today, 5/4/23 with a total capacity of 32 and is ready to be used when facility is ready. A notice of site visit was given and must remain posted for 30 days
Exit interview conducted and report was reviewed with the Director, Lynne Kellund.
SUPERVISOR'S NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Melissa Domantay
LICENSING EVALUATOR SIGNATURE:

DATE: 05/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2023
LIC809 (FAS) - (06/04)
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