013423128-1-27-2022-02-CC-MGUT-CB3P8W-20220127100613

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013423128
Report Date: 01/27/2022
Date Signed: 01/27/2022 10:07:01 AM

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:	SMALLTRANS BEARS		FACILITY NUMBER:	013423128
ADMINISTRATOR:	JACKSON-BURNS, CYNTHIA		FACILITY TYPE:	830
ADDRESS:	111 GRAND AVENUE		TELEPHONE:	(510) 866-9287
CITY:	OAKLAND	STATE: CA	ZIP CODE:	94612
CAPACITY:	36	CENSUS: 19	DATE:	01/27/2022
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Cynthia Jackson-Burns		TIME COMPLETED:	10:15 AM

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	Licensing Program Analysts (LPAs) Melissa Guirit and Melissa Domantay conducted a Prelicensing inspection today, January, 27, 2022 for change of ownership. LPAs met with Director and licensee, Cynthia Jackson-Burns. LPAs toured all areas of the facility for a health and safety inspection. There were 19 infants and 7 infant teachers. The hours of operation are Monday through Friday from 8:00 am to 5:00pm. All measurements and rooms remain the same from previous ownership. A fire clearance, with a total capacity of 36 infants, was received from the Oakland Fire Department on 11/01/21. LPAs observed that the classrooms has sufficient lighting and appears to be clean and in good condition. LPAs observed an ample supply of age appropriate activities, equipment and furniture. The facility has 3 sinks and 3 toilets available for children. The changing tables are within arms reach of a sink. The classroom has a fully charged 3A40BC fire extinguisher, working combination smoke/carbon monoxide detector, and first aid supplies. There is a working telephone at the center. LPAs did not observe any hazardous items that would be accessible to children. All food and snacks are provided by the parents. Water is brought by the children from home, however, water is available at the facility. The staff office will be used for ill children as the isolation area. LPAs observed outdoor play areas, they are fully fenced and have amply supply of age appropriate activities, equipment, and furniture. LPAs observed ample amount of shade for children. See 809-C for continuance.

SUPERVISOR'S NAME: Loretta Dyson	TELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Melissa Guirit	TELEPHONE: (510) 566-8898
LICENSING EVALUATOR SIGNATURE:	DATE: 01/27/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/27/2022

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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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: SMALLTRANS BEARS	FACILITY NUMBER: 013423128
	VISIT DATE: 01/27/2022

NARRATIVE

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Director, Cynthia Jackson-Burns is a qualified infant director with current CPR/FA and mandated reporter training's completed.

If this facility plans to provide Incidental Medical Services – IMS. A Plan of Operation that includes 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.

Mandated reporter and appeal rights, civil penalties, unusual incident reporting and fingerprint requirements were discussed today. LPAs reviewed responses and provided technical assistance including postings. 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.

Infant license for a capacity of 36 children will be effective today 01/27/22, and can be used when the facility is ready. There are no deficiencies being cited today. An exit interview conducted with licensee and Director, Cynthia Jackson-Burns and a Notice of Site Visit was provided.

SUPERVISOR'S NAME: Loretta Dyson	TELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Melissa Guirit	TELEPHONE: (510) 566-8898
LICENSING EVALUATOR SIGNATURE:	DATE: 01/27/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/27/2022

LIC809 (FAS) - (06/04)

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