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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 010210313
Report Date: 06/09/2023
Date Signed: 06/09/2023 11:57:52 AM


Document Has Been Signed on 06/09/2023 11:57 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
BAY AREA-CC OAKLAND, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612



FACILITY NAME:GRACE CHILDREN'S ACADEMYFACILITY NUMBER:
010210313
ADMINISTRATOR:MERRIA ROSS KRANENFACILITY TYPE:
850
ADDRESS:993 53RD. STREETTELEPHONE:
(510) 653-1115
CITY:OAKLANDSTATE: CAZIP CODE:
94608
CAPACITY:32CENSUS: 13DATE:
06/09/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Merria Ross KranenTIME COMPLETED:
12:05 PM
NARRATIVE
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On June 9th, 2023 at approximately 9:10am, Licensing Program Analyst (LPA) April Wright for an unannounced Required-1 Year inspection, and met with director Merria Ross Kranen. Present today were thirteen (13) preschool age children and two (2) fingerprint cleared staff members present during the inspection. The facility is in ratio today. The facility was toured for a health and safety inspection. Hours of operation are Monday through Friday, 8:15am to 5:15pm.

CLASSROOMS: Center has a front and back classroom. There are adequate play and learning materials available. The floors, furniture, and equipment are age appropriate and in good repair. There is adequate heating/air conditioning, ventilation and lighting for safety and comfort. Drinking water is available inside and outside of the center. There is proper individual storage space for each child. The isolation area for sick children rest area in the front room, away from other children in care. The center has smoke detectors, working telephone, and a fully charged 2A10BC fire extinguisher. At least one person trained in CPR/First aid is present at the facility when children are present.

BATHROOMS: The staff's bathroom is separate from the classroom and are clean, sanitary and in good condition. There are three (3) toilets and sinks for children to use. All sinks and faucets are in safe and sanitary operating condition. .

FOOD SERVICE AREAS: This facility provides snack only to children in care. There is a snack menu posted at the facility. There is a kitchen area that is off limits to children in care and used for snack preparation and staff usage. All storage containers for solid waste have tight fitting covers that are in good repair. Facility has a refrigerator in kitchen area which is clean and free of evidence of rodents, vermin or insects.

See LIC809-C for continuance
SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: April WrightTELEPHONE: (510) 542-4257
LICENSING EVALUATOR SIGNATURE:
DATE: 06/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/09/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 4


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
BAY AREA-CC OAKLAND, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: GRACE CHILDREN'S ACADEMY
FACILITY NUMBER: 010210313
VISIT DATE: 06/09/2023
NARRATIVE
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OUTDOOR PLAY AREAS: There's a play structure with slide that has grass cushioning to absorb falls and that is anchored for stability. There's also a wooden play house at the base of a tree in the yard that is free of defects and hazardous conditions. There are no pools, hot tubs or other accessible bodies of water. Per Director there are no weapons or firearms present in the center.

RECORDS: All individuals subject to criminal record review have a clearance or exemption and have been associated to the facility. Seven (7) children's files and three (3) staff files were reviewed, along with director's file. All staff files have required health screening and Employee Rights and all children files contain Identification & Emergency, Personal Rights, and Medical Consent forms. LPA reviewed the facility roster and obtained a copy. Mandated Reporter Training and CPR and First Aid certificates were reviewed. Director Mandated reporter training expired 9/21/2022. The center is in compliance with the sign in and out procedure via Hi Momma app. Disaster drills are being conducted at least once every 6 months and the last one conducted was on 1/5/2023. All required documents are posted in a public accessible area.

HEALTH RELATED SERVICES: IMS IS NOT PROVIDED AT THIS FACILITY. Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated 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

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/inspection-process .

Center Director was encouraged to frequently visit our website at ccld.ca.gov for licensing regulations, forms and updates.

See LIC809C for continuance..

SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: April WrightTELEPHONE: (510) 542-4257
LICENSING EVALUATOR SIGNATURE:

DATE: 06/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2023
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
BAY AREA-CC OAKLAND, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: GRACE CHILDREN'S ACADEMY
FACILITY NUMBER: 010210313
VISIT DATE: 06/09/2023
NARRATIVE
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Center Director 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.

The following deficiencies were observed during today's inspection: (See LIC809D)


  • Type B - Center Director does not have current Mandated Reporter Training - expired 9/21/2022.


A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Center Director Merria Ross Kranen.
SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: April WrightTELEPHONE: (510) 542-4257
LICENSING EVALUATOR SIGNATURE:

DATE: 06/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2023
LIC809 (FAS) - (06/04)
Page: 3 of 4
Document Has Been Signed on 06/09/2023 11:57 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
BAY AREA-CC OAKLAND, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612


FACILITY NAME: GRACE CHILDREN'S ACADEMY

FACILITY NUMBER: 010210313

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 06/09/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review of staff files, the licensee did not comply with the section cited above in which Center Director Merria Ross Kranen Mandated Reporter training certificate had expired and not been renewed, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/12/2023
Plan of Correction
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Center Director Merria Ross Kranen will complete Mandated Reporter training by the due date above and submit completion certificate to LPA via email
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: April WrightTELEPHONE: (510) 542-4257
LICENSING EVALUATOR SIGNATURE:
DATE: 06/09/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/09/2023
LIC809 (FAS) - (06/04)
Page: 4 of 4