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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 010211701
Report Date: 04/30/2024
Date Signed: 04/30/2024 02:45:04 PM

Document Has Been Signed on 04/30/2024 02:45 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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:LOLLIPOP LANE PRE-SCHOOLFACILITY NUMBER:
010211701
ADMINISTRATOR/
DIRECTOR:		ARMSTRONG, KARENFACILITY TYPE:
850
ADDRESS:341 PASEO GRANDETELEPHONE:
(510) 481-2114
CITY:SAN LORENZOSTATE: CAZIP CODE:
94580
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 10DATE:
04/30/2024
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:08 PM
MET WITH:Karen ArmstrongTIME VISIT/
INSPECTION COMPLETED:
03:01 PM
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Licensing Program Analyst (LPA) Sidney Cortez met with Director Karen Armstrong to conduct a Case Management inspection for the Lead Testing results at this facility. In addition to the director, assistant Lorraine Baum,10 children and 2 staff members are present today. The facility operates Monday - Friday from 8:00 am to 4:00 pm.

LPA Inspected the facility for health and safety. It was concluded that based on the testing results there no outlet that exceeded the Action Level. The lab who conducted the tests needed to upload the results on the WaterBoard portal. No plan of corrections needed.

LPA Cortez provided technical assistance to the director (went over physical plants, and personnel files, and children files). Disinfectants, cleaning solutions, poisons and other items that are dangerous to children were inaccessible during the visit. The toilets and sinks were in operable condition. The floors are free of tripping hazards. All storage containers for solid waste have tight-fitting covers that are in good repair. Drinking water is available both indoors and outdoors.

A notice of site visit was given and must remain posted for 30 days. An exit interview was conducted
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Sidney Cortez
LICENSING EVALUATOR SIGNATURE: DATE: 04/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/30/2024
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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