013417786-9-22-2026-52-CC-EWOS-DY6T6U-20260922142744

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013417786
Report Date: 09/22/2026
Date Signed: 09/22/2026 02:28:02 PM

Document Has Been Signed on 09/22/2026 02:28 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 CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME:	ST. JOACHIM PRESCHOOL		FACILITY NUMBER:	013417786
ADMINISTRATOR/ DIRECTOR:	MELGAREJO, MARISSA		FACILITY TYPE:	850
ADDRESS:	21250 HESPERIAN BLVD.		TELEPHONE:	(510) 783-0604
CITY:	HAYWARD	STATE: CA	ZIP CODE:	94541
CAPACITY: 60	TOTAL ENROLLED CHILDREN: 60	CENSUS: 42	DATE:	09/22/2026
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	11:00 AM
MET WITH:	Marissa Melgarejo		TIME VISIT/ INSPECTION COMPLETED:	02:45 PM

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On September 22, 2026, at 11:00 AM, Licensing Program Analyst (LPA) Elimika Woods met with Director Marissa Melgarejo to conduct an Unannounced Annual Random Inspection. The center operates as a preschool center licensed for a capacity of sixty (60) children. At the time of the inspection, there were forty-two (42) children in care being supervised by five (5) fingerprint-cleared staff members. LPA toured the facility with the Director, including the interior and exterior areas, to conduct a health and safety inspection. The hours of operation are 7:00 AM to 5:30 PM, Monday -Friday.

LPA conducted a census of the children, and the census matched the forty-two (42) signatures recorded in the electronic Procare system. The center consists of three (3) classrooms. The classrooms were inspected at approximately 11:45 AM, and the center was operating within the required staff-to-child ratio.

Each classroom has individual cubbies labeled with the children’s names and photos for storing their belongings. Activity stations were spaced adequately to allow staff to set up projects and activities without interfering with other children in care. The floors were clean and well maintained. Low shelves were used to divide activity areas and allow children to independently select and return materials. The designated isolation area for a child who becomes ill is located in the Director’s office, which is separated from the other children in care.

The center has wired smoke & carbon monoxide detectors. The smoke detectors are wired to notify the Hayward Fire Department when triggered. Per director, the smoke detectors are fully functional and serviced regularly. The center has a working telephone, first aid kits, emergency backpacks, pull down fire alarm system, and multiple fully charged fire extinguisher which meets standards established by the State Fire Marshal. Disaster drills are being conducted at least once every 6 months and the last one conducted was on 09/14/2026.

See 809-C

Chandra Charles
Elimika Woods
	DATE: 09/22/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2026

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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California Health & Human Services Agency

California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:

Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)

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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
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: ST. JOACHIM PRESCHOOL	FACILITY NUMBER: 013417786
	VISIT DATE: 09/22/2026

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At approximately 1:00 PM, LPA reviewed two (2) staff files and four (4) children’s files. The staff files contained the required Employee Rights form, Health Records, and Statement Acknowledging Requirement to Report Child Abuse form. All children’s files contained Identification and Emergency Information, Parent’s Rights and Personal Rights forms, and Medical Consent forms. At least one opening/closing staff member has a current CPR and First Aid certificate.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.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.

Per the Director, children bring their lunches and snacks from home each day. Staff ensure that all children are offered food in a safe and inclusive environment while accommodating known allergies and dietary restrictions. LPA reminded the Director that all persons engaged in food preparation and service shall observe proper personal hygiene and food service sanitation practices to protect food from contamination. All storage containers for solid waste have tight-fitting covers and were observed to be in good repair.

The staff bathroom is separate from the children’s bathrooms. The children’s bathrooms are located inside the classrooms. All sinks and toilets were operating properly. The water temperature from the faucets was within a safe range to prevent burns while being warm enough for effective handwashing. The center had an adequate supply of soap, toilet paper, and paper towels available for children in care.

At approximately 1:30 PM, LPA inspected the playground area. The playground was fully fenced and free from defects and dangerous conditions at the time of the inspection. The playground contained age-appropriate equipment, including a slide, teeter-totters, balls, crawling tunnels, playhouses, benches, basketball hoops, and sand/water tables. Canopies were provided to offer shade and protect children from direct sunlight during outdoor play. The playground slide was anchored to the ground with cushioning underneath to absorb children's falls.

California Law requires Child Care Centers licensees to report unusual incidents or injuries to children in care to child's parents and to the Department of Social Services using the Unusual Incident/Injury form (LIC 624). Incidents must be reported within 24 hours by phone, fax, or electronic mail. The director was also reminded that Mandated Reporter Training ("General" and "Child Care Providers") is required for all staff and is to be renewed every 2 years by visiting www.mandatedreporterca.com.

See 809-C

NAME OF LICENSING PROGRAM MANAGER: Chandra Charles
NAME OF LICENSING PROGRAM ANALYST: Elimika Woods
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 09/22/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2026

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
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: ST. JOACHIM PRESCHOOL	FACILITY NUMBER: 013417786
	VISIT DATE: 09/22/2026

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Lead Testing – Child Care Centers (CCC) CCC COMPLETED TESTING AND NO LEAD EXCEEDANCES: Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1CCP). LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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.

The director was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

The director was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

There are no deficiencies cited today. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the director Marissa Melgarejo.

NAME OF LICENSING PROGRAM MANAGER: Chandra Charles
NAME OF LICENSING PROGRAM ANALYST: Elimika Woods
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 09/22/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2026

LIC809 (FAS) - (06/04)

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