<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013420567
Report Date: 11/08/2024
Date Signed: 11/08/2024 03:14:44 PM

Document Has Been Signed on 11/08/2024 03:14 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 CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:CCLC - CLIF BASE CAMP CHILD CARE CENTERFACILITY NUMBER:
013420567
ADMINISTRATOR/
DIRECTOR:		WOO, LANIFACILITY TYPE:
850
ADDRESS:6529 HOLLIS STREETTELEPHONE:
(510) 596-6699
CITY:EMERYVILLESTATE: CAZIP CODE:
94608
CAPACITY: 48TOTAL ENROLLED CHILDREN: 48CENSUS: 6DATE:
11/08/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Elizabeth MurrayTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
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
On 11/8/24 at 1:00 PM Licensing Program Analysts (LPAs) J. Vargas and D. Campos conducted an unannounced case management-deficiencies visit as a result of a complaint investigation inspection in the infant program. LPAs met with the center director Elizabeth Murray. Present during the visit were 4 staffs and 6 preschoolers in care.

During the investigation, LPAs observed pest control arrive to treat the ant infestation in the affected preschool classrooms. LPAs toured the classroom and observed ants on the classroom ramp. Director stated facility has been continuously treating the ant infestation as needed and has submitted copies of the pest control and deep cleaning work orders.

See LIC 809-D for deficiency cited today.

Notice of site visit was provided and must be posted for 30 days.
Exit interview and report reviewed with the director Elizabeth Murray.
Monica MathurTELEPHONE: (510) 421-3522
Joe Mary VargasTELEPHONE: (510) 368-5196
DATE: 11/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/08/2024
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 2
Document Has Been Signed on 11/08/2024 03:14 PM - 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
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612


FACILITY NAME: CCLC - CLIF BASE CAMP CHILD CARE CENTER
FACILITY NUMBER: 013420567

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/08/2024
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Section Cited
Buildings and Grounds. The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. The licensee shall take measures to keep the center free of flies, other insects, and rodents.
Deficient Practice Statement
1
2
3
4
POC Due Date: 11/08/2024
Plan of Correction
1
2
3
4
Director stated that facility reached out to pest control twice and conducted a deep cleaning of the classrooms affected. Director provided copies of the third party work orders. Deficieny has been cleared today.
Section Cited
Deficient Practice Statement
1
2
3
4
POC Due Date:
Plan of Correction
1
2
3
4
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Monica MathurTELEPHONE: (510) 421-3522
Joe Mary VargasTELEPHONE: (510) 368-5196

DATE: 11/08/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/08/2024

LIC809 (FAS) - (06/04)
Page: 2 of 2