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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013420975
Report Date: 01/25/2023
Date Signed: 01/25/2023 10:44:23 AM


Document Has Been Signed on 01/25/2023 10:44 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
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612



FACILITY NAME:ACADEMIA DE MI ABUELAFACILITY NUMBER:
013420975
ADMINISTRATOR:REIMANN, CYNTHIAFACILITY TYPE:
850
ADDRESS:2162 MOUNTAIN BLVD STE 300TELEPHONE:
(510) 336-7082
CITY:OAKLANDSTATE: CAZIP CODE:
94611
CAPACITY:53CENSUS: 21DATE:
01/25/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
08:52 AM
MET WITH:Cynthia ReimannTIME COMPLETED:
10:50 PM
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On January 25, 2023 at 8:52am Licensing Program Analysts (LPAs) Indira Loza and Catherine Fernandes arrived unannounced to conduct a Proof of Correction inspection. Upon arrival LPAs observed two teacher assistants with 21 preschoolers in care. The center operates from 8am - 5:30pm. The Director and a fully qualified teacher arrived at the center at at approximately 9am.


LPA's arrived to clear the prior deficiency that was cited on January 18, 2023 for the center not having a fully qualified teacher to care for the children, causing the center to be out of ratio. At the time of the LPA's arrival it was determined that there were not any fully qualified teachers or a Director to provide care for the 21 children. Therefore the center is not in compliance with the regulation resulting in a civil penalty of $100 per day for a total of $600.


Failure to correct the deficiency is a $100 civil penalty per day until corrected.


Exit interview conducted.
Report, and Appeal Rights provided to Director Cynthia Reimann.
Notice of Site visit must remain posted for 30 days.
SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 292-9724
LICENSING EVALUATOR NAME: Indira LozaTELEPHONE: 510-368-3672
LICENSING EVALUATOR SIGNATURE:
DATE: 01/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/25/2023
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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