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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013420975
Report Date: 08/29/2023
Date Signed: 08/29/2023 03:19:12 PM

Document Has Been Signed on 08/29/2023 03:19 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
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: 53TOTAL ENROLLED CHILDREN: 53CENSUS: 21DATE:
08/29/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Martha EspinozaTIME COMPLETED:
03:30 PM
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On 8/29/23, a Case Management Visit was conducted for adding a toddler option by Licensing Program Analyst (LPA), Melissa Domantay. LPA met with Head Teacher, Martha Espinoza. Present for today's inspection are 4 staff and 21 children. The center has submitted an application to add a toddler option to the preschool component. Hours of operation are from 7:30am-5:30pm, Monday through Friday. A health and safety inspection was conducted inside and outside. Outdoor measurements remain the same. Toddlers will utilize the 3 classroom areas and outdoor play yard will be shared between both components with a schedule in place to ensure there is no commingling between components. Classroom 1 is designated for Toddler program, Classroom 2 is a shared space between toddlers and preschoolers with a schedule in place, Per Head Teacher, Martha Espinoza classroom is utilized for preschoolers for nap time. Classroom 3, left side of the classroom is designated for the toddler classroom with a barrier in place and right side of classroom is designated for the preschool program.

INDOORS: 844.18 square feet = 24 Toddler children
OUTDOORS: Remains the same from previous measurements.

A fire clearance was received from the Oakland Fire Department for 41 preschoolers, ages 2 years to first grade entry with toddler option, 12 toddlers ages 18 months to 36 months. Total capacity 53 children. Fire clearance dated 8/14/23.

Playground equipment is in good condition. Drinking water is available inside and outside. Children utilize personal reusable water bottles. The changing table is within arms reach of sink. All toilets and hand washing facilities are in safe and sanitary operating conditions. Lunch and snacks is provided by parents from home. Facility utilizes electronic form sign in and out. The center is equipped with a fully stocked first aid kit, working telephone, carbon monoxide detector located in each room, a pull down fire alarm, and 3A40BC fire extinguishers. See 809-C for continuance.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Melissa Domantay
LICENSING EVALUATOR SIGNATURE: DATE: 08/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/29/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		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 ABUELA
FACILITY NUMBER: 013420975
VISIT DATE: 08/29/2023
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Martha Espinoza 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.

A license for preschool with toddler option is effective today, 8/29/23 for 41 preschoolers and 12 toddlers with a total capacity of 53 and is ready to be used when facility is ready. A notice of site visit was given and must remain posted for 30 days

Exit interview conducted and report was reviewed with the Head Teacher, Martha Espinoza.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Melissa Domantay
LICENSING EVALUATOR SIGNATURE:

DATE: 08/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2023
LIC809 (FAS) - (06/04)
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