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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423104
Report Date: 01/07/2025
Date Signed: 01/07/2025 04:58:21 PM

Document Has Been Signed on 01/07/2025 04:58 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:LAKE MERRITT CHILD CARE CENTERFACILITY NUMBER:
013423104
ADMINISTRATOR/
DIRECTOR:		LAI SHUI, SHUKYINFACILITY TYPE:
840
ADDRESS:250 12TH STREETTELEPHONE:
(510) 834-3399
CITY:OAKLANDSTATE: CAZIP CODE:
94607
CAPACITY: 10TOTAL ENROLLED CHILDREN: 10CENSUS: 6DATE:
01/07/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Elaine TamTIME VISIT/
INSPECTION COMPLETED:
05:00 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 12/7/2024 at 8:30am, Licensing Program Analyst (LPA) Janai McClain met with Director Elaine Tam for an Unannounced Annual/Random inspection. Present during the inspection were 6 school age children in care. The teacher/child ratio was met. There is a preschool component attached to the center (License number 013423103). The center was toured for a health and safety inspection and operating hours are 8:00am-5:30pm Monday through Friday.

Due to time constraints this annual inspection will be continued at a later date.

Exit Interview conducted. Report and Appeal Rights provided to Director Elaine Tam.
Notice of Site Visit provided and must remain posted for 30 days.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Janai McClain
LICENSING EVALUATOR SIGNATURE: DATE: 01/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/07/2025
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 1