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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423119
Report Date: 07/07/2022
Date Signed: 07/07/2022 11:57:25 AM

Document Has Been Signed on 07/07/2022 11:57 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:SHU REN INTERNATIONAL SCHOOLFACILITY NUMBER:
013423119
ADMINISTRATOR:QUE, YIFACILITY TYPE:
850
ADDRESS:2125 JEFFERSON AVENUETELEPHONE:
(510) 841-8899
CITY:BERKELEYSTATE: CAZIP CODE:
94703
CAPACITY: 75TOTAL ENROLLED CHILDREN: 75CENSUS: 46DATE:
07/07/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Yi QueTIME COMPLETED:
12:20 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 07/07/22, Licensing Program Analyst (LPA) Melissa Guirit and Melissa Domantay arrived at the facility for an unannounced case management inspection for a change of capacity and adding of a classroom. LPAs met with Director, Yi Que. Present for today's inspection were 46 preschooler and 6 staff. The normal hours of operation are Monday-Friday 7:30am-6:00pm. LPAs conducted a full tour of the facility to conduct a health and safety inspection with Yi. The addition of the new room results in the following measurements:

INDOOR: 3,654.22 sq ft = 104 children
OUTDOOR: 22,233 sq ft = 296 children
A fire clearance was received for 105 preschoolers from the Berkeley Fire Department on 07/05/2022.

LPAs observed that the classrooms has sufficient lighting and appears to be clean and in good condition. There are sufficient amount of sinks and toilets for children to utilize. Facility will be adding an additional bathroom for children making it 7 toilets, 3 urinals, and 15 sinks. There is a designated staff bathroom. LPAs observed an ample supply of age appropriate activities, equipment, furniture, and are equipped with varied age appropriate materials and equipment. LPAs observed the preschool outdoor play yard areas, they are fully fenced and have ample supply of age appropriate activities, equipment, and furniture. There is sufficient cushion to absorb a child's fall under the play structures and play areas. LPAs observed ample amount of shade for children.

The building has a fully charged 3A40BC fire extinguisher and first aid supplies. There is a working telephone at the center. LPAs did not observe any hazardous items that would be accessible to children.

See 809-C for continuance.
SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Melissa Guirit
LICENSING EVALUATOR SIGNATURE: DATE: 07/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/07/2022
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
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: SHU REN INTERNATIONAL SCHOOL
FACILITY NUMBER: 013423119
VISIT DATE: 07/07/2022
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
26
27
28
29
30
31
32
A license for a capacity of 104 preschoolers and room addition will be made part of the license, effective today 07/07/22, and can be used when the facility is ready. There are no deficiencies being cited today. A Notice of Site inspection was provided to Yi Que and an exit interview was conducted.
SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Melissa Guirit
LICENSING EVALUATOR SIGNATURE:

DATE: 07/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2022
LIC809 (FAS) - (06/04)
Page: 2 of 2