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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423128
Report Date: 08/16/2022
Date Signed: 08/16/2022 10:59:35 AM

Document Has Been Signed on 08/16/2022 10:59 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:SMALLTRANS BEARSFACILITY NUMBER:
013423128
ADMINISTRATOR:JACKSON-BURNS, CYNTHIAFACILITY TYPE:
830
ADDRESS:111 GRAND AVENUETELEPHONE:
(510) 286-5130
CITY:OAKLANDSTATE: CAZIP CODE:
94612
CAPACITY: 36TOTAL ENROLLED CHILDREN: 36CENSUS: 25DATE:
08/16/2022
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Cynthia Jackson-BurnsTIME COMPLETED:
11:15 AM
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On 8/16/22, a Case Management Visit was conducted for a change of capacity and adding a toddler option by Licensing Program Analysts (LPAs), Melissa Domantay and Melissa Guirit. LPAs met with center director/owner, Cynthia Jackson-Burns. The center has submitted an application to add a toddler option to the infant license. Hours of operation are from 8:00am-5:00pm, Monday through Friday. A health and safety inspection was conducted inside and outside. Measurements were conducted for the toddler area:

INDOOR: 919.32 sq ft = 26 children
OUTDOOR measurements remain the same from previous ownership.

A fire clearance was received on 5/27/22 from the Oakland Fire Department for 16 infants, ages 12 months to 24 months with toddler option, 24 toddlers ages 18 months to 36 months.

Playground equipment is in good condition. Drinking water is available inside and outside. The facility has 3 toilets and 3 sinks for children to utilize. All toilets and hand washing facilities are in safe and sanitary operating conditions. All food and snacks are provided by parents. Paper form sign in and out is utilized. Facility has a functioning carbon monoxide detector.

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 a 3A40BC fire extinguisher.

See 809-C for continuance.
SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Melissa Guirit
LICENSING EVALUATOR SIGNATURE: DATE: 08/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/16/2022
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: SMALLTRANS BEARS
FACILITY NUMBER: 013423128
VISIT DATE: 08/16/2022
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Director Cynthia 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 infants with toddler option is effective today, 8/16/22 with a total capacity of 40 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 Director Cynthia Jackson-Burns.
SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Melissa Guirit
LICENSING EVALUATOR SIGNATURE:

DATE: 08/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2022
LIC809 (FAS) - (06/04)
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