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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423128
Report Date: 06/28/2024
Date Signed: 06/28/2024 03:42:17 PM

Document Has Been Signed on 06/28/2024 03:42 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:SMALLTRANS BEARSFACILITY NUMBER:
013423128
ADMINISTRATOR/
DIRECTOR:		JACKSON-BURNS, CYNTHIAFACILITY TYPE:
830
ADDRESS:111 GRAND AVENUETELEPHONE:
(510) 286-5130
CITY:OAKLANDSTATE: CAZIP CODE:
94612
CAPACITY: 40TOTAL ENROLLED CHILDREN: 40CENSUS: 8DATE:
06/28/2024
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:15 AM
MET WITH:Cynthia Jackson-BurnsTIME VISIT/
INSPECTION COMPLETED:
03:50 PM
NARRATIVE
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On June 28, 2024, at 9:15am, Licensing Program Analysts (LPAs) Indira Loza and Catherine Fernandes met with Director Cynthia Jackson-Burns for an unannounced annual inspection continuation. The infant center has a toddler component and was inspected for a health and safety check. Present during the inspection were 8 infants and 5 fingerprint cleared staff members. The teacher/child ratio was being met today. This center operates Monday through Friday 8am to 5pm.

CLASSROOMS: The infant room is on the right side of the center and the toddler classroom is located in the back left corner. The napping area and the indoor activity area are separate. There is adequate heating/air conditioning, ventilation and lighting. LPA did not observe cleaning supplies or toxic items accessible to children during todays inspection. The toys appear to be safe and well maintained. There were play equipment available for the children. The floors, furniture, and equipment are age appropriate and in good repair. There is proper individual storage space for each child. The center has hardwired smoke detectors with sprinklers throughout the center, and there is a carbon monoxide detector in the infant kitchen.
FOOD SERVICE AREAS: The kitchen is not accessible to children in care. Infant bottles are appropriately labeled. The Director stated that the children bring a bottle filled with milk from home, and when the milk is done, staff will rinse the bottle and refill with water brought from home. The Licensee stated that in the event a child finishes the water that they bring from home, they will give the children water from the water cooler located in the staff break room. The Licensee stated that they use a water filter for the infant's water, and will boil it to sterilize it.
OUTDOOR PLAY AREAS: There were plenty of age appropriate activities and plenty of shade for the children in care. The outdoor play area is fully fenced in. There were no bodies of water or pools on the daycare premises. There was plenty of space for the children to run and develop their gross motor skills.
BATHROOMS AND TOILETING AREAS: The changing table has a padded surface and is within arms reach of the sink. The sinks and faucets are in safe and sanitary operating condition.
RECORDS: LPA reviewed 5 infant files on the previous visit made on June 18, 2024 and an additional 3 files
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Indira Loza
LICENSING EVALUATOR SIGNATURE: DATE: 06/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/28/2024
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: 06/28/2024
NARRATIVE
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Director was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP). LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP. CCC completed testing and no exceedances. LPA referred Director to the Department website for lead: Lead Toxicity Prevention and Water Testing Information.

There were 4 Type B citations issued during this inspection.

Exit interview conducted.
Report was reviewed with the Director Cynthia Jackson-Burns.
Notice of Site Visit provided and must remain posted for 30 days.

****************************************** End of Report ************************************
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Indira Loza
LICENSING EVALUATOR SIGNATURE:

DATE: 06/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2024
LIC809 (FAS) - (06/04)
Page: 2 of 7
Document Has Been Signed on 06/28/2024 03:42 PM - It Cannot Be Edited


Created By: Indira Loza On 06/28/2024 at 02:40 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: SMALLTRANS BEARS
FACILITY NUMBER: 013423128

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/28/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101160(a)
Posting of License
(a) The license shall be posted in a prominent, publicly accessible location in the center.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above as the License is located inside the center which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/12/2024
Plan of Correction
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The licensee shall post the license in a prominent and publicly accessible area, and send the LPA a picture of the License posted in the new area, no later than July 12, 2024.
Type B
Section Cited
HSC
1597.16(a)(1)
Lead Testing
(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on interview and record review, the licensee did not comply with the section cited above in that the water was not tested for lead which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/12/2024
Plan of Correction
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The licensee shall send the LPA proof of having initiated the Lead testing process, no later July 12, 2024.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Mayla Mendoza
LICENSING EVALUATOR NAME:Indira Loza
LICENSING EVALUATOR SIGNATURE:
DATE: 06/28/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/28/2024


LIC809 (FAS) - (06/04)
Page: 3 of 7
Document Has Been Signed on 06/28/2024 03:42 PM - It Cannot Be Edited


Created By: Indira Loza On 06/28/2024 at 02:40 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: SMALLTRANS BEARS
FACILITY NUMBER: 013423128

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/28/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101429(a)(2)(B)
Responsibility for Providing Care and Supervision for Infants
(B) Staff shall physically check on sleeping infant(s) every 15 minutes and document the following:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on interview and record review, the licensee did not comply with the section cited above as they did not maintain sleep log records up until June 18, 2024, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/05/2024
Plan of Correction
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During today's visit, the licensee provided proof of maintaining the sleep logs.
Type B
Section Cited
CCR
101419.2(a)
Infant Needs and Services Plan
(a) Prior to the infant's first day at the center, the infant care center director or assistant director shall complete a needs and services plan for the infant.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above as there were no needs and services plan in any of the infant files reviewed which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/12/2024
Plan of Correction
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The licensee shall create a needs and services plan, and completethe plan with the parents. The licensee shall send the LPA a copy of the complete needs and services plan no later than July 12, 2024.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Mayla Mendoza
LICENSING EVALUATOR NAME:Indira Loza
LICENSING EVALUATOR SIGNATURE:
DATE: 06/28/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/28/2024


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