013423726-6-30-2022-02-CC-MDOY-CFVQPD-20220630122033

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013423726
Report Date: 06/30/2022
Date Signed: 06/30/2022 12:20:43 PM

Document Has Been Signed on 06/30/2022 12:20 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:	BELLA'S BABIES INC.		FACILITY NUMBER:	013423726
ADMINISTRATOR:	DAVIS, KRISTEN		FACILITY TYPE:	830
ADDRESS:	5909 CAMDEN STREET		TELEPHONE:	(510) 809-7170
CITY:	OAKLAND	STATE: CA	ZIP CODE:	94605
CAPACITY:	17	CENSUS: 0	DATE:	06/30/2022
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Kristen Davis		TIME COMPLETED:	12:50 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	A Prelicensing Visit was conducted today by Licensing Program Analysts (LPAs), Melissa Domantay and Melissa Guirit. LPAs met with Applicant/Director Kristen Davis. The applicant submitted an application for an infant license. A health and safety inspection was conducted inside and outside. The center has also applied for a preschool program with toddler option on-site (license #013423727). The infant program will operate in 3 classrooms, Monday to Friday from 7:00am-6:00pm. The measurements are as follows: INDOORS: 412.81 square feet = 12 children OUTDOORS : 4033.81 square feet = 57 children A fire clearance, with a total capacity of 17 infants, ages birth to 24 months was received from the Oakland Fire Department. Infant classrooms is equipped with varied age appropriate materials and equipment. The infant program will not be serving crib-aged infants. The diaper changing counters are within arms reach of a sink. There is 2 sinks available in the infant changing area. Play yard will be shared between infants and preschoolers and toddlers, Applicant will provide a play yard schedule for each program to make sure infant and preschoolers, and toddlers do not commingle. The yard is fenced in all around. Infants will utilize play yard except the play structure. Infant families will provide food for infants. There is a kitchen available. Facility will utilize electronic sign in/out. The facility has a fully charged 3A40BC fire extinguisher, working fire alarm and carbon monoxide detector, and first aid supplies. There is a working telephone at the center. See 809-C for continuance.

SUPERVISOR'S NAME: Mayla Mendoza	TELEPHONE: (510) 292-9724
LICENSING EVALUATOR NAME: Melissa Domantay	TELEPHONE: 510-725-7021
LICENSING EVALUATOR SIGNATURE:	DATE: 06/30/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2022

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: BELLA'S BABIES INC.	FACILITY NUMBER: 013423726
	VISIT DATE: 06/30/2022

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

The isolation area will be in a corner of the infant classroom.

Applicant Kristen Davis is considered a qualified Director with site supervisor permit, which expires 5/1/2026 with current CPR/First Aid, which expires 12/19/2022 and mandated reporter training's completed. Mandated Reporter training is current and completed, expires on 3/2024.

If this facility plans to provide Incidental Medical Services – IMS. A Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

Mandated reporter and appeal rights, civil penalties, unusual incident reporting and fingerprint requirements were discussed today. LPAs reviewed responses and provided technical assistance including postings. Licensee is also being informed of the web address (www.ccld.ca.gov) for downloading child care forms, and the director is encouraged to email ChildCareAdvocatesprogram@dss.ca.gov to be included in the Child Care Quarterly Updates distribution list. The director is also reminded that mandated reporter training is required for all staff and is to be renewed every 2 years at www.mandatedreporterca.com.

Infant license is pending for a capacity of 12 infants awaiting updated fire clearance, There are no deficiencies being cited today. A Notice of Site inspection was provided to Applicant/Director Kristen, an exit interview was conducted.

SUPERVISOR'S NAME: Mayla Mendoza	TELEPHONE: (510) 292-9724
LICENSING EVALUATOR NAME: Melissa Domantay	TELEPHONE: 510-725-7021
LICENSING EVALUATOR SIGNATURE:	DATE: 06/30/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2022

LIC809 (FAS) - (06/04)

Page: 2 of 2