015700547-2-17-2026-52-CC-EWOS-DRDR5G-20260217114307

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 015700547
Report Date: 02/17/2026
Date Signed: 02/17/2026 11:43:17 AM

Document Has Been Signed on 02/17/2026 11:43 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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME:	RISE EAST BAY		FACILITY NUMBER:	015700547
ADMINISTRATOR/ DIRECTOR:	SHAHEIDARI, ELHAM		FACILITY TYPE:	850
ADDRESS:	573 BARTLETT AVENUE		TELEPHONE:	(408) 614-9961
CITY:	HAYWARD	STATE: CA	ZIP CODE:	94541
CAPACITY: 30	TOTAL ENROLLED CHILDREN: 30	CENSUS: 4	DATE:	02/17/2026
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:00 AM
MET WITH:	Merzia Bhagat		TIME VISIT/ INSPECTION COMPLETED:	12:00 PM

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On February 17, 2026, at 9:00 a.m., Licensing Program Analyst (LPA) Elimika Woods conducted an unannounced Annual Random Inspection and met with facility representative Merzia Bhagat. The LPA disclosed the purpose of the inspection and conducted a tour of the facility, both indoors and outdoors, to assess health and safety conditions. The facility’s hours of operation are Monday through Thursday from 7:45 a.m. to 2:45 p.m. The facility is closed on Fridays.

Records Review

The LPA reviewed facility records and confirmed that all individuals subject to criminal record review have the required clearance or exemption and are properly associated with the facility. A census of children in care was conducted, and the number of children present matched the four signatures on the sign-in sheet. At approximately 9:30 a.m., the LPA reviewed two (2) children’s files and one (1) staff file. All required documentation was present. Staff files contained completed Health Screening and Employee Rights forms. Children’s files included Personal Rights, Medical Consent, and Identification and Emergency Information forms. At least one staff member designated as an opening and closing staff person holds a current CPR and First Aid certificate.

Safety, Fire, and Emergency Preparedness

The LPA tested the facility’s dual smoke and carbon monoxide detectors, which were found to be functioning properly. The facility has a working telephone, a pull-down fire alarm system, and a fully charged 3A40BC fire extinguisher that meets standards established by the State Fire Marshal. Disaster drills are conducted at least once every six months, with the most recent drill completed on January 13, 2026. All required licensing documents are posted in a publicly accessible area.

The facility provides snacks for the children, and children bring their lunches from home. Weekly menus are posted. The kitchen area is inaccessible to children in care. The LPA reminded the facility representative that all individuals engaged in food preparation and service must observe proper personal hygiene and food service sanitation practices to protect food from contamination. Pesticides and other toxic substances are not stored in food cabinets, food preparation areas, or areas where kitchen utensils and equipment are stored. All solid waste storage containers have tight-fitting lids and are maintained in good repair.

See LIC 809-C.

NAME OF LICENSING PROGRAM MANAGER: Chandra Charles
NAME OF LICENSING PROGRAM ANALYST: Elimika Woods
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 02/17/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/17/2026

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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California Health & Human Services Agency

California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:

Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)

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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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: RISE EAST BAY	FACILITY NUMBER: 015700547
	VISIT DATE: 02/17/2026

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The outdoor play area is fully fenced. All equipment observed was safe, free of hazards, age-appropriate, and in good repair. Multiple swing sets are securely anchored to the ground and have cushioning underneath to absorb potential falls. The playground also includes a climbing apparatus for children’s use and benches for children to rest. A locked shed containing equipment that is off-limits to children in care is located on the playground. The facility also has chickens housed in a secured coop for children to observe.

LPA Observations During the Visit-At 9:00 a.m., the children were participating in circle time, during which the facility representative was reading a story. The children appeared engaged, attentive, and actively participating, and they appeared to be enjoying the activity.

The LPA inspected the staff restroom and was informed by the facility representative that it is separate from the children’s restroom. The children’s restroom is located inside the classroom. The LPA verified that all toilets were in proper working condition by flushing each one and confirming there were no overflow issues. Adequate supplies of soap, toilet tissue, and paper towels were available for children’s use.

California Law requires Child Care Centers licensees to report unusual incidents or injuries to children in care to child's parents and to the Department of Social Services using the Unusual Incident/Injury form (LIC 624). Incidents must be reported within 24 hours by phone, fax, or electronic mail. The facility representative was also reminded that Mandated Reporter Training ("General" and "Child Care Providers") is required for all staff and is to be renewed every 2 years by visiting www.mandatedreporterca.com.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02CCP. When any IMS is provided, a Plan for Providing 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: https://www.ada.gov/resources/child-care-centers/

Lead Testing – Child Care Centers (CCC) CCC COMPLETED TESTING AND NO LEAD EXCEEDANCES: 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 21-21.1CCP). LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

See 809-C.

NAME OF LICENSING PROGRAM MANAGER: Chandra Charles
NAME OF LICENSING PROGRAM ANALYST: Elimika Woods
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 02/17/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/17/2026

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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: RISE EAST BAY	FACILITY NUMBER: 015700547
	VISIT DATE: 02/17/2026

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The facility representative 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.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

The facility representative was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

There are no deficiencies cited today. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the facility representative Merzia Bhagat.

NAME OF LICENSING PROGRAM MANAGER: Chandra Charles
NAME OF LICENSING PROGRAM ANALYST: Elimika Woods
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 02/17/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/17/2026

LIC809 (FAS) - (06/04)

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