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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700574
Report Date: 01/30/2024
Date Signed: 01/30/2024 01:49:29 PM

Document Has Been Signed on 01/30/2024 01:49 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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:TOTS UNIVERSITY PRESCHOOLFACILITY NUMBER:
015700574
ADMINISTRATOR:BOGA, PRIYANKAFACILITY TYPE:
850
ADDRESS:7890 OXBOW LANETELEPHONE:
(225) 368-6002
CITY:DUBLINSTATE: CAZIP CODE:
94568
CAPACITY: 34TOTAL ENROLLED CHILDREN: 34CENSUS: 30DATE:
01/30/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Licensee, Priyanka BogaTIME COMPLETED:
02:00 PM
NARRATIVE
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Licensing Program Analyst (LPA) Jyoti Saini arrived at the Facility unannounced to deliver the final findings. Also present during the inspection were one (1) volunteer, two (2) staff members, and 30 children. LPA found a deficiency unrelated to the complaint, resulting in this case management report. At around 10:30 a.m., LPA Saini observed a teacher supervising 13 children in the playground. A few minutes later, a director stepped into the playground and mentioned that room #2 would be out soon to meet the compliance. LPA went back to Room #2 and observed that a teacher and volunteer were supervising 17 children, and the Director stepped in and claimed that she had been helping in Room #2. On many occasions, the Director was out of Room #2 to fulfill her administrative responsibilities, leaving S2 out of the ratio.
Due to the school being out of ratio, a Type B Violation is being cited today.

Please see the attached deficiency page LIC 809D.

A notice of site visit was given and must remain posted for 30 days.

Appeals rights were given and reviewed

Exit interview was conducted and report was reviewed with the Licensee, Priyanka Boga.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE: DATE: 01/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/30/2024
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
Document Has Been Signed on 01/30/2024 01:49 PM - It Cannot Be Edited


Created By: Jyoti Saini On 01/30/2024 at 12:48 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 STE 1102
OAKLAND, CA 94612

FACILITY NAME: TOTS UNIVERSITY PRESCHOOL
FACILITY NUMBER: 015700574

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/30/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type B
02/02/2024
Section Cited
CCR
101216.3(a)

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101216.3: Teacher-Child Ratio
(a) There shall be a ratio of one teacher visiually observing and supervising no more than 12 children in attendance.

This requirement was not met as evidenced by:
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The director and staff shall watch the "Teacher-Child Ratio" training video on the CCLD website and develop a written plan to ensure the ratio is always maintained. The facility shall submit the action plan in writing by 02/02/2024.
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Based on observations, interviews, and record reviews, the licensee did not comply with the section cited above. LPA observed that S1 was supervising 13 children in the playground, and S2 was left alone on multiple occasions with 17 children in care, which poses a potential risk to the health, safety, or personal rights of children in care.
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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:Wynn Norona
LICENSING EVALUATOR NAME:Jyoti Saini
LICENSING EVALUATOR SIGNATURE:
DATE: 01/30/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/30/2024


LIC809 (FAS) - (06/04)
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