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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700575
Report Date: 05/21/2026
Date Signed: 05/21/2026 03:36:14 PM

Document Has Been Signed on 05/21/2026 03:36 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 CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:HUSD - EAST AVENUE PRESCHOOLFACILITY NUMBER:
015700575
ADMINISTRATOR/
DIRECTOR:		RUIZ, MARIAFACILITY TYPE:
850
ADDRESS:2424 EAST AVENUETELEPHONE:
(510) 723-3815
CITY:HAYWARDSTATE: CAZIP CODE:
94541
CAPACITY: 23TOTAL ENROLLED CHILDREN: 23CENSUS: 15DATE:
05/21/2026
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:30 PM
MET WITH:Maria RuizTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
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On May 21, 2026, at 12:30 PM, Licensing Program Analyst (LPA) Elimika Woods conducted an unannounced annual random inspection and met with Director Maria Ruiz. LPA disclosed the purpose of the inspection and conducted a health and safety inspection of the facility, including both indoor and outdoor areas. The facility operates as a preschool center with a licensed capacity of 23 children on the campus of East Avenue Elementary School in Room 10 and is open Monday through Friday from 8:00 AM to 5:00 PM. At the time of the inspection, 15 preschool-age children were present and supervised by four staff members. All individuals subject to criminal record review have received a criminal record clearance or exemption and are associated with the facility.

LPA conducted a census of the children in care and verified that the census matched the 15 signatures recorded on the sign-in sheet. At approximately 1:15 PM, LPA inspected the facility’s classroom and observed that the required teacher-to-child ratio was being maintained. The classroom was organized to allow children to explore different activity areas. Adequate play and learning materials were available, and all furniture and equipment were age-appropriate and in good repair. The floors were clean, and each child had an individual storage space for personal belongings. The designated isolation area for ill children is located next to the Director’s desk and away from other children in care.

At approximately 1:35 PM, LPA reviewed five children’s files. Each file contained the required documentation, including Personal Rights, Parent’s Rights, Medical Consent forms, and Identification and Emergency Information forms. The facility conducts disaster drills at least once every six months in conjuction with the Hayward Unified School District schedule. Staff files are maintained and stored at the Hayward School District Human Resources Office, and all licensing requirements for personnel are met as a condition of employment with the school district. At least one staff member present during opening and closing hours holds a current Pediatric CPR and First Aid certification.

The facility is equipped with hardwired smoke detectors throughout the building. According to the Director, the smoke detectors are fully operational, regularly serviced, and connected to notify the Hayward Fire Department when activated. The center is also equipped with emergency backpacks, first aid kits, and fully charged 2A10BC fire extinguishers that meet the standards established by the State Fire Marshal. LPA tested the carbon monoxide detector and found it to be functioning properly. All required licensing documents were posted in a location accessible to parents and visitors.

See 809-C
NAME OF LICENSING PROGRAM MANAGER: Chandra Charles
NAME OF LICENSING PROGRAM ANALYST: Elimika Woods
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 05/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/21/2026
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 CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: HUSD - EAST AVENUE PRESCHOOL
FACILITY NUMBER: 015700575
VISIT DATE: 05/21/2026
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The facility provides snacks, lunch, and dinner for children in care. LPA was informed by the Director that dinner is served until 3:30 PM. Weekly menus are posted and readily available for review. Low fat milk is being served at the center. LPA reminded the Director that all persons involved in food preparation and food service must observe proper personal hygiene and sanitation practices to protect food from contamination.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514- 0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

LPA confirmed at approximately 2:20 PM that the staff bathroom was separate from the children’s bathroom. The children’s bathroom is located inside the classroom (R10). LPA verified that all sinks and toilets were operating in a safe and sanitary condition during today’s inspection. LPA flushed the toilets and ran the faucets to ensure the water temperature did not become too hot for children in care. The bathroom was well stocked with soap, toilet tissue, and paper towels.

The outdoor playground area is fully fenced and free of defects or hazardous conditions at the time of the inspection. The play structure was securely anchored to the ground and had adequate cushioning material underneath to absorb falls. The structure includes a slide and was observed to be in good repair. Additional outdoor equipment included small trucks, ride-on bikes, a wagon, tables, a bench, a teeter-totter, tricycles, a garden area, and a basketball hoop court. The center has a canopy that provide adequate shade and protection from direct sunlight during outdoor play. A storage shed located on the playground is locked and used to store equipment that is off limits to children in care.

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 director 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.

See 809-C.

NAME OF LICENSING PROGRAM MANAGER: Chandra Charles
NAME OF LICENSING PROGRAM ANALYST: Elimika Woods
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 05/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2026
LIC809 (FAS) - (06/04)
Page: 4 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: HUSD - EAST AVENUE PRESCHOOL
FACILITY NUMBER: 015700575
VISIT DATE: 05/21/2026
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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.

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 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.

The director 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 director Maria Ruiz.

NAME OF LICENSING PROGRAM MANAGER: Chandra Charles
NAME OF LICENSING PROGRAM ANALYST: Elimika Woods
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 05/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2026
LIC809 (FAS) - (06/04)
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