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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700654
Report Date: 01/28/2025
Date Signed: 01/28/2025 04:16:20 PM

Document Has Been Signed on 01/28/2025 04:16 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:OLIVE CHILDREN AT ST. JAMES CATHOLIC CHURCHFACILITY NUMBER:
015700654
ADMINISTRATOR/
DIRECTOR:
HARRIS, CARMINAFACILITY TYPE:
860
ADDRESS:34700 FREMONT BOULEVARDTELEPHONE:
(510) 770-4999
CITY:FREMONTSTATE: CAZIP CODE:
94555
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 10DATE:
01/28/2025
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:51 AM
MET WITH:Carmina HarrisTIME VISIT/
INSPECTION COMPLETED:
04:30 PM
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On Tuesday, January 28, 2025 at 10:51 AM, Centralized Application Bureau (CAB) Licensing Program Analyst (LPA) Caroline Colson met with Director Carmina Harris for a case management inspection to request 5 Infants for the Infant Component with the ages 0 - 24 months and 18 Toddlers for a Toddler Component with ages 18 months - 36 months. The fire clearance was granted and received. The facility operates on Mondays through Fridays from 8:00 AM to 6:00 PM.

INDOOR ACTIVITY SPACE:
LPA measured Classroom C for the Infant Component. The total measurement for the Infant Component is 429.81 sq ft. which will accommodate the Applicant's request for 5 Infants. LPA measured Classrooms A and B for the Toddler Component. The total measurement for the Toddler Component is 1077.71 sq. ft. which will accommodate the Applicant's request for 18 Toddlers.


OUTDOOR ACTIVITY SPACE:
LPA is using measurements from report dated September 19, 2023 for the two outdoor play areas. The Infant outdoor play area is Garden 1. The total measurements for the Infant Component is 609.15 sq. ft. which will accommodate the Applicant's request for 5 Infants. Garden 2 is the outdoor play area for the Toddlers. The total measurements for the Toddler Component is 557.18 sq. ft. which will not accommodate the Applicant's request for 18 Toddlers.

Please See LIC 809 C for Additional Information
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Caroline Colson
LICENSING EVALUATOR SIGNATURE: DATE: 01/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/28/2025
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
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: OLIVE CHILDREN AT ST. JAMES CATHOLIC CHURCH
FACILITY NUMBER: 015700654
VISIT DATE: 01/28/2025
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Director was reminded that all adults 18 and over, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

The following items are required before a license will be issued:
1. Napping Area will need to be completed and separate from the indoor play area.
2. Waiver for Toddler Play Area due to insufficient square footage base on capacity.
3. Applicant will need to include payee, Toddler Option Statement with signature area , Refund Policy, frequency, how to pay for tuition besides cash or check if applicable, basic services, 30 day notification of rate changes and termination policy.
4. Applicant will need to purchase more chairs for the Toddler Component.
5. Applicant will need to update In-Service Training with all required training and trainer. 6. Applicant will need to update Parent Handbook to show both Infant and Toddler Care and Table of Contents.
7. Applicant will need to purchase antiseptic solution, tweezers and a manual for all First Aid kits.
8. Daily Schedule and current menu need to be posted.
9. Applicant will need to provide the sizes of all Fire Extinguishers.


Exit interview conducted and report was reviewed with Director, Carmina Harris.
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Caroline Colson
LICENSING EVALUATOR SIGNATURE:

DATE: 01/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2025
LIC809 (FAS) - (06/04)
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