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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073408865
Report Date: 11/09/2023
Date Signed: 11/09/2023 03:28:07 PM

Document Has Been Signed on 11/09/2023 03:28 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:KIDDIE ACADEMYFACILITY NUMBER:
073408865
ADMINISTRATOR:GRICELDA MITCHELLFACILITY TYPE:
830
ADDRESS:1620 NERLOY RD.TELEPHONE:
(925) 261-6717
CITY:OAKLEYSTATE: CAZIP CODE:
94561
CAPACITY: 48TOTAL ENROLLED CHILDREN: 19CENSUS: 15DATE:
11/09/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Noelle MillsTIME COMPLETED:
03:40 PM
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Licensing Program Analyst (LPA) Cherie Acosta conducted an unannounced Case Management inspection. The facility is required to have more frequent visit as a result of a non compliance conference . During today's inspection there were 15 children and 5 staff present. Furniture and equipment was observed to be in good condition, free of sharp, loose, or pointed parts. Disinfectants, cleaning solutions, poisons and other items that are dangerous to children were inaccessible during the visit. Outdoor activity space and playground equipment was observed to be safe and free of hazards.

Staff is conducting and documenting 15 minute checks of sleeping infants.
Infants under 12 months of age have Individual Infant Sleep Plan on file which has been completed by the parent.

The facility is operating within its licensed capacity. LPA reviewed teachers files that were present today. Teachers present have required qualifications. The facility is within ratio today with one teacher supervising no more than 4 infants. LPA did not observe any infants left without visual supervision or unattended during the inspection.

There are no deficiencies cited during today's inspection.
Notice of Site visit was provided and must be posted for 30 days.
Exit interview and report reviewed with Noelle Mills.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Cherie Acosta
LICENSING EVALUATOR SIGNATURE: DATE: 11/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/09/2023
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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