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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073408876
Report Date: 05/15/2024
Date Signed: 05/15/2024 11:25:00 AM

Document Has Been Signed on 05/15/2024 11:25 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 CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:SKYTOWN PRESCHOOLFACILITY NUMBER:
073408876
ADMINISTRATOR/
DIRECTOR:		CRAPO, ALLISONFACILITY TYPE:
850
ADDRESS:5714 SOLANO AVENUETELEPHONE:
(510) 609-4119
CITY:RICHMONDSTATE: CAZIP CODE:
94805
CAPACITY: 36TOTAL ENROLLED CHILDREN: 36CENSUS: 19DATE:
05/15/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Allison CrapoTIME VISIT/
INSPECTION COMPLETED:
11:50 AM
NARRATIVE
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On 5/15/2024, at 9:00 AM, Licensing Program Analyst (LPA) Brittany Crass arrived at the facility for a case management inspection regarding a self-reported Unusual Incident that the Oakland Regional office received on 5/7/2024. LPA met with the Director, Allison Crapo. On the preschool side, LPA observed 12 preschoolers with two parent volunteers, one fully qualified teacher, and the director. On the toddler side, LPA observed 7 toddlers with one fully qualified teacher, and three parent volunteers.

Staff interviews were conducted. During the visit it was revealed that a teacher who has been employed for two weeks, did not have a criminal record clearance.

A Type A deficiency was cited during this inspection. Licensee must post the Type A deficiency, provide a copy of this report to all parents of children currently enrolled, and the parents of newly enrolled children in the next 12 months. In addition, form LIC 9224 (Acknowledgment of Receipt of Licensing Reports) must be signed by each parent and placed in each child's file. A copy of the LIC 9224 and AB 633 fact sheet were provided to the Licensee during the inspection.

A civil penalty is being assessed for a citation listed on this report. You will receive a bill in the mail. Payment is due when billed. Payment must be made by a personal, business or cashier check, or a money order made payable to the "California Department of Social Services". Please write the facility number and invoice number on your check and include a copy of your bill with the payment. You will find the invoice number on your bill. DO NOT SEND CASH.

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

Exit interview conducted and report was reviewed with the Director, Allison Crapo.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Brittany Crass
LICENSING EVALUATOR SIGNATURE: DATE: 05/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/15/2024
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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Document Has Been Signed on 05/15/2024 11:25 AM - It Cannot Be Edited


Created By: Brittany Crass On 05/15/2024 at 10:50 AM
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, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: SKYTOWN PRESCHOOL
FACILITY NUMBER: 073408876

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/15/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/15/2024
Section Cited
CCR
101216(i)(1)

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Prior to employment or inital presence in the child care center, all employees and volunteers subject to a criminal record review shall: (1) Obtain a California clearance or a criminal record exemption as required by law or department regulations
This requirement is not met as evidence by:
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By end of day on 5/15/24, the licensee will email LPA a photo of the livescan receipt showing that Susan Clark went to obtain a fingerprint clearance. This adult is not allowed back at the facility until an eligible clearance has been granted. Please call the licensing office to confirm an eligible clearance has been obtained in Guardian, before allowing this adult back at the facility. LPA will make a follow up visit.
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Based on interview, and record review, the licensee did not comply with the section cited above, by having a teacher without a criminal record clearance caring for children, which poses an immediate health, safety, or personal rights risk to 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:Mayla Mendoza
LICENSING EVALUATOR NAME:Brittany Crass
LICENSING EVALUATOR SIGNATURE:
DATE: 05/15/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/15/2024


LIC809 (FAS) - (06/04)
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