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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073409588
Report Date: 12/15/2023
Date Signed: 12/15/2023 05:11:33 PM


Document Has Been Signed on 12/15/2023 05:11 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 CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612



FACILITY NAME:LITTLE LAMB BILINGUAL PRESCHOOLFACILITY NUMBER:
073409588
ADMINISTRATOR:XIN DONGFACILITY TYPE:
850
ADDRESS:729 KEARNEY STREETTELEPHONE:
(510) 778-4560
CITY:EL CERRITOSTATE: CAZIP CODE:
94530
CAPACITY:72CENSUS: 0DATE:
12/15/2023
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
03:45 PM
MET WITH:Xin DongTIME COMPLETED:
05:25 PM
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On Friday, December 15, 2023 at 3:45 PM, Licensing Program Manager, (LPM) Mai Lor and Licensing Program Analyst (LPA) Caroline Colson conducted a case management inspection. Applicant Xin Dong requested a re-measurement of the toddler and the preschool outdoor activity space.

During this inspection, LPA, LPM and applicant re-measured the toddler and preschool yard. The new total square footage for the toddler yard is 1178.00 which can accommodate the applicant's requested capacity of 15. The new total square footage for the preschool yard is 4330.60 which can accommodate the applicant's requested capacity is 57.

In addition to the pending items listed on report dated 12/14/23, the following items are required before a license will be issued:

1. The fence around the toddler play area will need to be secured to ensure it is stabilized. Applicant shall ensure the fence must be placed in the designated area that should equate to the measurements conducted during this inspection.
2. Applicant must submit photos of the new fence.

Exit interview was conducted with Applicant, Xin Dong.
SUPERVISOR'S NAME: Mai LorTELEPHONE: (916) 491-0182
LICENSING EVALUATOR NAME: Caroline ColsonTELEPHONE: (510) 725-7008
LICENSING EVALUATOR SIGNATURE:
DATE: 12/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/15/2023
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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