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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073409602
Report Date: 07/08/2024
Date Signed: 07/08/2024 11:57:59 AM

Document Has Been Signed on 07/08/2024 11:57 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:HEARTS LEAP NORTHFACILITY NUMBER:
073409602
ADMINISTRATOR/
DIRECTOR:		SARA ZECHFACILITY TYPE:
860
ADDRESS:52 ARLINGTON AVETELEPHONE:
(510) 665-4200
CITY:KENSINGTONSTATE: CAZIP CODE:
94707
CAPACITY: 46TOTAL ENROLLED CHILDREN: 46CENSUS: 0DATE:
07/08/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:45 AM
MET WITH:Gretchen StizelTIME VISIT/
INSPECTION COMPLETED:
01:00 PM
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Centralized Application Bureau (CAB) Licensing Program Analyst (LPA) M. Domantay met with Applicant Gretchen Stizel for the purpose of a change of location inspection. Applicant requests a single licensed child care center for a preschool program ages 2 years to first grade entry, license to serve a total of 46 children. The program will operate Monday through Friday from 8:00 a.m. to 5:30 p.m. The fire clearance was granted on 5/15/2024 from the El Cerrito Fire Department with occupancy code I. The facility will provide 2 snacks and lunch will be provided by families from home. LPA reviewed with applicant the LIC 311A, Records To Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

INDOOR ACTIVITY SPACE:
There are 2 indoor areas for the preschool program, Room 14 (Juniper Room) and Room 15 (Sequoia Room). LPA observed a sufficient amount of equipment, toys, tables, chairs, cubbies, and napping mats. Per Applicant first aid kit will be placed on the wall by the front entrance of Room 15 (Sequoia Room) and Applicant will send LPA a photo of first aid kit and its contents once it has been transferred to the facility from the previous location. Medications will be stored in a locked box in the Director's office. LPA observed cleaning disinfectants are appropriately stored and inaccessible to children. Applicant stated there are no poisons or firearms on the premises. LPA observed a functional carbon monoxide detector in Room 14 classroom. LPA observed a manual sign-in/sign-out system.

LPA measured all classrooms/areas for the preschool program. The total classroom space for the preschool classroom contains a total of 1553.16 square feet, which will not accommodate Applicant's request for 46 preschool children. There is 3 toilets, 1 urinal, and 4 sinks for the children in the hallway, and a separate private restroom for the staff is located in the church. Applicant will obtain documentation giving staff permissions to utilize church bathroom and provide documentation to LPA. Due to Individual measurements are recorded on the Capacity Worksheet (LIC 9024). Page 1
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Melissa Domantay
LICENSING EVALUATOR SIGNATURE: DATE: 07/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/08/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: HEARTS LEAP NORTH
FACILITY NUMBER: 073409602
VISIT DATE: 07/08/2024
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Children who become ill during the day will be isolated on the couch in the Director's office and will use the children's bathroom (right side) or staff restroom, if necessary.

OUTDOOR ACTIVITY SPACE:
LPA measured all outdoor areas for Preschool program. The outdoor play area is fenced with a wooden fence that is at least four feet tall. LPA observed a sufficient amount of equipment and toys. There is a sandbox in the play yard that was observed to be maintained and free of debris. There is no play structure present in the outdoor play yard area. There are no bodies of water on the premises. There is sufficient shading provided by trees and vinyl awning for the preschool play area.

The total outdoor space for the Preschool program contains a total of 4714.11 square feet, which will accommodate Applicant's request for 46 children. Individual measurements are recorded on the Capacity Worksheet (LIC 9024).

LPA notified Applicant will need to submit a request for a waiver for the outdoor play yard to be shared with the other 2 preschools on site with a set schedule in place.

LPA discussed the following: 100% supervision is required at all times, including in the bathroom; personal rights; inspection authority; reporting requirements; staff to children ratios and capacity; staff qualifications; and maintaining buildings and grounds. LPA discussed with Applicant any changes that may occur regarding the director or an employee acting in the director's absence must be reported to department within 10 working days.

Applicant was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, 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.

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SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Melissa Domantay
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2024
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 CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: HEARTS LEAP NORTH
FACILITY NUMBER: 073409602
VISIT DATE: 07/08/2024
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Applicant was informed of the MyChildCarePlan.org site, 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.

This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. A Plan of Operation that includes IMS must be submitted to the Department. 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, available at: http://www.ada.gov/childqanda.htm

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

Exit interview conducted and report was reviewed with the Applicant, Gretchen Stizel.

The following items are required before a license will be issued:

1. Licensing Program Manager (LPM) final file review.

2. Waiver Request for Preschool program Outdoor Play Area to be shared with other 2 preschools on site with a rotation schedule in place must be submitted

3. Documentation from Church giving staff access to bathroom in the church.

4. Applicant must submit photos of first aid kit with its contents once transferred to new facility from previous facility.

Page 3

SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Melissa Domantay
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2024
LIC809 (FAS) - (06/04)
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