<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423748
Report Date: 01/31/2024
Date Signed: 01/31/2024 01:02:04 PM

Document Has Been Signed on 01/31/2024 01:02 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:KIDS PLAY ZONE LLC-PLAY & LEARN CHILDCAREFACILITY NUMBER:
013423748
ADMINISTRATOR:KELINDA CRENSHAWFACILITY TYPE:
850
ADDRESS:900 MARKET ST STE MTELEPHONE:
(510) 817-4384
CITY:OAKLANDSTATE: CAZIP CODE:
94607
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 0DATE:
01/31/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Kelinda CrenshawTIME COMPLETED:
01:00 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Centralized Application Bureau (CAB) Licensing Program Analysts (LPA) M. Domantay and LPA Janai McClain met with Applicant Kelinda Crenshaw for the purpose of a pre-licensing inspection. Applicant requests a preschool license to serve 30 preschool children from age two to entry into kindergarten. The program will operate Monday through Friday from 9:00 a.m. to 1:00 p.m. The fire clearance was granted and received on 7/6/2023. The facility will not be providing food or snacks, food and snacks 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 SPACE BEING UTILIZED AS OUTDOOR ACTIVITY SPACE:
Applicant is requesting to utilize the indoor space as outdoor space and will request a waiver.
There are 2 preschool areas,the main area, Classroom 1 and lunch area, Classroom 2. LPA observed a sufficient amount of equipment, toys, tables, chairs, cubbies. 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 on the ceiling in Classroom 1. LPA observed a manual sign-in/sign-out system. LPA observed multiple 3A40BC fire extinguishers.

LPA measured all preschool classrooms/areas. The total classroom space contains a total of 1573.65 square feet, which will not accommodate Applicant's request for 30 preschool children. There is 1 toilet and 1 sink for the children, and a separate private restroom for the staff is located to the right of the children's restroom. Individual measurements are recorded on the Capacity Worksheet (LIC 9024). Children who become ill during the day will be isolated in the Check in area and will use the staff restroom, if necessary.

Page 1
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Melissa Domantay
LICENSING EVALUATOR SIGNATURE: DATE: 01/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/31/2024
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: KIDS PLAY ZONE LLC-PLAY & LEARN CHILDCARE
FACILITY NUMBER: 013423748
VISIT DATE: 01/31/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
OUTDOOR ACTIVITY SPACE:
There is no outdoor area on the property.

LPA notified Applicant will need to submit a request for a waiver for the indoor space to be utilized as an outdoor play area.

This facility does not plan 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

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.

Page 2

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

DATE: 01/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2024
LIC809 (FAS) - (06/04)
Page: 2 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: KIDS PLAY ZONE LLC-PLAY & LEARN CHILDCARE
FACILITY NUMBER: 013423748
VISIT DATE: 01/31/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
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.

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.

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, Kelinda Crenshaw.

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

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

2. Waiver Request for Indoor space to be utilized as outdoor space.

3. First Aid Kit.

4. Barrier or lock for storage room door to be inaccessible to children.

Page 3

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

DATE: 01/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2024
LIC809 (FAS) - (06/04)
Page: 3 of 3