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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434400473
Report Date: 11/07/2024
Date Signed: 11/07/2024 11:07:13 AM

Document Has Been Signed on 11/07/2024 11:07 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 SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:BARRON PARK CHILDRENS CENTERFACILITY NUMBER:
434400473
ADMINISTRATOR/
DIRECTOR:
LEON, VERONICAFACILITY TYPE:
850
ADDRESS:800 BARRON AVENUETELEPHONE:
(650) 493-2361
CITY:PALO ALTOSTATE: CAZIP CODE:
94306
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 19DATE:
11/07/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:45 AM
MET WITH:Veronica LeonTIME VISIT/
INSPECTION COMPLETED:
11:20 AM
NARRATIVE
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On 11/07/2024 at 9:45am, Licensing Program Analyst (LPA) Jialing “Julianne” Zhu conducted an unannounced case management inspection for the purpose of investigating a reported incident. LPA met with Director Veronica Leon. Also present during the inspection were five (5) fingerprint-cleared staff and 19 children in care. The facility is within ratio and in compliance with capacity regulations today. The facility was toured to conduct a Health and Safety Inspection.

The incident occurred on 10/16/2024 and was reported to Licensing on 10/17/2024. On 10/16/2024 at approximately 10am, one (1) child was outside in the play yard unsupervised for approximately 2 minutes during transition time. A classroom teacher noticed the child was still outside, and the child was brought into the classroom immediately.

During today's inspection, LPA reviewed the above incident with Director and conducted an interview with the Director to obtain more information. LPA observed the play yard to be fully fenced and secured. The classroom door was open during the incident. LPA observed teachers are able to have direct line of vision of the play yard when looking through the classroom door from the inside. However, the teacher's back was turned away from the door during the incident. Based on the obtained information and LPA’s observations, LPA determined there was no visual supervision of the child in the play yard, which posed an immediate threat to the health and safety of the child in care. A Type A deficiency is being issued during today's inspection. Director was notified of this incident the day of the incident. Director notified her supervisor. Director spoke with the teachers involved in this incident in the evening. An all staff meeting was held the following day to discuss the incident and how future similar incidents can be prevented. Director reviewed supervision guidelines with staff. Director notified parents of the child over the phone and had an in-person discussion the day after the incident.

As a result of the Type A deficiency cited during today’s inspection, a copy of this report and LIC 9224 Acknowledgment of Receipt of Licensing Reports must be provided to parents/guardians of current enrolled children in care and all children enrolled following a 12-month period of this report. The LIC 9224 must be signed within the next business day the children are in care and is to be kept in the children’s files.

A Notice of Site Visit was given and must remain posted for 30 days. Exit interview was conducted, report was reviewed, and Appeal Rights were provided to Director Veronica Leon. Page 1 of 1. End of Report.

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Jialing Zhu
LICENSING EVALUATOR SIGNATURE: DATE: 11/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/07/2024
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 11/07/2024 11:07 AM - It Cannot Be Edited


Created By: Jialing Zhu On 11/07/2024 at 10:46 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 STE 1102
OAKLAND, CA 94612

FACILITY NAME: BARRON PARK CHILDRENS CENTER

FACILITY NUMBER: 434400473

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 11/07/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/07/2024
Section Cited
CCR
101229(a)(1)

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Responsibility for Providing Care and Supervision 101229(a)(1) No child(ren) shall be left without the supervision of a teacher at any time... Supervision shall include visual observation.

This requirement is not met as evidenced by:
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Director spoke with the two (2) teachers involved, and the teachers both received written actions. An all staff meeting was conducted, and supervision guidelines were reveiwed with teachers. Director spoke with the parents of the child involved in the incident.
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Based on observation and interview, the licensee did not comply with the section cited above as one (1) child was left without visual supervision in the play yard, which poses an immediate/potential health, safety, and/or personal rights risk to persons 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:Chandra Charles
LICENSING EVALUATOR NAME:Jialing Zhu
LICENSING EVALUATOR SIGNATURE:
DATE: 11/07/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/07/2024


LIC809 (FAS) - (06/04)
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