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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434407984
Report Date: 11/18/2024
Date Signed: 11/18/2024 03:57:07 PM

Document Has Been Signed on 11/18/2024 03:57 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 SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:LEARNING LINKS PALO ALTOFACILITY NUMBER:
434407984
ADMINISTRATOR/
DIRECTOR:		DE VERA, CHRISTINAFACILITY TYPE:
850
ADDRESS:3864 MIDDLEFIELD RDTELEPHONE:
(650) 618-3342
CITY:PALO ALTOSTATE: CAZIP CODE:
94303
CAPACITY: 58TOTAL ENROLLED CHILDREN: 58CENSUS: 33DATE:
11/18/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:20 AM
MET WITH:Colleen CoensgenTIME VISIT/
INSPECTION COMPLETED:
04:15 PM
NARRATIVE
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On 11/18/2024 at 9:20am, Licensing Program Analyst (LPA) Jialing “Julianne” Zhu conducted an unannounced case management inspection for the purpose of investigating a reported incident. LPA met with Executive Director Carol Miller and Program Coordinator Colleen Coensgen. (Director Christina De Vera was not on-site during today's inspection.) Also present during the inspection were eight (8) fingerprint-cleared staff and 33 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 11/07/2024 and was reported to Licensing on the same day. On 11/07/2024 at approximately 12 noon, one (1) child was outside the classroom unsupervised for approximately 3 minutes after teachers and children transitioned inside the classroom from the playground. A classroom teacher noticed later the child was not inside the classroom, and the child was found outside the classroom by the door.

During today's inspection, LPA reviewed the above incident with Executive Director and conducted an interview to obtain more information. LPA observed the play yard to be secured. The classroom door was closed during the incident. The top potion of the door is equipped with a window, but visual supervision of the child was obstructed when staff were inside the classroom. Director was notified of this incident by staff immediately. The following actions were taken by the director after she was notified of the incident: notified parent of child involved, spoke with staff involved to discuss and reflect on the incident, completed retraining of practices and procedures of transitions with staff. Director will address this incident with all staff at a later time. LPA will follow-up with Director Christina De Vera via telephone call or email as she is not on-site during today's inspection. Based on the obtained information and LPA’s observations, LPA determined there was no visual supervision of the child, which posed an immediate threat to the health and safety of the child in care. Absence of supervision is an Immediate $500 violation. As a result, a Type A deficiency is issued and a civil penalty of $500 is assessed during today’s inspection. (See LIC 809D.) Page 1 of 2. See LIC 809C.

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Jialing Zhu
LICENSING EVALUATOR SIGNATURE: DATE: 11/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/18/2024
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
Document Has Been Signed on 11/18/2024 03:57 PM - It Cannot Be Edited


Created By: Jialing Zhu On 11/18/2024 at 09:54 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: LEARNING LINKS PALO ALTO
FACILITY NUMBER: 434407984

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/18/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/18/2024
Section Cited
CCR
101229(a)(1)

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101229 Responsibility for Providing Care and Supervision (a)(1) No child(ren) shall be left without the supervision of a teacher at any time... Supervision shall include visual observation.
This requirement was not met as evidenced by:
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Actions already taken by facility and director: notified parent of child involved, spoke with staff involved to discuss and reflect on the incident, completed retraining of practices and procedures of transitions with staff. Director will address this incident with all staff at a later time.
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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 unsupervised, which poses an immediate/potential health, safety, and/or personal rights risk to persons in care.
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LPA will follow-up with Director Christina De Vera via telephone call or email as she is not on-site during today's inspection. LPA determined the actions taken are sufficient in addressing the deficiency cited.

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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: 11/18/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/18/2024


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 SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: LEARNING LINKS PALO ALTO
FACILITY NUMBER: 434407984
VISIT DATE: 11/18/2024
NARRATIVE
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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 Executive Director Carol Miller.

Page 2 of 2. End of Report.

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Jialing Zhu
LICENSING EVALUATOR SIGNATURE:

DATE: 11/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2024
LIC809 (FAS) - (06/04)
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