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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 010206130
Report Date: 11/20/2024
Date Signed: 11/20/2024 02:11:44 PM

Document Has Been Signed on 11/20/2024 02:11 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
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:OUSD - HIGHLANDFACILITY NUMBER:
010206130
ADMINISTRATOR/
DIRECTOR:		TURNER, ALFREDAFACILITY TYPE:
850
ADDRESS:1322 - 86TH AVENUETELEPHONE:
(510) 879-0815
CITY:OAKLANDSTATE: CAZIP CODE:
94621
CAPACITY: 96TOTAL ENROLLED CHILDREN: 52CENSUS: 31DATE:
11/20/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Harold WatkinsTIME VISIT/
INSPECTION COMPLETED:
02:20 PM
NARRATIVE
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On 11/20/2024 at 9:30 AM, Licensing Program Analyst (LPA) Christina Watts conducted Case Management inspection at OUSD - Highland. LPA met with Lead Teacher, Harold Watkins and explained the purpose of this visit. During today's visit, there were 31 preschool children in care with 7 staff in 3 classrooms. Criminal Record Clearances are held though OUSD in agreement with Community Care Licensing.

LPA is following up on a self reported Unusual Incident. On 11/05/2024, S2 and S3 took about 3-7 preschoolers outside and wait for parent pick up. Staff interviews stated multiple parents came to pick up their child at one time. Staff interviews stated they thought C1 had been picked up by their parent. Per staff interviews, S2 and S3 came inside the classroom with 2 preschool children. S2 stated that C1's parent came to pick up C1 as they were coming inside the classroom. C1's parent was looking for C1 when S1 told S2 to go outside and see if C1 is outside. Staff interviews stated that S2 opened the door to the playground and C1 was waiting outside the door alone. Staff interviews stated C1 looked fine, as C1 was waiting outside the door. LPA was informed that a similar incident occurred around 4-6 months ago when C1 was left outside without supervision for about 1-10 minutes. California Code of Regulation, Title 22 states that facility is required to have 100% visual supervision of children in care. Also, staff interviews stated they informed their Site Supervisor of the first occurrence when the child left unsupervised however facility failed to contact licensing to report an incident. California Code of Regulations, Title 22 state thats a facility must report ALL unusual incidents to licensing within 24 hours of acknowledgement of occurrence. This facility is in violation of California Code of Regulation, Title 22.

LPA Christina Watts informed Lead Teacher Harold Watkins that this report dated 11/20/24 with 1 Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.
*CON'T ON PAGE 2*
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Christina Watts
LICENSING EVALUATOR SIGNATURE: DATE: 11/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/20/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: OUSD - HIGHLAND
FACILITY NUMBER: 010206130
VISIT DATE: 11/20/2024
NARRATIVE
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*PAGE 2*

Furthermore, LPA Watts informed the Lead Teacher, Harold Watkins to provide a copy of this licensing report dated 11/20/24 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

LPA Christina Watts informed Lead Teacher, Harold Watkins that this report dated 11/20/2024 documents a Type B citation. Type B citation(s) are a potential risk(s) to the health, safety, or personal rights of children in care.

*SEE LIC 809-D FOR DEFICIENCIES*

Exit interview conducted and report was reviewed with the Lead Teacher, Harold Watkins. A Notice of Site Visit was given and must remain posted for 30 consecutive days.

SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Christina Watts
LICENSING EVALUATOR SIGNATURE:

DATE: 11/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2024
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Document Has Been Signed on 11/20/2024 02:11 PM - It Cannot Be Edited


Created By: Christina Watts On 11/20/2024 at 01:24 PM
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, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: OUSD - HIGHLAND
FACILITY NUMBER: 010206130

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/20/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/21/2024
Section Cited
CCR
101229(a)(1)

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101229 Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time...Supervision shall include visual observation.
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Facility had a staff meeting on 11/07/2024 regarding the incident that occured and how it will not occur again. Facility discussed protcol and a new procedure to make sure child is not left unsupervised. LPA will clear this deficiency as of 11/20/2024.
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This requirement has not been met as evidenced by: Based on interviews, the licensee did not comply with the section cited above when C1 was left on the play yard unsupervised twice for about 1-10 minutes which poses an immediate risk to the health, safety or personal rights of children 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:Sherelle Johnson
LICENSING EVALUATOR NAME:Christina Watts
LICENSING EVALUATOR SIGNATURE:
DATE: 11/20/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/20/2024


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 11/20/2024 02:11 PM - It Cannot Be Edited


Created By: Christina Watts On 11/20/2024 at 01:30 PM
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, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: OUSD - HIGHLAND
FACILITY NUMBER: 010206130

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/20/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/02/2024
Section Cited
CCR
101212(d)(1)(c)

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101212 Reporting Requirements (d) Upon the occurrence, during the operation of the child care center of any of the events..., a report shall be made to the Department...within the Department's next working day and during its normal business hours. In addition, a written report...shall be submitted to the Department...
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By COB 12/02/2024, Facility stated will report the first incident when child was left unsupervised to licensing. Failure to report incident by due date may result in a ciation.
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...within seven days...This requirement has not been met as evidenced by: Based on interviews and record review, the licensee did not comply with the section cited above when facility failed to report C1 being unsupervised which poses an potential risk to the health, safety or personal rights of children 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:Sherelle Johnson
LICENSING EVALUATOR NAME:Christina Watts
LICENSING EVALUATOR SIGNATURE:
DATE: 11/20/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/20/2024


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