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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 010206130
Report Date: 12/06/2024
Date Signed: 12/06/2024 10:49:06 AM

Document Has Been Signed on 12/06/2024 10:49 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
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: 44CENSUS: 35DATE:
12/06/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Harold WatkinsTIME VISIT/
INSPECTION COMPLETED:
10:55 AM
NARRATIVE
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On 12/06/2024 at 9:30 AM, Licensing Program Analyst (LPA) Christina Watts conducted a Plan of Correction Inspection at OUSD - Highland. LPA met with Lead Teacher, Harold Watkins and explained the purpose of this visit. During today's visit, there are 35 preschool children with 7 staff in 2 classrooms. Lead Teacher stated there are 44 preschool children enrolled. Criminal Record Clearances are held though OUSD in agreement with Community Care Licensing.

LPA is following up on a Plan of Correction that was given to the facility on 11/20/2024 for a Type A - Lack of Supervision citation. Facility's plan of correction was to contact licensing to report the first incident where C1 was left alone unsupervised on the play yard. Facility has failed to complete Plan of Correction prior to the due date. Also, during the visit, LPA was unable to verify that parent/authorized representatives received and signed LIC 9224 - Acknowledgement of Licensing Report. Per California Health and Safety Code, when a facility receives a Type A citation, the facility is required to inform all parents/authorized representatives of enrolled children of said Type A and to have all parent/authorized representatives sign LIC 9224 - Acknowledgement of Licensing Report. The facility is in violation of California Code of Regulations, Title 22.

LPA Christina Watts informed Lead Teacher, Harold Watkins that this report dated 12/06/2024 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: 12/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/06/2024
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 12/06/2024 10:49 AM - It Cannot Be Edited


Created By: Christina Watts On 12/06/2024 at 10:23 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, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: OUSD - HIGHLAND
FACILITY NUMBER: 010206130

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/06/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/20/2024
Section Cited
HSC
1596.8595(c)(1)

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1596.8595 Reports to be provided to parents or guardian of each child receiving services (c)(1) A licensed child day care facility shall provide to the parents or guardians of each child receiving services in the facility copies of any licensing report that documents any Type A citation that represents an immediate risk
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By COB 12/20/2024, Facility submit LIC 9224 form to licensing to verify parents have signed form. Facility also stated they will submit a statement on how they will come come back into compliance.
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to the health, safety, or personal rights of children in care...This requirement has not been met as evidenced by: Licensee did not comply with the section cited above when facility failed to give parents LIC 9224 to sign which poses 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: 12/06/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/06/2024


LIC809 (FAS) - (06/04)
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