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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 010206158
Report Date: 06/06/2024
Date Signed: 06/06/2024 03:57:15 PM

Document Has Been Signed on 06/06/2024 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
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:BOOTH MEMORIAL DAY CAREFACILITY NUMBER:
010206158
ADMINISTRATOR/
DIRECTOR:
HUONG HUYNHFACILITY TYPE:
850
ADDRESS:2794 GARDEN STREETTELEPHONE:
(510) 535-5088
CITY:OAKLANDSTATE: CAZIP CODE:
94601
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 32DATE:
06/06/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:30 PM
MET WITH:Huong HuynhTIME VISIT/
INSPECTION COMPLETED:
04:15 PM
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Licensing Program Analyst (LPA) D. Campos arrived at the facility and met with Director Huong Huynh for a Case Management-POC (plan of correction). Present during this inspection were 10 staff and 32 preschool children in care.

The facility was cited on 5/16/2024. Director submitted proof of corrections via email and pictures. Today LPA observed previously cited deficiencies have been corrected. Classroom floor vents have been replaced and secured, toilet handles in children's restroom that were loose or missing have been secured/replaced. Director submitted a plan of action which indicates a job order is pending to begin the replacement of the poured in place rubber underneath outdoor play structure.

Deficiency correction letters were left with Director.

No deficiencies cited as a result of today's inspection.

Exit Interview conducted with Director Huong Huynh. A Notice of Site Visit was provided and must remain posted for 30 days.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Diana Campos
LICENSING EVALUATOR SIGNATURE: DATE: 06/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/06/2024
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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