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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 010209542
Report Date: 02/22/2024
Date Signed: 02/22/2024 04:33:16 PM

Document Has Been Signed on 02/22/2024 04:33 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:CENTRO VIDA BILINGUAL CHILDCARE CENTERFACILITY NUMBER:
010209542
ADMINISTRATOR:PEDROZA,MARG.&TAMAYO,MARG.FACILITY TYPE:
850
ADDRESS:1000 CAMELIA STREETTELEPHONE:
(510) 525-1463
CITY:BERKELEYSTATE: CAZIP CODE:
94710
CAPACITY: 64TOTAL ENROLLED CHILDREN: 64CENSUS: 19DATE:
02/22/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
09:04 AM
MET WITH:Beatriz Leyva- Cutler and Yanci LuceroTIME COMPLETED:
04:45 PM
NARRATIVE
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On February 22, 2024 at 9:03am Licensing Program Analysts (LPAs) Indira Loza and Janai McClain met with program director Yanci Lucero for an unannounced Case Management visit. Present during today's visit were 19 children and 9 staff. LPAs conducted a tour for a health and safety check.

On January 16, 2024, the Department was made aware of incidents where the children were unsupervised on several occasions between 1/9/24 and 1/10/24. These incidents of lack of supervision are to be reported within 24 hours or the next business day but were not reported to CCLD which is a Type B violation.

See LIC809-D for the Type B citation.

Report and Appeal Rights were reviewed and provided to Executive Director Beatriz Leyva-Cutler and Program Director Yanci Lucero.

Notice of Site Visit must remain posted for 30 days.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Indira Loza
LICENSING EVALUATOR SIGNATURE: DATE: 02/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/22/2024
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 02/22/2024 04:33 PM - It Cannot Be Edited


Created By: Indira Loza On 02/22/2024 at 03:18 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: CENTRO VIDA BILINGUAL CHILDCARE CENTER
FACILITY NUMBER: 010209542

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/22/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/22/2024
Section Cited
CCR
101229(a)(1)

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(d) Upon the occurrence, during the operation of the child care center of any of the events specified...a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. (1) Events reported shall include the following: (C) Any unusual...incident or child absence that threatens the physical
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The Director shall review the Reporting Requirements and send the LPA a summary of what needs to be reported and the reason why it has to be reported. This must be sent to the LPA no later than March 22, 2024.
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or emotional health or safety of any child. This requirement was not met as evidenced by: Based on staff, parent, and documents reviewed it was determined that there were several instances where children were unsupervised and the incidents were not reported which poses a potential risk to the health, safety and 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:Mayla Mendoza
LICENSING EVALUATOR NAME:Indira Loza
LICENSING EVALUATOR SIGNATURE:
DATE: 02/22/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/22/2024


LIC809 (FAS) - (06/04)
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