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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 010209542
Report Date: 01/17/2025
Date Signed: 01/17/2025 05:34:56 PM

Document Has Been Signed on 01/17/2025 05:34 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/
DIRECTOR:		ACOSTA, DIANAFACILITY TYPE:
850
ADDRESS:1000 CAMELIA STREETTELEPHONE:
(510) 525-1463
CITY:BERKELEYSTATE: CAZIP CODE:
94710
CAPACITY: 64TOTAL ENROLLED CHILDREN: 64CENSUS: 33DATE:
01/17/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:10 AM
MET WITH:Diana AcostaTIME VISIT/
INSPECTION COMPLETED:
05:45 PM
NARRATIVE
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On January 17, 2025 at 9:10am Licensing Program Analyst (LPA) Indira Loza met with Program Coordinator Yanci Lucero and Director Diana Acosta to continue the investigation for a self reported incident received in the Oakland Regional Office on December 2, 2024. Present during today's visit were 33 preschoolers and 7 staff.

The incident report received in the Oakland Regional Office was that a child was left on the play yard without adult supervision for approximately five (5) minutes after the children transitioned to the classroom. California Code of Regulation 101229(a)(1) is being cited today which is a Type A violation.

The attached type A violation being cited today must be corrected by the due date of January 21, 2025. Upon receipt, the Director shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. All parents/guardians must sign an acknowledgement form of proof of receiving this report (LIC9224). The LIC9224 must be placed in the child's file to be reviewed by licensing.



Exit interview conducted.
A copy of this report and Appeal Rights were provided.
Notice of site visit must remain posted for 30 days.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Indira Loza
LICENSING EVALUATOR SIGNATURE: DATE: 01/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/17/2025
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 01/17/2025 05:34 PM - It Cannot Be Edited


Created By: Indira Loza On 01/17/2025 at 04:57 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: 01/17/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/21/2025
Section Cited
CCR
101229(a)(1)

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(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. This requirement was not met as evidenced by:
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The Director shall conduct a meeting and have the staff sign an attendance sheet for the meeting. The attendance sheet and any supporting documents from the meeting must be emailed to the LPA no later than January 21, 2025.
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Based on staff interviews and records reviewed it was determined that a child was left outside without any adult supervision which poses an immediate risk to the health, safety, and Personal Rights of the 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: 01/17/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/17/2025


LIC809 (FAS) - (06/04)
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