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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 010213356
Report Date: 08/14/2024
Date Signed: 08/14/2024 04:25:58 PM

Document Has Been Signed on 08/14/2024 04:25 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
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:CAPE - WM. ORMAND III EARLY ED. CTR.FACILITY NUMBER:
010213356
ADMINISTRATOR/
DIRECTOR:		GURJIT KAURFACILITY TYPE:
850
ADDRESS:800 MARYLIN AVENUETELEPHONE:
(925) 443-3434
CITY:LIVERMORESTATE: CAZIP CODE:
94550
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 0DATE:
08/14/2024
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Lakshmi ElkinsTIME VISIT/
INSPECTION COMPLETED:
04:40 PM
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On 8/14/2024 at 2:00PM Licensing Program Analyst (LPA) Jaleesa Jackson met with Director Lakshmi (Angela) Elkins for an Announced Case Management Visit. The facility is requesting to reactivate their license. The facility has been on inactive status since 6/19/2024 and will reopen 8/26/2024. There were no children present during the inspection. The facility operates on the far-right side of the Marylin Avenue STEAM Academy campus. Two classrooms were toured for a health and safety inspection. The facility operates from 8:00AM – 5:15PM, Monday – Friday.

The preschool operates out of two separate classrooms, Room A and Room C. The facility has age-appropriate materials in the classroom that were observed to be clean and in good condition. During today's visit all toxins, cleaning products, children’s medication, and hazardous materials were observed to be in inaccessible areas. The children's sink and toilet are observed to be clean and in proper working order. There is a separate staff bathroom on site as well. There is fully charged fire extinguisher, carbon monoxide detector, and smoke detectors in each classroom. Facility does not transport children. All required postings are posted by the entrance of the facility.

The food prep area is clean, well maintained, and free from defects. Facility provides breakfast, and snacks to children. The lunch is provided by Stanford Hospital Kitchen. All children have access to clean drinking water in the classrooms and the outdoor play yard.

The outside play yard is clean with age-appropriate materials for the children. Outdoor activity space and playground equipment observed to be safe and free of hazards. Climbing equipment is properly anchored to the ground with adequate and appropriate cushioning material to absorb falls. There is a shaded area provided for the children. LPA did not observe any harmful or unattended bodies of water in or around the facility.

Continued 809-C
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Jaleesa Jackson
LICENSING EVALUATOR SIGNATURE: DATE: 08/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/14/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: CAPE - WM. ORMAND III EARLY ED. CTR.
FACILITY NUMBER: 010213356
VISIT DATE: 08/14/2024
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Facility License will be reactivated as of today 8/14/2024.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Director Lakshmi (Angela) Elkins.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Jaleesa Jackson
LICENSING EVALUATOR SIGNATURE:

DATE: 08/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2024
LIC809 (FAS) - (06/04)
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