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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 010213754
Report Date: 02/07/2024
Date Signed: 02/20/2024 02:17:31 PM

Document Has Been Signed on 02/20/2024 02:17 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:WEE CARE PRESCHOOL AND CHILD CAREFACILITY NUMBER:
010213754
ADMINISTRATOR:WILSON, EMERALDFACILITY TYPE:
850
ADDRESS:2133 CENTRAL AVENUETELEPHONE:
(510) 523-7858
CITY:ALAMEDASTATE: CAZIP CODE:
94501
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 16DATE:
02/07/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:11 PM
MET WITH:Carrie JonesTIME COMPLETED:
03:15 PM
NARRATIVE
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On 02/07/24, at 12:11PM, Licensing Program Analyst (LPA) Catherine Fernandes arrived on a case management inspection and met with Director Carrie Jones. Present in care were 16 preschoolers and two additional staff members.

While at the center on another matter Director Carrie Jones confirmed that she not did report an unusual incident to Community Care Licensing resulting in reporting requirement deficiency.


See 809D for deficiency.

Exit interview conducted with Jones
Report and Appeal Rights provided.



SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Catherine Fernandes
LICENSING EVALUATOR SIGNATURE: DATE: 02/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/20/2024
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 02/07/2024 03:13 PM - It Cannot Be Edited


Created By: Catherine Fernandes On 02/07/2024 at 02:14 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: WEE CARE PRESCHOOL AND CHILD CARE
FACILITY NUMBER: 010213754

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/07/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/29/2024
Section Cited
CCR
101212(d)(1)(C)

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Reporting Requirements: 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. Any unusual incident or child absence that threatens the physical or emotional health or safety of any child. This requirement has not been met as
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Director Carrie Jones is to review reporting requirement regulations and submit a statement of understanding to CCL by POC date.

Director will also call CCL to report the unuasal incident.
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evidenced by: Based on conformation from the Director Carrie Jones an incident was not reported to Licensing the next working day, which is a potentaial saftey risk to 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:Catherine Fernandes
LICENSING EVALUATOR SIGNATURE:
DATE: 02/07/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/07/2024


LIC809 (FAS) - (06/04)
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