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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 010216579
Report Date: 02/14/2023
Date Signed: 02/14/2023 10:38:39 AM

Document Has Been Signed on 02/14/2023 10:38 AM - 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:OUSD - HOWARD SCHOOLFACILITY NUMBER:
010216579
ADMINISTRATOR:HANNAH, RICKIEFACILITY TYPE:
850
ADDRESS:8755 FONTAINE STREETTELEPHONE:
(510) 639-3262
CITY:OAKLANDSTATE: CAZIP CODE:
94605
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 14DATE:
02/14/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Lottie LynchTIME COMPLETED:
11:15 AM
NARRATIVE
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On 02/14/2023. Licensing Program Analyst (LPA) Ashley Curry conducted an unannounced Case Management inspection at OUSD Howard School. LPA met with head teacher Lottie Lynch, and explained the purpose of today's inspection. The facility self reported an unusual incident where a child touched another child inappropriately. There was a lack of supervision that lead to inappropriately touching between children on multiple occasions, which is an immediate risk to the health and safety of the child. Type A deficiency is being cited for lack of supervision. LPA toured the facility, made observations, and conducted interviews.

LPA A. Curry informed facility representative Lottie Lynch this report dated 02/14/2023 document(s) 1 type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA A. Curry informed the facility representative to provide a copy of this licensing report dated 02/14/2023 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

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

Exit interview conducted, appeal rights were given, and report was reviewed with head teacher Lottie Lynch.

SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Ashley Curry
LICENSING EVALUATOR SIGNATURE: DATE: 02/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/14/2023
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 02/14/2023 10:38 AM - It Cannot Be Edited


Created By: Ashley Curry On 02/14/2023 at 10:02 AM
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: OUSD - HOWARD SCHOOL
FACILITY NUMBER: 010216579

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/14/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/15/2023
Section Cited
CCR
101229(a)(1)

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101229 Responsibility for Providing Care and Supervision (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, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.
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The facility immediately moved the children beds away from each other during nap time.

By 02/28/2023 the facility will priovide written plan on how to ensure staff will have visual supervision of children at all times.
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This requirement was not met as evidence by:

There was a lack of supervision that lead to a child touching another child inappropriately on multiple occasions, which poses as an immediate risk to 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:Loretta Dyson
LICENSING EVALUATOR NAME:Ashley Curry
LICENSING EVALUATOR SIGNATURE:
DATE: 02/14/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/14/2023


LIC809 (FAS) - (06/04)
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