013410064-6-22-2022-02-CC-DCAS-CFMRHK-20220622130229

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013410064
Report Date: 06/22/2022
Date Signed: 06/22/2022 01:02:35 PM

Document Has Been Signed on 06/22/2022 01:02 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:	OAKLAND HEAD START - SUNGATE		FACILITY NUMBER:	013410064
ADMINISTRATOR:	ROSELYN LY		FACILITY TYPE:	850
ADDRESS:	2563 INTERNATIONAL BLVD		TELEPHONE:	(510) 535-5649
CITY:	OAKLAND	STATE: CA	ZIP CODE:	94601
CAPACITY: 34	TOTAL ENROLLED CHILDREN: 24	CENSUS: 16	DATE:	06/22/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Roselyn Ly		TIME COMPLETED:	01:10 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 6/22/2022 Licensing Program Analyst (LPA) Diana Campos arrived at the facility and met with Center Director Roselyn Ly for an Unannounced Annual Required Inspection. Present during this inspection were 5 staff and 16 preschool children in care. There is one large classroom. Sign-in/sign-out sheets list the time and parents' full signature. There is a working phone. The last fire/emergency drill was 5/17/2022. Proper posting requirements were met including Waiver. There is a carbon monoxide detector, fire extinguisher, and emergency earthquake supplies. Classroom furniture is in good condition. There are toys, books, crafts and educational supplies available. Floors were clean and safe. There is adequate heating, ventilation, and lighting. Bathroom toilets and sinks are working properly. There were adequate bathroom supplies. Kitchen area (including storage areas for food) was clean. No insects or pests were seen. There were storage containers with lids for solid waste. A sample of food product was examined for freshness and expiration dates; there was adequate food for emergencies. Food is delivered from the Oakland Head Start Central Kitchen. The center supplies breakfast, lunch and snacks. Menus were posted. There is sufficient storage area for each child's belongings with cubbies. There is adequate napping equipment (mats). Bedding is sent out to be laundered. There is drinking water available at all times inside the center through a fountain; and outside with pitchers and paper cups. Director stated that there were no bodies of water or firearms on the premises. First aid kits are located in the classroom. Cleaning supplies are inaccessible to children, placed in a locked cabinet as well as in a locked janitorial closet. Outside play area is securely fenced and is safe and free of hazards. The area around the climbing structure is cushioned with material to absorb a fall. SEE 809-C FOR CONTINUANCE-------------------------------------------------------------------------

SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Diana Campos
LICENSING EVALUATOR SIGNATURE:	DATE: 06/22/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/22/2022

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: OAKLAND HEAD START - SUNGATE	FACILITY NUMBER: 013410064
	VISIT DATE: 06/22/2022

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A sample of children's files were reviewed and found to be complete. Sample reviewed lists emergency information, a medical assessment, and an Admission Agreement. IMS plans are in file. Medications are stored in a cabinet inaccessible to children. 5 Staff records were reviewed. Staff records contain a health screening assessment, immunization records, and Mandated Reporter Training certificates. The director stated that at least one person trained in CPR/First Aid is always present. All individuals subject to a criminal record review have obtained clearance or a criminal record exemption.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm
To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process

Director was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

There are no deficiencies cited today.

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

Exit interview conducted and report was reviewed with the Director Roselyn Ly.

SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Diana Campos
LICENSING EVALUATOR SIGNATURE:	DATE: 06/22/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/22/2022

LIC809 (FAS) - (06/04)

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