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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013410074
Report Date: 07/15/2022
Date Signed: 09/14/2022 11:14:15 AM

Document Has Been Signed on 09/14/2022 11:14 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:ECOLE BILINGUE DE BERKELEY PRESCHOOLFACILITY NUMBER:
013410074
ADMINISTRATOR:MIRZA KOPELMANFACILITY TYPE:
850
ADDRESS:2830 TENTH ST.TELEPHONE:
(510) 549-3867
CITY:BERKELEYSTATE: CAZIP CODE:
94710
CAPACITY: 100TOTAL ENROLLED CHILDREN: 100CENSUS: DATE:
07/15/2022
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Magali NothTIME COMPLETED:
10:45 AM
NARRATIVE
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On 7/15/22, Licensing Program Manager Loretta Dyson and Regional Manager Diane Perez conducted an office visit during a non-compliance conference with this facility, following the conclusion of a complaint investigation. LPM and RM met with Magali Noth, Head of Primary (Preschool/Elementary), Chauncy Burnett, Director of Enrichment and Athletics, and Phil Stanhope, HR and Payroll Manager. This report is to document deficiencies that were discussed during the conference, which will be cited today.

During the conference LPM and RM discussed viewing a video, on 7/13/22, in which it was observed that when a staff member I. Artemieva grabbed, poked and slapped a child other staff did not intervene. Magali Noth advised that staff may have been in shock after seeing what happened, and did not intervene, but did immediately report the incident to them. It was noted that the criminal record clearance for staff member I. Artemieva was not associated to the center since she began working as a substitute teacher in August 2021.

See the LIC 809D for deficiencies that were cited, related to the above. This report will remain on file for 3 years. An interview was conducted with C. Burnett by telephone, and a copy of the report was emailed to them for signature. Appeal rights were sent by email.
SUPERVISORS NAME: Diane Perez
LICENSING EVALUATOR NAME: Loretta Dyson
LICENSING EVALUATOR SIGNATURE: DATE: 07/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/15/2022
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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Document Has Been Signed on 09/14/2022 11:14 AM - It Cannot Be Edited


Created By: Loretta Dyson On 07/15/2022 at 05:14 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: ECOLE BILINGUE DE BERKELEY PRESCHOOL

FACILITY NUMBER: 013410074

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 07/15/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/01/2022
Section Cited
CCR
101216(a)

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Personnel Requirements 101216(a) Child care center personnel shall be competent to provide the services necessary to meet the individual needs of children in care and shall at all times be employed in numbers sufficient to meet those needs.
This requirement has not been met as
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The licensee's representative agreed to have all staff write statements regarding their understanding of personal rights and other Licensing regulations, and submit the ones that were present on the day of the incident, to Licensing by 9/1/22. Staff are on a break until late August 2022.
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evidenced by the review of video on 7/13/22, in which it was observed that a staff member grabbed, poked and slapped a child and other staff did not intervene. This poses a potential risk to the health and safety of children in care.
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Failure to correct will result in $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.
Type B
09/01/2022
Section Cited
CCR101170(e)(2)

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Criminal Record Clearance 101170(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility:(2) Request a transfer of a criminal record clearance as specified in Section 101170(f). This requirement has not be met as evidenced
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The licensee's representative agreed to review information regarding Guardian and the process to associate and verify associations, and to submit a statement, by 9/1/22, to Licensing confirming their understanding of the process. Staff are on a break until late August 2022.
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by review of Guardian, and a discussion with staff during the office visit on 7/13/22. It was determined that a criminal record clearance for I. Artemieva was not associated to the facility prior to her working in the facility in August 2021. This poses a potential risk to the health and safety of children in care.
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Failure to correct will result in $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.
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:Diane Perez
LICENSING EVALUATOR NAME:Loretta Dyson
LICENSING EVALUATOR SIGNATURE:
DATE: 07/15/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/15/2022


LIC809 (FAS) - (06/04)
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