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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013411745
Report Date: 04/19/2024
Date Signed: 04/19/2024 02:24:55 PM

Document Has Been Signed on 04/19/2024 02:24 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 STE 1102
OAKLAND, CA 94612
FACILITY NAME:CHABOT COLLEGE, CHILDREN'S CENTERFACILITY NUMBER:
013411745
ADMINISTRATOR/
DIRECTOR:		ORTIZ, CARMENFACILITY TYPE:
850
ADDRESS:25555 HESPERIAN BOULEVARDTELEPHONE:
(510) 723-6684
CITY:HAYWARDSTATE: CAZIP CODE:
94545
CAPACITY: 120TOTAL ENROLLED CHILDREN: 120CENSUS: 31DATE:
04/19/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:17 PM
MET WITH:Melissa VoTIME VISIT/
INSPECTION COMPLETED:
02:23 PM
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On 4/19/2024 at 1:17pm Licensing Program Analyst (LPA) Morgan Pringle met with facility staff member Melissa Vo for an Unannounced Case Management Visit as a result of an unusual incident report that was filed. Present during the inspection were thirty-one (31) preschool age children and five (5) additional staff members. The preschool operates in three (3) rooms, (rooms one (1), two (2), and three (3)).

An Unusual Incident report was filed stating a child reported to their parent that the child's personal rights had been violated at the facility specifying one staff member. Once Facility Director was notified of the incident Director immediately removed the staff member from the classroom and conducted an internal investigation including interviews of all staff present.

During LPAs visit interviews were conducted and observations were made.

There were no deficiencies cited during LPAs visit.

Notice of site visit was given and must remain posted for 30 days. Exit interview was conducted with facility staff Melissa Vo.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Morgan Pringle
LICENSING EVALUATOR SIGNATURE: DATE: 04/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/19/2024
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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