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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013415387
Report Date: 06/17/2022
Date Signed: 06/17/2022 04:32:01 PM

Document Has Been Signed on 06/17/2022 04:32 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 - 85TH AVENUE CENTERFACILITY NUMBER:
013415387
ADMINISTRATOR:COOPER, ARNETTAFACILITY TYPE:
850
ADDRESS:8501 INTERNATIONAL BOULEVARDTELEPHONE:
(510) 544-3821
CITY:OAKLANDSTATE: CAZIP CODE:
94621
CAPACITY: 28TOTAL ENROLLED CHILDREN: 16CENSUS: 8DATE:
06/17/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:10 PM
MET WITH:Sandra RuffTIME COMPLETED:
04:40 PM
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Licensing Program Analyst Diana Campos met with Director Sandra Ruff for an unannounced 5 year required inspection. The center and playground were toured to conduct a Health and Safety inspection. There were 8 children present during the visit. Also present during the visit were 4 staff members.
The classroom furniture, floors and equipment appear to be safe, clean and in good repair. There is adequate storage for children's belongings, and furniture and activities are age appropriate. The heating and lighting is adequate. There is uncontaminated drinking water readily available to children indoors and outdoors. All toilets and sinks are in sanitary and operational condition. There is a separate bathroom for staff. LPA observed that disinfectants, cleaning solutions and poisons are inaccessible to children. There are no bodies of water, or free standing water, accessible to children. All storage containers for solid waste have tight fitting covers that are kept on, and in good repair. The food preparation area is clean, and free from litter, rubbish and rodents. LPA observed that food and beverages are stored appropriately. The center is providing low fat milk to children in care. There is a menu posted, which is dated a week in advance. The playground has safe and age appropriate equipment. The play structure has been removed as the center is currently adding a new play structure to accomodate their pending license component for Infants/Toddlers, but surrounding area has sufficient padding to absorb a fall. The playground surface is free from hazards and is maintained in safe condition. All required documents are visible and posted for public review. The center is in compliance with the sign in and out procedure. Center conducts fire and disaster drills and the last recorded drill was 6/07/2022. The center is equipped with a fully stocked first aid kit, working telephone, carbon monoxide detector, pull down fire alarm, and fully charged 2A10BC fire extinguishers. Per center Director, there are no firearms stored on the premises.
LPA did not observe any child left without supervision during today's inspection. A sample of children's and staff files was completed. At least one opening/closing staff member has a current CPR/First Aid certificate.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Diana Campos
LICENSING EVALUATOR SIGNATURE: DATE: 06/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/17/2022
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 - 85TH AVENUE CENTER
FACILITY NUMBER: 013415387
VISIT DATE: 06/17/2022
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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.

LPA discussed the safe sleep regulations with Director and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee [facility representative] of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

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

Exit interview conducted and report was reviewed with Director Sandra Ruff.

SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Diana Campos
LICENSING EVALUATOR SIGNATURE:

DATE: 06/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2022
LIC809 (FAS) - (06/04)
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