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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013415387
Report Date: 05/24/2024
Date Signed: 05/24/2024 11:15:07 AM

Document Has Been Signed on 05/24/2024 11:15 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
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:OAKLAND HEAD START - 85TH AVENUE CENTERFACILITY NUMBER:
013415387
ADMINISTRATOR/
DIRECTOR:		COOPER, ARNETTAFACILITY TYPE:
850
ADDRESS:8501 INTERNATIONAL BOULEVARDTELEPHONE:
(510) 544-3821
CITY:OAKLANDSTATE: CAZIP CODE:
94621
CAPACITY: 28TOTAL ENROLLED CHILDREN: 28CENSUS: 4DATE:
05/24/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:LYNN PHAMTIME VISIT/
INSPECTION COMPLETED:
11:15 AM
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On 5/24/24 Licensing Program Analyst (LPA) Tasha Alexander met with center director Lynn Pham to discuss the self reported Unusual Incident that occurred on 5/6/24. Per director, while out on the play ground, a child was able to push the inner gate open. The child's teacher "caught" the child when the child was about to push the main gate leading to the sidewalk. The child was redirected back to the play area. At the time, there were 3 teachers on the play ground along with 13 preschool age children. Since the incident, the facility has installed an extra latch on top of the inner doors on both sides of the yard for reinforcement, and has developed a plan to have 1 staff positioned at each door and 1 staff in the middle of the play ground while children are at play for extra support.

There are no deficiencies cited today.

An exit interview was conducted. A notice of site visit was posted.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Tasha Hackett-Alexander
LICENSING EVALUATOR SIGNATURE: DATE: 05/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/24/2024
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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