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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013417305
Report Date: 06/29/2022
Date Signed: 06/29/2022 01:06:48 PM

Document Has Been Signed on 06/29/2022 01:06 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:S.S.U.C. - DE COLORES HEADSTART & EARLY HEADSTARTFACILITY NUMBER:
013417305
ADMINISTRATOR:MICHELLE FREEMANFACILITY TYPE:
850
ADDRESS:1155 - 35TH AVENUETELEPHONE:
(510) 535-6106
CITY:OAKLANDSTATE: CAZIP CODE:
94601
CAPACITY: 118TOTAL ENROLLED CHILDREN: 118CENSUS: 7DATE:
06/29/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Xóchitl García VillafañaTIME COMPLETED:
01:25 PM
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On 06/29/22 at 11:30am Licensing Program Analysts (LPAs) Melissa Domantay and Melissa Guirit arrived at the facility for an unannounced case management inspection. LPAs met with Xóchitl García Villafaña, the operations manager. The normal hours of operation are Monday-Friday 7:30am-5:30pm. An application was received for a capacity increase and toddler option. LPAs conducted a full tour of the facility to conduct a health and safety inspection with Xochitl. No changes were made throughout the facility since facility was licensed. All previous measurements remain the same from previous license.

A fire clearance, with a total capacity of 134, was received from the Oakland Fire Department. A clearance for 102 preschoolers ages 2 years to first grade entry and 32 toddlers, ages 18 months to 36 months for a total capacity of 134.

LPAs observed that the classrooms has sufficient lighting and appears to be clean and in good condition. There are sufficient amount of sinks and toilets for children to utilize. LPAs observed an ample supply of age appropriate activities, equipment, furniture, and are equipped with varied age appropriate materials and equipment. LPAs observed the preschool and toddler outdoor play yard areas, they are fully fenced and have ample supply of age appropriate activities, equipment, and furniture.There is sufficient cushion to absorb a child's fall under the play structures and play areas. LPAs observed ample amount of shade for children. Preschool outdoor play areas are distinctly separate to toddler care program outdoor play spaces.

The building has a fully charged 3A40BC fire extinguisher and first aid supplies. There is a working telephone at the center. LPAs did not observe any hazardous items that would be accessible to children.
See 809-C for continuance.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Melissa Domantay
LICENSING EVALUATOR SIGNATURE: DATE: 06/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/29/2022
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: S.S.U.C. - DE COLORES HEADSTART & EARLY HEADSTART
FACILITY NUMBER: 013417305
VISIT DATE: 06/29/2022
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Toddler option program and license for a capacity of 134 children will be made part of the license, effective today 06/29/22, and can be used when the facility is ready. There are no deficiencies being cited today. A Notice of Site inspection was provided to Xochitl, and an exit interview was conducted.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Melissa Domantay
LICENSING EVALUATOR SIGNATURE:

DATE: 06/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2022
LIC809 (FAS) - (06/04)
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