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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013417856
Report Date: 10/23/2024
Date Signed: 10/23/2024 12:14:55 PM

Document Has Been Signed on 10/23/2024 12:14 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
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:PEACE TERRACE ACADEMYFACILITY NUMBER:
013417856
ADMINISTRATOR/
DIRECTOR:		ROOHI QADIRFACILITY TYPE:
850
ADDRESS:33330 PEACE TERRACETELEPHONE:
(510) 477-9946
CITY:FREMONTSTATE: CAZIP CODE:
94555
CAPACITY: 29TOTAL ENROLLED CHILDREN: 29CENSUS: 21DATE:
10/23/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:55 AM
MET WITH:Roohi QadirTIME VISIT/
INSPECTION COMPLETED:
12:30 PM
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On 10/23/2024 at 8:55AM Licensing Program Analyst (LPA) Jaleesa Jackson arrived for an Unannounced Annual/Random Inspection and met with Director Roohi Qadir. Present for the inspection were 21 preschool aged children and 4 fingerprint cleared staff members. The facility is in ratio today. The facility was toured for a health and safety inspection. Hours of operation are Monday through Thursday 8:00AM to 3:15PM and 8:00AM to 12:00PM on Fridays.

The preschool consists of three classrooms and one common area for eating. All classrooms were toured. There are adequate play and learning materials available. There is adequate heating/air conditioning, ventilation and lighting and working telephones. Children bring their own water bottle from home and are refilled if needed. There is proper individual storage space for each child. The isolation area for sick children is the common area between the classrooms away from other children in care. The center has a fully charged fire extinguisher and working carbon monoxide/smoke detector. Each classroom has an emergency disaster backpack as well as fully stocked first aid kits. Napping equipment was observed to be in good condition and labeled with each child's name. The children take a nap 4 times a week except Fridays, which it is a minimum day for the children. Blankets and bedding are given to parents every Thursday to clean.

The staff's bathrooms are separate from the children's bathrooms. All sinks and faucets are in safe and sanitary operating condition. The children can reach the sinks and toilets with stepping stools available. There is also a physical divider between each toilet to provide privacy to each child.

The facility posts a weekly breakfast menu. The center does not provide snacks or lunch. All children bring lunch and snacks from home. The center is a nut free facility. All storage containers for solid waste have tight fitting covers that are in good repair.
Continued on 809-C
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Jaleesa Jackson
LICENSING EVALUATOR SIGNATURE: DATE: 10/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/21/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: PEACE TERRACE ACADEMY
FACILITY NUMBER: 013417856
VISIT DATE: 10/23/2024
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LPA Jackson observed the outdoor play area. The outdoor has play structure with a slide that has cushioning to absorb falls and that is anchored for stability. There's also plenty of trees that provides shade to children while at play. The Director stated that the right side yard is OFF limits to children. Staff also inspects the play area before any children plays outdoor as the play yard is shared with Sunday school organized by Islamic Society of East Bay (ISEB).

LPA reviewed 5 children's files and 5 staff files. Two staff members have expired mandated reporter certificates. The center does provide IMS and all medication was reviewed by LPA. The facility conducts disaster drills at least once every 6 months. The last fire drill was 9/5/2024 and the last earthquake drill was 10/17/2024.

There was 1 deficiency cited on today's inspection. See 809-D for deficiency.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process.

Licensee was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.


Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test.

Continued on 809-C
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Jaleesa Jackson
LICENSING EVALUATOR SIGNATURE:

DATE: 10/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2024
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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
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: PEACE TERRACE ACADEMY
FACILITY NUMBER: 013417856
VISIT DATE: 10/23/2024
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LPA referred licensee to the Department website for lead: Lead Toxicity Prevention and Water Testing Information.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.



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

Exit interview conducted and report was reviewed with the Facility Representative Roohi Qadir.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Jaleesa Jackson
LICENSING EVALUATOR SIGNATURE:

DATE: 10/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2024
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Document Has Been Signed on 10/23/2024 12:14 PM - It Cannot Be Edited


Created By: Jaleesa Jackson On 10/23/2024 at 11:24 AM
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 STE 1102
OAKLAND, CA 94612

FACILITY NAME: PEACE TERRACE ACADEMY
FACILITY NUMBER: 013417856

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/23/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above 2 out of 5 staff do not have a current mandated reporter which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/22/2024
Plan of Correction
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Director will email LPA the renewed Mandated Reporter certificates for the 2 staff members with expired Mandated Reporter by POC date 11/22/2024 to jaleesa.jackson@dss.ca.gov
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Jason Jang
LICENSING EVALUATOR NAME:Jaleesa Jackson
LICENSING EVALUATOR SIGNATURE:
DATE: 10/23/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/23/2024


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