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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013418186
Report Date: 09/20/2024
Date Signed: 09/20/2024 01:38:59 PM

Document Has Been Signed on 09/20/2024 01:38 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:PRINCE OF PEACE PRESCHOOLFACILITY NUMBER:
013418186
ADMINISTRATOR/
DIRECTOR:		ELIZABETH VILLAFACILITY TYPE:
850
ADDRESS:38451 FREMONT BLVD.TELEPHONE:
(510) 456-4280
CITY:FREMONTSTATE: CAZIP CODE:
94536
CAPACITY: 76TOTAL ENROLLED CHILDREN: 76CENSUS: 58DATE:
09/20/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Elizabeth VillaTIME VISIT/
INSPECTION COMPLETED:
01:45 PM
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On September 20, 2024 8:30am Licensing Program Analyst (LPA) Randy Miranda arrived to conduct
an unannounced site inspection for health and safety. LPA met with facility director, Elizabeth Villa
and toured all areas licensed for use by children in care. Also present at the time of this inspection were 14 adults (teachers and administrative staff) and 58 children in care (46 preschool age and 12 toddler age). The facility is within ratio and capacity. The hours of operation are Monday - Friday 7:00am – 6:00pm.

The facility is located on the church property on the south side in the back of the campus. The facility consists
of 4 classrooms with private playground space for the children on the south side. The playground is surrounded by a 6-foot privacy fence, secured with gates with inside latches too high for children to reach. All play equipment is in safe condition and free from sharp, loose or pointed parts and the areas around or under high climbing equipment has appropriate cushioned material that absorbs a fall. Shade was available in the play areas and teachers are always present. Children are bringing in their own bottled water from home. Drinking water is also available and provided by staff with a water cart indoors and outdoors.

Each classroom has a 3A40BC fire extinguisher and the front office has a 2A10BC fire extinguisher, all fully charged with the last annual inspection done in 10/05/2023. There are working carbon monoxide detectors (tested and working) and fire alarms mounted on the high ceilings. The fire alarm system is tested bi-annually, the last test was completed on 4/23/2024, all systems passed inspection. Heating and ventilation is acceptable. Disaster drills are conducted at least once every six months, the last drill was conducted on 9/05/2024.

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Randy Miranda
LICENSING EVALUATOR SIGNATURE: DATE: 09/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/20/2024
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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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: PRINCE OF PEACE PRESCHOOL
FACILITY NUMBER: 013418186
VISIT DATE: 09/20/2024
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The facility is clean and well organized with age-appropriate furnishings and equipment in good repair.
Surfaces including floors and counter tops are clean and toxic free. There are ample age-appropriate toys that
appear to be safe and in good condition. There are no bodies of water accessible to children in care. There
were no hazardous items/toxins observed to be accessible to children in care today.

There is an off-limits kitchen consisting of a refrigerator, washer/dryer laundry units, purified water dispenser,


a sink with hot and cold running water and a trash bin with a cover and a recycle bin. Currently the school
does not provide lunch or main snacks, parents supply all food. The school has an adequate supply of
alternate snacks on hand if needed.

The children's napping areas are clean and organized with sleeping pads and cubbies for the children's
personal items, none of the children's blankets were touching. All documents required to be posted were
present. - There is a waiver for rotating the children in the play area, waiver is also posted.
There are 3 children's bathrooms and a separate staff bathroom. The bathroom in the toddler classroom area has a changing table that is arm's length to the sink. The sinks have functioning hot and cold water taps with
appropriate hand washing signs. There are touch-free trash cans with lids and sufficient amounts of towels,
soap, and diaper supplies. All toilets, hand washing and cleaning areas are in safe and sanitary operating
condition. Classrooms have touchless trash cans with tight fitting cover for the disposal of solid waste.
Manual sign in/out sheets are maintained and verified by administrative staff.

The center administers medication (EpiPens, inhalers, and antihistamines for allergies). Medication is stored
in the emergency backpack, located in the community classroom area. All medications were checked for expiration date. Incidental Medical Services Plan is on file. Children's records were reviewed; LPA requested and reviewed facility roster, and retained a copy for the office file. All files reviewed were complete and well-organized. LPA reviewed staff files. All staff subjected to criminal review have been cleared and associated to the facility. All files were complete and up to date.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Randy Miranda
LICENSING EVALUATOR SIGNATURE:

DATE: 09/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2024
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
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: PRINCE OF PEACE PRESCHOOL
FACILITY NUMBER: 013418186
VISIT DATE: 09/20/2024
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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

All adults present are background cleared and associated to this facility. Center 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.

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/inspection-process.

There were no deficiencies found during today's inspection. This report will remain on file for three years.

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

Exit interview conducted and report was reviewed with the Center Director, Elizabeth Villa.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Randy Miranda
LICENSING EVALUATOR SIGNATURE:

DATE: 09/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2024
LIC809 (FAS) - (06/04)
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