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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013419485
Report Date: 04/22/2022
Date Signed: 04/22/2022 12:29:01 PM

Document Has Been Signed on 04/22/2022 12:29 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:TUDORKA TOTS INFANT AND PRESCHOOL CENTERFACILITY NUMBER:
013419485
ADMINISTRATOR:ZIMANY, RENATAFACILITY TYPE:
830
ADDRESS:12000 CAMPUS DRIVETELEPHONE:
(510) 531-2223
CITY:OAKLANDSTATE: CAZIP CODE:
94619
CAPACITY: 28TOTAL ENROLLED CHILDREN: 23CENSUS: 14DATE:
04/22/2022
TYPE OF VISIT:Case Management - DeficienciesANNOUNCEDTIME BEGAN:
09:01 AM
MET WITH:Renanta ZimanyTIME COMPLETED:
12:45 PM
NARRATIVE
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On 4/22/22 at 9:01AM, Licensing Program Analysts (LPAs) Catherine Fernandes, Indira Loza, Melissa Guirit, arrived announced and met Director/owner Renanta Zimany. There were 14 infants in care and seven staff members.

While at the center on a proof of correction inspection LPAs observed the following deficiencies:

- Upon walking in at 9:01AM, infant 1 (I1) was being put to sleep on their stomach while Director Zimany was tapping the infant's back. The infant was sleeping on a mat with a blanket. At 10:43AM the infant still had the blanket over her/him while sleeping.

- While reviewing the roster and checking the sleep log for babies under 12 months, LPA Fernandes observed eight crib age babies enrolled in the center. The license for the center states "a maximum of 5 crib-age infants only." During todays inspection there were seven crib-age infants in care. One of the seven infant's (I1's) mother confirmed that the infant can climb out of the crib and therefore is sleeping on a mat.

Two type A deficiencies are being cited during todays inspection. The Director must provide a copy of this report to all parents of children currently enrolled, and the parents of newly enrolled children in the next 12 months. In addition, form LIC 9224 (Acknowledgment of Receipt of Licensing Reports) must be signed by each parent and placed in each child's file.

A copy of the LIC 9224 is being provided to the Director during the inspection.

Exit interview conducted with Director Zimany
Report and Appeal Rights provided
Notice of site visit provided
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Catherine Fernandes
LICENSING EVALUATOR SIGNATURE: DATE: 04/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/22/2022
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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Document Has Been Signed on 04/22/2022 12:29 PM - It Cannot Be Edited


Created By: Catherine Fernandes On 04/22/2022 at 11:44 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, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: TUDORKA TOTS INFANT AND PRESCHOOL CENTER
FACILITY NUMBER: 013419485

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/22/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/25/2022
Section Cited
CCR
1101430(A)

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Infant Care Activities- Staff shall place infants up to 12 month of age on their backs for sleeping. This requirement has not been met as evidenced by:
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Director will come up with a plan or provide documents that prove the child was not put to sleep on their stomach by proof of correction date.
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Based on LPAs observations infant 1 was put to sleep on their stomach, which is an immediate danger to child in care.
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Type A
04/25/2022
Section Cited
CCR101161(a)

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Limitations on Capacity- A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation. This requirement has not been met as evidenced by:
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Director is come up with a plan to ensure the license capacity is being met and send the plan to CCLD by proof of correction date.
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Based on file review and conformation from the Director there are eight infants under 12 months of age enrolled in the center, which is an immediate safety risk to children in care.
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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:Mayla Mendoza
LICENSING EVALUATOR NAME:Catherine Fernandes
LICENSING EVALUATOR SIGNATURE:
DATE: 04/22/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/22/2022


LIC809 (FAS) - (06/04)
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