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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013420528
Report Date: 05/08/2024
Date Signed: 05/08/2024 04:00:28 PM

Document Has Been Signed on 05/08/2024 04:00 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 CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:DR. HERBERT GUICE CHRISTIAN ACADEMYFACILITY NUMBER:
013420528
ADMINISTRATOR/
DIRECTOR:		ANGELA DARBYFACILITY TYPE:
850
ADDRESS:6925 INTERNATIONAL BLVDTELEPHONE:
(510) 729-0330
CITY:OAKLANDSTATE: CAZIP CODE:
94621
CAPACITY: 57TOTAL ENROLLED CHILDREN: 12CENSUS: 9DATE:
05/08/2024
TYPE OF VISIT:Annual/RequiredUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Karen Freeman TIME VISIT/
INSPECTION COMPLETED:
04:30 PM
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On 05/08/2024 Licensing Program Analysts (LPA's) Brindha Govindasamy and Diana Campos arrived at the facility to conduct an unannounced Required inspection. LPA's met with Director Karen Freeman. There were 3 staff and 9 preschoolers present during the inspection. The center and playground were toured to conduct a Health and Safety inspection. The hours of operations are Monday to Friday, 7am to 6pm.
The center currently consists of 2 pre school classroom. The classroom furniture, floors and equipment appear to be safe, clean and in good repair. All materials accessible to children are toxic free. The heating and lighting are adequate. There is uncontaminated drinking water readily available to children, both indoors and outdoors. The bathroom sinks and toilets are in sanitary and operational condition. There are no bodies of water, or free-standing water, accessible to children. Multi purpose room is used for meals and other indoor activities.
Classroom 1 - Occasional Use - between 10 am to 11 am , 4pm to 5 pm
Classroom 2 - Preschool age children age 2 - 5.
All storage containers for solid waste have tight fitting covers that are kept on, and in good repair. LPA did not observe any disinfectants, cleaning solutions, poisons or any other dangerous items accessible to children. The center provides breakfast, lunch and snacks to children in care. All food is stored appropriately. The food prep area is clean, free of litter, rubbish, and rodents. The outdoor area is neat clean and free of debris with shade for the children in care. LPAs observed the menu posted and that is updated monthly. The center has first aid supplies, working telephone, carbon monoxide detector, fire alarm, and two fully charged 3A40BC fire extinguisher in each classroom. Per director there are no firearms stored on the premises. Continue to Page 2.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Brindha Govindasamy
LICENSING EVALUATOR SIGNATURE: DATE: 05/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/08/2024
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 CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: DR. HERBERT GUICE CHRISTIAN ACADEMY
FACILITY NUMBER: 013420528
VISIT DATE: 05/08/2024
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LPA's reviewed children's and staff files. All facility staff have a criminal record clearance. At least one opening/closing staff member has a current CPR/First Aid certificate. There are no children in care who require medications currently. The facility is operating within the limits of the licensed capacity today and abiding by the required ratio. LPA observed staff interaction and supervision of children, and did not observe any child left without supervision.

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.

Director 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. For childcare center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1CCP). LPA verified that the lead testing was completed in accordance with the Written Directives outlined in PIN 21-21.1-CCP. PIN 22-05-CCP Page 4.

CCC COMPLETED TESTING AND IS IN THE PROCESS OF REMEDIATING LEAD EXCEEDANCES. LPA referred director to the Department website for lead: Lead Toxicity Prevention and Water Testing Information. Continue to Page 3.

SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Brindha Govindasamy
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2024
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 CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: DR. HERBERT GUICE CHRISTIAN ACADEMY
FACILITY NUMBER: 013420528
VISIT DATE: 05/08/2024
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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/
LPA discussed the safe sleep regulations with director and discussed the Child Care Licensing Safe Sleep webpage at :https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed director of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

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

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

No deficiency cited during today’s visit. Exit interview conducted and report was reviewed with the Director Karen Freeman.

SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Brindha Govindasamy
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2024
LIC809 (FAS) - (06/04)
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