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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013420549
Report Date: 12/13/2024
Date Signed: 12/13/2024 12:16:06 PM

Document Has Been Signed on 12/13/2024 12:16 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:ALBANY CHILDREN'S CENTERFACILITY NUMBER:
013420549
ADMINISTRATOR/
DIRECTOR:		REED, JOSHUAFACILITY TYPE:
850
ADDRESS:720 JACKSON STREETTELEPHONE:
(510) 559-6590
CITY:ALBANYSTATE: CAZIP CODE:
94706
CAPACITY: 85TOTAL ENROLLED CHILDREN: 85CENSUS: 36DATE:
12/13/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:15 AM
MET WITH:Joshua ReedTIME VISIT/
INSPECTION COMPLETED:
12:30 PM
NARRATIVE
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On December 13, 2024 at 9:15am Licensing Program Analyst (LPA) Indira Loza arrived at the facility FOR an unannounced visit as a direct result of an Unusual Incident Report received in the Oakland Regional Office on November 14, 2024. Present during today's visit were 36 preschoolers and 7 staff. LPA toured the facility for a Health and Safety check.

The unusual incident involved a child who ran out their classroom unsupervised and ran out of the facility. The child was caught by a parent and was going down the stairs leading to the sidewalk. LPA conducted staff and children interviews which stated that the child left the classroom during transitioning to another activity. This is a Type A violation, California Code of Regulations Title 22 101229(a)(1) is being cited today.

See LIC809-D for the Type A citation.

There will be one Type A citation issued for the incident. LPA informed Director to post and provide a copy of this licensing report dated December 13, 2024 to parents/guardians of all children currently enrolled, by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for next 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224) must be placed in the child's file for verification.

Exit Interview conducted.
Report and appeal rights provided to Director Joshua Reed.
Notice of Site visit and today's report must be posted for 30 days.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Indira Loza
LICENSING EVALUATOR SIGNATURE: DATE: 12/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/13/2024
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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Document Has Been Signed on 12/13/2024 12:16 PM - It Cannot Be Edited


Created By: Indira Loza On 12/13/2024 at 11:53 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: ALBANY CHILDREN'S CENTER
FACILITY NUMBER: 013420549

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/13/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/16/2024
Section Cited
CCR
101229(a)(1)

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Responsibility for Providing Care and Supervision - (a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time... Supervision shall include visual observation
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The Director shall email a plan detailing how they will prevent this type of incident from occurring - the plan shall include the changes being made to prevent this from occuring during transition times. The plan shall be emailed no later than close of business on December 16, 2024.
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This requirement was not met as evidenced by: Based on interviews and records reviewed, it was determined that a child left their classroom unsupervised and exited the facility. This poses an immediate risk to the health, safety, and personal rights of 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:Indira Loza
LICENSING EVALUATOR SIGNATURE:
DATE: 12/13/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/13/2024


LIC809 (FAS) - (06/04)
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