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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013420552
Report Date: 05/21/2024
Date Signed: 05/21/2024 10:14:52 AM

Document Has Been Signed on 05/21/2024 10:14 AM - 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:OUSD - PRESCOTT PRESCHOOLFACILITY NUMBER:
013420552
ADMINISTRATOR/
DIRECTOR:		FORD, IANTHAFACILITY TYPE:
850
ADDRESS:920 CAMPBELL STTELEPHONE:
(510) 874-3333
CITY:OAKLANDSTATE: CAZIP CODE:
94607
CAPACITY: 24TOTAL ENROLLED CHILDREN: 15CENSUS: 5DATE:
05/21/2024
TYPE OF VISIT:Case Management - OtherANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:45 AM
MET WITH:Caroline JonesTIME VISIT/
INSPECTION COMPLETED:
10:30 AM
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On 05/21/2024 at 8:45 AM Licensing Program Analyst (LPA), A. Curry conducted an announced case management inspection to look at potential classrooms that may be added to the license. LPA met with Site Principal, Caroline Jones, to explain the purpose of today's visit. LPA toured the facility and additional classrooms that may be added to the license. Site Principal indicated she may submit an application to increase the capacity at the facility. During today's visit the LPA discussed a new fire clearance may be required, there shall be at least 35 square feet of indoor activity space per child based on the total licensed capacity, there shall be at least 75 square feet of outdoor activity space per child based on the total licensed capacity, and one toilet and one hand washing fixture shall be maintained for every 15 children. LPA also discussed requesting a waiver to use the on-site elementary school bathroom. The Site Principal was advised to submit an Increase of Capacity Application to the Centralized Application Bureau (CAB) Unit located at the Oakland Regional Child Care office. The CAB unit will notify the facility of any additional requirements that are needed to increase the facility's capacity.


Exit interview conducted, appeal rights were given, and report was reviewed with the Site Principal, Caroline Jones.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Ashley Curry
LICENSING EVALUATOR SIGNATURE: DATE: 05/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/21/2024
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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