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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013420940
Report Date: 12/11/2024
Date Signed: 12/11/2024 04:53:36 PM

Document Has Been Signed on 12/11/2024 04:53 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:LITTLE BEANS PRESCHOOLFACILITY NUMBER:
013420940
ADMINISTRATOR/
DIRECTOR:		STEPHENS-SMALLEY, HEATHERFACILITY TYPE:
850
ADDRESS:2117 ACTON STREETTELEPHONE:
(510) 649-1751
CITY:BERKELEYSTATE: CAZIP CODE:
94702
CAPACITY: 40TOTAL ENROLLED CHILDREN: 32CENSUS: 31DATE:
12/11/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:15 PM
MET WITH:Heather Stephens-SmalleyTIME VISIT/
INSPECTION COMPLETED:
05:10 PM
NARRATIVE
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Licensing Program Analyst (LPA) Cherie Acosta and Kayla Merchant conducted an unannounced case management visit. During the visit there were 31 children and 4 staff present when LPAs arrived.

LPAs arrived at the facility during nap time. There were 15 children napping between 5 classrooms with two staff. There were 16 children outside with 2 staff. LPAs observed napping children left without visual supervision during the visit.

See 809-D for deficiency cited today.
Notice of Site visit was provided and must be posted for 30 days.
Exit interview and report reviewed with Heather Stephens-Smalley.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Cherie Acosta
LICENSING EVALUATOR SIGNATURE: DATE: 12/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/11/2024
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 12/11/2024 04:53 PM - It Cannot Be Edited


Created By: Cherie Acosta On 12/11/2024 at 04:28 PM
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: LITTLE BEANS PRESCHOOL
FACILITY NUMBER: 013420940

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/11/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/26/2024
Section Cited
CCR
101229(a)

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Responsibility for Providing Care and Supervision. The licensee shall provide care and supervision as necessary to meet the children's needs.No child(ren) shall be left without the supervision of a teacher at any
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Director shall develop a written plan to ensure children have visual supervision at all times. Director shall submit a copy of this plan to CCL by 12/26/24.
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time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.This requirement was not met as evidenced by: LPAs observed napping children without visual supervision which poses a potential risk to the health and safety of children in care

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• Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.

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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:Sherelle Johnson
LICENSING EVALUATOR NAME:Cherie Acosta
LICENSING EVALUATOR SIGNATURE:
DATE: 12/11/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/11/2024


LIC809 (FAS) - (06/04)
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