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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013421994
Report Date: 11/02/2022
Date Signed: 11/02/2022 11:12:17 AM

Document Has Been Signed on 11/02/2022 11:12 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
BAY AREA-CC OAKLAND, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:BABY ACADEMY, THEFACILITY NUMBER:
013421994
ADMINISTRATOR:LOVE, YOLANDAFACILITY TYPE:
830
ADDRESS:1015 CAMBELL STTELEPHONE:
(510) 305-4877
CITY:OAKLANDSTATE: CAZIP CODE:
94607
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: DATE:
11/02/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:20 AM
MET WITH:LAKESHA D. AARIFTIME COMPLETED:
11:20 AM
NARRATIVE
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On 11/02/2022 Licensing Program Analyst (LPA) Arminder Singh and Licensing Program Manager (LPM) Loretta Dyson arrived at facility to conduct a unannounced case management visit. LPA and LPM met with Owner, Lakesha D. Arrif. Present during visit were two children, lead teacher, and aide.

This visit is in regards to facility not notifying CCLD regarding the outbreak of hand, foot, and mouth outbreak and the pink eye outbreak. The Owner and staff have stated that they did notify the parents of the outbreaks at facility. The Owner has provided copies of the two exposure notices that were given to the parents. The facility did not inform CCLD regarding the two outbreaks. Facility upon occurrence to the outbreak a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report containing the information shall be submitted to the Department within seven days following the occurrence of such events.

The Owner stated she did not remember that a report was to be made by telephone or fax within the next working day in addition a written report was to be submitted to CCLD within seven days following the outbreaks.

During the visit it was discovered that facility does not have a Director currently at facility. The Owner advised that individual that is being hired for the Director position is currently out due to medical reasons and shall return back to facility prior to the winter break. Owner has confirmed that the facility has not had a Director since June 2022. Owner has been acting as the Director in the meantime.

see page 809-D for Deficiencies.
SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Arminder Singh
LICENSING EVALUATOR SIGNATURE: DATE: 11/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/02/2022
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 11/02/2022 11:12 AM - It Cannot Be Edited


Created By: Arminder Singh On 11/02/2022 at 10:43 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: BABY ACADEMY, THE
FACILITY NUMBER: 013421994

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/02/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/02/2022
Section Cited
CCR
101212

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101212 (d)(1)(e) Reporting Requirements. Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report containing the information specified in (d)(2) below shall be submitted to the Department within seven days following the occurrence of such event. Epidemic outbreaks. This requirement was not met as evidence by:
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By POC date Owner will submit in writing the outbreaks to CCLD.
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Owner did not report to CCLD of the two outbreaks by telephone within Departments next working day or notify in writing within seven days following the outbreak. This poses a potential health and safety of the children in care.
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Type B
12/02/2022
Section Cited
CCR101215.1

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101215.1(b) Child Care Center Directors Qualifications and Duties. All child care centers shall have a director. This requirement was not me as evidenced by:
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Owner will submit a Director packet within POC due date or confirm the Director who is hired has returned to the facility.
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Owner states that there has not been a Director at facility since June 2022. This poses a potential health and risk to the 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:Loretta Dyson
LICENSING EVALUATOR NAME:Arminder Singh
LICENSING EVALUATOR SIGNATURE:
DATE: 11/02/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/02/2022


LIC809 (FAS) - (06/04)
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