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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013422012
Report Date: 04/17/2024
Date Signed: 04/17/2024 04:26:24 PM

Document Has Been Signed on 04/17/2024 04:26 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 SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:AB'S PRESCHOOL AND DAYCAREFACILITY NUMBER:
013422012
ADMINISTRATOR/
DIRECTOR:
AYALEW, MERATFACILITY TYPE:
850
ADDRESS:301 DOWLING BLVDTELEPHONE:
(510) 633-0331
CITY:SAN LEANDROSTATE: CAZIP CODE:
94577
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 7DATE:
04/17/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:15 AM
MET WITH:Maria Chipres MendozaTIME VISIT/
INSPECTION COMPLETED:
04:45 PM
NARRATIVE
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On 04/17/2024 at 9:15am, Licensing Program Analysts (LPAs) Jaleesa Jackson and Manel Estoesta conducted an unannounced case management visit to the facility and met with facility representative Maria Chipres. Also present at the time of the visit were 7 preschool aged children. At 10:58AM Director Merat Ayalew arrived at the facility.

When LPAs arrived Facility Representative was the only staff member present with the children. One addition staff member joined at 10:30AM. LPA Jackson reviewed staff files and found that Maria is only an aide and was left alone with the day care children. On 11/30/2023, LPA Jackson emailed Director Merat Ayalew that Maria is an aide in the file that was provided to LPA and she needs to be under direct supervision of a fully qualified teacher. LPA informed Director that she is to stay in the classroom since Maria is only an aide.

There was 1 deficiency cited on today's visit. See 809-D for deficiency.

LPA Jackson informed Director Merat Ayalew that this report dated 4/17/2024 document 1 Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Jackson informed the Director to provide a copy of this licensing report dated 4/17/2024 that documents any Type A citation 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 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Jaleesa Jackson
LICENSING EVALUATOR SIGNATURE: DATE: 04/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/17/2024
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 04/17/2024 04:26 PM - It Cannot Be Edited


Created By: Jaleesa Jackson On 04/17/2024 at 11:47 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 STE 1102
OAKLAND, CA 94612

FACILITY NAME: AB'S PRESCHOOL AND DAYCARE

FACILITY NUMBER: 013422012

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 04/17/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/18/2024
Section Cited
CCR
101216.3(a)

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101216.3(a) Teacher-Child Ratio: There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance.

This requirement is not met as evidenced by:
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Director had to immediate stay in the room with Maria. Director is to review on https://ccld.childcarevideos.org/child-care-center-operators/ the Teacher to Child Ratios in Child Care Centers video. Director will email LPA a statement on how she will maintain ratio in the future.
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Based on observation and record review, the facility did not comply with the section cited above as the facility operated out of ratio which poses/posed a immediate health, safety or personal rights risk to persons 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:Jason Jang
LICENSING EVALUATOR NAME:Jaleesa Jackson
LICENSING EVALUATOR SIGNATURE:
DATE: 04/17/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/17/2024


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 SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: AB'S PRESCHOOL AND DAYCARE
FACILITY NUMBER: 013422012
VISIT DATE: 04/17/2024
NARRATIVE
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A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Director Merat Ayalew.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Jaleesa Jackson
LICENSING EVALUATOR SIGNATURE:

DATE: 04/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2024
LIC809 (FAS) - (06/04)
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