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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013422012
Report Date: 05/01/2024
Date Signed: 05/01/2024 03:16:45 PM

Document Has Been Signed on 05/01/2024 03:16 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
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) 564-4276
CITY:SAN LEANDROSTATE: CAZIP CODE:
94577
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 6DATE:
05/01/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:45 AM
MET WITH:Faye TomsTIME VISIT/
INSPECTION COMPLETED:
03:30 PM
NARRATIVE
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On 05/01/2024 at 9:45AM, Licensing Program Analysts (LPAs) Jaleesa Jackson and Manel Estoesta conducted an unannounced case management visit to the facility and met with facility representative Faye Toms. Also present at the time of the visit were 7 preschool aged children and 1 infant. At 10:43AM Director Merat Ayalew arrived at the facility.

At 9:45AM LPAs observed 1 infant commingled in the preschool room during circle time. Licensee does not have a waiver to commingle the two age groups. Staff stated that the infant is brought in for about an hour and a half. LPA let Director know that waivers are needed for limited commingling of the two age groups.

LPA's reviewed sign in and out log and found 1 child not signed in. This is a repeat violation from the visit on 11/13/2023.

LPAs reviewed the staff log and found that from 6:45AM to 8:00AM there was only 1 staff member present for 3 preschool aged children and 2 infants. The facility is out of ratio and this is a repeat violation from the visit on 4/17/2024. LPAs informed Director Merat Ayalew that in the morning the center was out of ratio and that the staff need to be adjusted for the hours of operation for both licenses.

At 9:50AM LPA Jackson observed all napping equipment stacked on top of each other with the bedding on. LPA informed Director that bedding for the napping equipment need to be store separately and that the children's bedding is not to touch one another in storage.

Through record review it was found that Director Merat Ayalew is listed as the Director at another facility in San Jose. LPAs informed her that she can only be the Director for one facility and needs to submit a completed director packet for one of the facilities.

Continued on 809-C
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Jaleesa Jackson
LICENSING EVALUATOR SIGNATURE: DATE: 05/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/01/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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Document Has Been Signed on 05/01/2024 03:16 PM - It Cannot Be Edited


Created By: Jaleesa Jackson On 05/01/2024 at 10:07 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: 05/01/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/02/2024
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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Licensee is to adjust the schedules of staff so that teachers for both licensee's have a qualified teacher when the center opens. Licensee will submit a new LIC500 that reflects the changes.
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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: 05/01/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/01/2024


LIC809 (FAS) - (06/04)
Page: 2 of 6
Document Has Been Signed on 05/01/2024 03:16 PM - It Cannot Be Edited


Created By: Jaleesa Jackson On 05/01/2024 at 10:55 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: 05/01/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/31/2024
Section Cited
CCR
101215.1(g)

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A licensee who is responsible for two or more centers may serve as the child care center director of one of the centers provided that he/she meets the qualifications specified in (h) below, or may serve as the executive director of all of the centers provided that a qualified child care center director is employed for each individual center.

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Licensee will submit a complete new director packet to one of the regional offices for a qualified combination director for either San Jose RO or Oakland South RO by the POC date of 5/31/2024. Proof of submission will be sent to Oakland South RO by POC date for verification.
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This requirement is not met as evidenced by:
Based on record review and interview, Licensee is operating as center director for two separated daycares, which is a potential health and safety risk to persons in care.
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Type B
05/15/2024
Section Cited
CCR101239.1(c)(2)

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Bedding shall be individually stored so that each child's bedding is identifiable and no child's used bedding comes into contact with other bedding.
This requirement is not met as evidenced by:
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Director will have all bedding stored separately from cots. Director will write a statement on how bedding and cots will be stored in the future so that bedding does not come into contact with others.
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Based on observation, children's napping equipment were stack on the floor with the bedding in contact with other children's bedding, which is a potential health and safety 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: 05/01/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/01/2024


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Document Has Been Signed on 05/01/2024 03:16 PM - It Cannot Be Edited


Created By: Jaleesa Jackson On 05/01/2024 at 12:35 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 STE 1102
OAKLAND, CA 94612

FACILITY NAME: AB'S PRESCHOOL AND DAYCARE
FACILITY NUMBER: 013422012

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/01/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/15/2024
Section Cited
CCR
101229.1(a)(1)

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In addition to the sign-in procedure requirement... the licensee shall develop, maintain, and implement a written procedure to sign the child in/out of the child care center that shall, at a minimum, include the following: The person who signs the child in/out shall use his/her full legal signature and shall record the time of day.
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Director will submit a written statement on how the facility will ensure the sign in and out will be implemented moving forward. Statement will be signed and dated by POC date to LPA by email.
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This requirement was not met as evidenced by:
Based on record review, the facility did not comply with the section cited above in 1 out of 6 children were not signed in which poses a potential health, safety or personal rights risk to persons in care.
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Type B
05/15/2024
Section Cited
HSC1596.8595(a)(1)

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Each licensed child day care facility shall post a copy of any licensing report pertaining to the facility that documents either a facility visit or a complaint investigation that results in a citation for a violation that, if not corrected, will create a direct and immediate risk to the health, safety, or personal rights of children in care. The licensing report provided by the department shall be posted immediately upon receipt, adjacent to the postings required pursuant to Section 1596.817 and on, or immediately adjacent to, the interior side of the main door to the facility and shall remain posted for 30 consecutive days.
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Licensee is to post the type A violation from 4/17/2024 in a prominent location with nothing in front of it. Director will submit a statement on posting requirements. The statement must be signed and dated by the Director by POC date. Director can submit to LPA by email or mail by POC date 5/15/2024.
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This requirement was not met as evidenced by:
Based on observation, the facility did not comply with the seciton cited, the licensing report from 4/17/2024 was not posted in a
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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: 05/01/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/01/2024


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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: 05/01/2024
NARRATIVE
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There were 6 deficiencies cited today. See 809-D for deficiencies.

LPA Jackson informed Director Merat Ayalew that this report dated 5/01/2024 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 5/01/2024 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.

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: 05/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2024
LIC809 (FAS) - (06/04)
Page: 5 of 6
Document Has Been Signed on 05/01/2024 03:16 PM - It Cannot Be Edited


Created By: Jaleesa Jackson On 05/01/2024 at 02:27 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 STE 1102
OAKLAND, CA 94612

FACILITY NAME: AB'S PRESCHOOL AND DAYCARE
FACILITY NUMBER: 013422012

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/01/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/15/2024
Section Cited
CCR
101161

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A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation.
This requirement is not met as evidenced by:
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Director will submit a signed and dated statement on keeping the two age groups separate.
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Based on observation, the facility did not comply with the section cited above 1 infant was commmingling with 7 preschool children which poses a potential 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: 05/01/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/01/2024


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