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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013422414
Report Date: 09/02/2021
Date Signed: 09/02/2021 05:02:24 PM

Document Has Been Signed on 09/02/2021 05:02 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
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:PRIDE IN LEARNING MONTESSORI SCHOOLFACILITY NUMBER:
013422414
ADMINISTRATOR:LEON, DARA & LAMB, AMBERFACILITY TYPE:
850
ADDRESS:1330 LAKESHORE AVE.TELEPHONE:
(707) 603-9257
CITY:OAKLANDSTATE: CAZIP CODE:
94606
CAPACITY: 17TOTAL ENROLLED CHILDREN: 0CENSUS: 15DATE:
09/02/2021
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Amber LambTIME COMPLETED:
05:30 PM
NARRATIVE
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LPAs Lisa Dyer and Caroline Colson met with Amber Lamb for a case management inspection at 1:15 PM. During the course of the investigation, LPAs observed that the facility was out of ratio. At 1:20 p.m., the director was providing care and supervision to 15 preschool children alone. There were no other preschool teachers or staff available.

The attached type A deficiency is cited today and must be corrected by the due date. Appeal rights were given and discussed. This report must be available for public review for 3 years. A site visit notice was posted.
SUPERVISORS NAME: Phyllis Dyer
LICENSING EVALUATOR NAME: Phyllis Dyer
LICENSING EVALUATOR SIGNATURE: DATE: 09/02/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/02/2021
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 09/02/2021 05:02 PM - It Cannot Be Edited


Created By: Phyllis Dyer On 09/02/2021 at 03:44 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: PRIDE IN LEARNING MONTESSORI SCHOOL
FACILITY NUMBER: 013422414

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/02/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/03/2021
Section Cited
CCR
101216.3(a)

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Teacher-Child Ratio
There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance, except as specified in (b) and (c) below.
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Licensee will hire additional staff to ensure ratios are maintained at all times or only have 12 children which is the maximum allowed for 1 fully qualified teacher.
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The facility didn't meet the requirement because one qualified teacher was left alone with 15 children. The requirement was not met as evidenced by observation, document review and licensee interview. This poses an immediate health and safety risk to children in care.
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By POC Due Date: September 3, 2021. 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:Phyllis Dyer
LICENSING EVALUATOR NAME:Phyllis Dyer
LICENSING EVALUATOR SIGNATURE:
DATE: 09/02/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/02/2021


LIC809 (FAS) - (06/04)
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