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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013422425
Report Date: 10/15/2024
Date Signed: 07/24/2025 04:01:34 PM

Document Has Been Signed on 07/24/2025 04:01 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:KIDDIE ACADEMYFACILITY NUMBER:
013422425
ADMINISTRATOR/
DIRECTOR:		SARAH DESOUSAFACILITY TYPE:
850
ADDRESS:1400 N. VASCO RD.TELEPHONE:
(925) 292-1948
CITY:LIVERMORESTATE: CAZIP CODE:
94551
CAPACITY: 120TOTAL ENROLLED CHILDREN: 35CENSUS: 28DATE:
10/15/2024
TYPE OF VISIT:Annual/RequiredUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Sarah De SousaTIME VISIT/
INSPECTION COMPLETED:
05:00 PM
NARRATIVE
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***Amended to change type A to type B for the personal rights violation based on an appeal decision***

On 10/15/2024 at 9:00AM Licensing Program Analyst (LPA) Jaleesa Jackson arrived for an Unannounced Annual/Required Inspection, and met Director Sarah De Sousa. There were 28 preschool aged children and 4 fingerprint cleared staff members present during the inspection. The facility was toured for a health and safety inspection. Hours of operation are Monday through Friday, 7:00AM to 6:00PM.

There are three classrooms total for the preschool. LPA toured all of the classrooms. LPA observed that a child asked to go to the restroom and went to the restroom alone. From where S1 was positioned the child was no longer in view. When the child went to the restroom the half door was closed behind her and the stall door was closed as well. LPA asked if the Assistant Director would supervise the child since they were no longer in view of S1 in the classroom. Parent use an app called Procare to sign their children in and out of the facility. There is adequate heating/air conditioning, ventilation and lighting. Drinking water is available inside and outside of the center. Each child has their own cubby where they can store their belongs. Facility uses cots for sleeping and will ask parents to clean bedding and blankets every Friday. The isolation area for sick children is the office, away from other children in care. The facility has smoke detectors, working telephone, and fully charged 2A10BC fire extinguishers and carbon monoxides detectors that are inspected every year by the fire department.

The staff's bathroom is separate from the children's bathroom. All sinks and faucets are in safe and sanitary operating condition. There is a changing table available as well for children still in diapers. During today's inspection all hazardous and other potential toxins are made inaccessible to children. This facility provides AM snacks, lunch, and PM snacks. The menu is posted at the front for parents to view.

Continued 809-C
NAME OF LICENSING PROGRAM MANAGER: Jason Jang
NAME OF LICENSING PROGRAM ANALYST: Jaleesa Jackson
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 10/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/15/2024
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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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: KIDDIE ACADEMY
FACILITY NUMBER: 013422425
VISIT DATE: 10/15/2024
NARRATIVE
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***Amended to change type A to type B for the personal rights violation based on an appeal decision***

The outdoor play area was toured and LPA observed there is plenty of shade provided for the children. There's a play structure with a slide that has cushioning to absorb falls.

LPA reviewed 5 children's files and 6 staff files. LPA observed at 9:50AM that in S1's classroom that a qualified teacher was not in the classroom. The facility was not aware that S1 was not qualified from due to the prior licensing visits and emails with another analyst. When S2 arrived at 10:00AM they also were not qualified. The director combined the classroom with another to be back in ratio. LPA verified both opening and closing staff have current CPR/First aid training. All staff files reviewed had current mandated reporter training. Disaster drills are being conducted at least once every 6 months and the last one conducted was on 9/20/2024. All required documents are posted in a public accessible area.

There were 2 deficiencies cited on today's inspection. See 809-D for deficiencies.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Licensee was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.


Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test.
Continued 809-C
NAME OF LICENSING PROGRAM MANAGER: Jason Jang
NAME OF LICENSING PROGRAM ANALYST: Jaleesa Jackson
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2024
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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: KIDDIE ACADEMY
FACILITY NUMBER: 013422425
VISIT DATE: 10/15/2024
NARRATIVE
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***Amended to change type A to type B for the personal rights violation based on an appeal decision***

LPA referred licensee to the Department website for lead: Lead Toxicity Prevention and Water Testing Information.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.



A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Facility Representative Sarah De Sousa.
NAME OF LICENSING PROGRAM MANAGER: Jason Jang
NAME OF LICENSING PROGRAM ANALYST: Jaleesa Jackson
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2024
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Document Has Been Signed on 10/15/2024 04:54 PM - It Cannot Be Edited


Created By: Jaleesa Jackson On 10/15/2024 at 02:32 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: KIDDIE ACADEMY
FACILITY NUMBER: 013422425

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/15/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Deficiency Dismissed
Type A
Section Cited
CCR
101229(a)(1)
Responsibility for Providing Care and Supervision
(a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above in 1 child was without supervision and was no longer in view of S1 when they went to the restroom which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 10/16/2024
Plan of Correction
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Director will have a manatory staff meeting and review the "Supervising Children in Child Care Centers" on the https://ccld.childcarevideos.org. The director will submit sign in sheet for all staff that reviewed the video.
Section Cited
Deficient Practice Statement
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2
3
4
POC Due Date:
Plan of Correction
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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: 10/15/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/15/2024


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Document Has Been Signed on 07/24/2025 04:16 PM - It Cannot Be Edited

Document is an Amendment of Original Document on 07/23/2025 01:43 PM


Created By: Jaleesa Jackson On 10/15/2024 at 02:32 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
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: KIDDIE ACADEMY
FACILITY NUMBER: 013422425

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/15/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101216.3(a)
Teacher-Child Ratio
(a) 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.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above in S1 and S2 which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 10/29/2024
Plan of Correction
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Director will submit a written plan on making sure the class in ratio moving forward to LPA by POC date 10/29/2024.
Type B
Section Cited
CCR
101229(a)(1)
(a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.

This requirement is not met as evidenced by:
Deficient Practice Statement
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2
3
4
Based on observation, the licensee did not comply with the section cited above in 1 child was without supervision and was no longer in view of S1 when they went to the restroom which posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 10/16/2024
Plan of Correction
1
2
3
4
Director will have a manatory staff meeting and review the "Supervising Children in Child Care Centers" on the https://ccld.childcarevideos.org. The director will submit sign in sheet for all staff that reviewed the video.

***Amended to change type A to type B for the personal rights violation based on an appeal decision***
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: 10/15/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/15/2024


LIC809 (FAS) - (06/04)
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