<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013422425
Report Date: 10/22/2024
Date Signed: 10/22/2024 04:24:26 PM

Document Has Been Signed on 10/22/2024 04:24 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: 120CENSUS: 25DATE:
10/22/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:40 AM
MET WITH:Sarah De SousaTIME VISIT/
INSPECTION COMPLETED:
04:35 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 10/22/2024 at 8:40AM, Licensing Program Analyst (LPA) Jaleesa Jackson conducted an Unannounced Plan of Correct (POC) visit. LPA met with Director Sarah De Sousa and explained the purpose of today's visit. Present were 25 preschool aged children and 5 fingerprint cleared staff.

On 10/15/2024, LPA conducted an Annual/Random inspection. The Child Care Center was cited 1 Type A citation for lack of supervision and 1 Type B citation for teacher qualifications.

The Licensee and LPA developed a Plan of Correction (POC) with submission due dates of 10/16/2024 and 10/29/2024. LPA conducted a POC visit to verify that the corrections have been made. LPA verified that all Acknowledgment of Receipt of Licensing Reports (LIC9224) forms are completed.

LPA generated a Letter of Deficiency Citations Cleared and provided a copy to the Director.

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

Exit interview conducted and report was reviewed with the Director Sarah De Sousa.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Jaleesa Jackson
LICENSING EVALUATOR SIGNATURE: DATE: 10/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/22/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1