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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013422484
Report Date: 10/22/2021
Date Signed: 10/22/2021 11:07:35 AM

Document Has Been Signed on 10/22/2021 11:07 AM - 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:UNITY COUNCIL CHILD CENTERFACILITY NUMBER:
013422484
ADMINISTRATOR:ELIZABETH CROCKERFACILITY TYPE:
830
ADDRESS:2615 E 15TH STTELEPHONE:
(510) 535-2760
CITY:OAKLANDSTATE: CAZIP CODE:
94601
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: DATE:
10/22/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Xochitl GarciaTIME COMPLETED:
11:39 AM
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On 10/22/21 at 9:30am, Licensing Program Analysts (LPAs) Melissa Domantay and Melissa Guirit arrived at the facility for an unannounced case management inspection. LPAs met with Xochitl Garcia, the operations manager. The normal hours of operation are Monday-Friday 8:00am-4:30pm. An application was received for a change of capacity and toddler option. LPAs conducted a full tour of the facility to conduct a health and safety inspection with Xochitl. There are no changes to the bathrooms and outdoor space that were previously licensed. LPAs toured the toddler classroom in Modular 2 Site A to conduct a health and safety inspection, LPAs measured toddler classroom and completed the following measurements:
INDOORS: 1045.49 square feet = 30 children
OUTDOORS: 2380.00 square feet = 31 children
A fire clearance, with a total capacity of 30, was received from the Oakland Fire Department.
on 09/30/21.

Max capacity of 8 toddlers in Toddler Classroom.

There are no bodies of water nor any firearms or weapons in the premises. Storage for cleaning supplies are locked and made inaccessible to children. Furniture and equipment are free of any hazards. The classrooms are equipped with age appropriate materials and equipment. There is a carbon monoxide detector, smoke detector, and a 3A40BC fire extinguisher that is available in toddler classroom. Heating, lighting, and air conditioner are adequate. First Aid Kit is available. LPAs observed that the classrooms has sufficient lighting and appears to be clean and in good condition. LPAs observed an ample supply of age appropriate activities, equipment and furniture. There is a working telephone at the center. LPAs did not observe any hazardous items that would be accessible to children. The staff office will be used for ill children as the isolation area.

See 809-C for continuance.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Melissa Domantay
LICENSING EVALUATOR SIGNATURE: DATE: 10/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/22/2021
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: UNITY COUNCIL CHILD CENTER
FACILITY NUMBER: 013422484
VISIT DATE: 10/22/2021
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Toddler option program and license for a capacity of 30 children will be made part of the license, effective today 10/22/21, and can be used when the facility is ready. There are no deficiencies being cited today. A Notice of Site inspection was provided to Xochitl, and an exit interview was conducted.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Melissa Domantay
LICENSING EVALUATOR SIGNATURE:

DATE: 10/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2021
LIC809 (FAS) - (06/04)
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