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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013422489
Report Date: 10/22/2024
Date Signed: 10/22/2024 01:29:12 PM

Document Has Been Signed on 10/22/2024 01:29 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 CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:OAK CENTER CULTURAL CENTER INC.FACILITY NUMBER:
013422489
ADMINISTRATOR/
DIRECTOR:		MARY PATRICIA JORDANFACILITY TYPE:
830
ADDRESS:1324 ADELINE ST.TELEPHONE:
(510) 891-0035
CITY:OAKLANDSTATE: CAZIP CODE:
94607
CAPACITY: 15TOTAL ENROLLED CHILDREN: 15CENSUS: DATE:
10/22/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Monique MossTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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On October 22, 2024, Licensing Program Analyst, (LPA) M. Domantay met with Assistant Director, Monique Moss for the purpose of an unannounced case management inspection to remeasure the outdoor infant play yard. Applicant requests an infant license to serve 8 infants ages 0 to 24 months. The program will operate Monday through Friday from 8:00 a.m. to 5:00 p.m. The fire clearance was granted on 8/28/2024 by the Oakland Fire Department.

OUTDOOR ACTIVITY SPACE:
There is 1 designated infant outdoor area. The infant outdoor area is fenced with a concrete wall that is at least four feet tall. There is no play structure in the infant play yard. Infant outdoor play area is surrounded by turf as cushioning to cushion a child's fall in the play yard. LPA observed a sufficient amount of equipment and toys. There are no bodies of water on the premises. LPA reminded Applicant to ensure to empty all water tables when not in use. There is sufficient shading areas provided by canopies in the infant play yards.

LPA measured the infant outdoor activity space. The Infant outdoor play area contains a total of 504.79 square feet, which will not accommodate Applicant's request for 8 infant children.

Individual measurements are recorded on the Capacity Worksheet (LIC 9024).

LPA notified Assistant Director, Monique Moss, that Applicant will need to submit a request for a waiver for the outdoor infant play area to accommodate the maximum capacity of 6 infant children outdoors at any given time with a set schedule in place.

Page 1
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Melissa Domantay
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)
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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 CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: OAK CENTER CULTURAL CENTER INC.
FACILITY NUMBER: 013422489
VISIT DATE: 10/22/2024
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LPA observed 3 cribs during today's inspection in the crib room and 4 pack and plays. LPA reminded Assistant Director that pack and plays should not be utilized by infant children and should be removed from the crib room.

LPA discussed 100% supervision is always required in all areas that children have access to including the
bathroom. Personal Rights, inspection authority, reporting requirements, maintaining buildings and grounds
was reviewed. Staff Qualifications, Staff to Children’s ratios and Capacity was explained to ensure
compliance. LPA discussed with Applicant any changes that may occur regarding the director or an employee acting in the director’s absence must be reported to the department within 10 working days.

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



Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and
stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other
important information communication platforms.

To receive important licensed related information to licensed facilities, visit the CCLD Important Information
website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

Exit interview conducted and report was reviewed with Assistant Director, Monique Moss.

The following items are required before a license will be issued:

1. Licensing Program Manager (LPM) final file review.

2. Applicant must submit a request for a waiver for the outdoor infant play yard accommodate the maximum capacity of 6 infant children outdoors at any given time with a set schedule in place.

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SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Melissa Domantay
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
LIC809 (FAS) - (06/04)
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