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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423105
Report Date: 10/06/2022
Date Signed: 10/06/2022 01:47:10 PM

Document Has Been Signed on 10/06/2022 01:47 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:BERKELEY LITTLE SCHOOLFACILITY NUMBER:
013423105
ADMINISTRATOR:HOLLY GOLDFACILITY TYPE:
850
ADDRESS:1611 HOPKINS STREETTELEPHONE:
(510) 900-2433
CITY:BERKELEYSTATE: CAZIP CODE:
94707
CAPACITY: 42TOTAL ENROLLED CHILDREN: 42CENSUS: 16DATE:
10/06/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:55 AM
MET WITH:Cindy BarretoTIME COMPLETED:
01:45 PM
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A Case Management Visit was conducted on this date 10/6/22 by Licensing Program Analysts (LPAs), Melissa Domantay and Melissa Guirit. LPAs met with Director Cindy Barreto. The center has submitted an application to add a toddler option to the preschool license. Hours of operation are from 8:00am-5:30pm, Monday through Friday. A health and safety inspection was conducted inside and outside. All measurements remain the same from last inspection.

A fire clearance was received from the Berkeley Fire Department on 10/2/2022 for 30 preschoolers, ages 2 years to first grade entry with toddler option, 12 toddlers ages 18 months to 36 months.

Playground equipment is in good condition. A schedule for outdoor play between the preschool and toddler program was received. Toddlers will be utilizing the play yard when not in use by preschool program. LPAs inspected the new play structure that was installed September 2021 after the pre-licensing visit and observed sufficient rubber mat flooring to cushion a child's fall. Director is reminded that play structure is off limits to the toddler children program. Drinking water is available inside and outside. All toilets and hand-washing facilities are in safe and sanitary operating conditions. Director will submit a request for a waiver for the use of bathrooms to utilized between the preschool and toddler options on a designated time schedule. Menus are posted. Snacks are provided and lunch is provided from home. Electronic form sign in and out is utilized. Facility has a functioning carbon monoxide detector that is connected to the main smoke detector system.

The center is equipped with a fully stocked first aid kit, working telephone, and 3A40BC fire extinguisher inside toddler classroom. The fire system is hardwired.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Melissa Domantay
LICENSING EVALUATOR SIGNATURE: DATE: 10/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/06/2022
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: BERKELEY LITTLE SCHOOL
FACILITY NUMBER: 013423105
VISIT DATE: 10/06/2022
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Director Cindy was reminded that all adults 18 and over, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

A license for 30 preschoolers with 12 toddlers in the toddler option is effective today, 10/6/22 with a total capacity of 42 and is ready to be used when facility is ready. A notice of site visit was given and must remain posted for 30 days



Exit interview conducted and report was reviewed with the Director Cindy Barreto.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Melissa Domantay
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2022
LIC809 (FAS) - (06/04)
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