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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423777
Report Date: 09/05/2024
Date Signed: 09/05/2024 05:03:09 PM

Document Has Been Signed on 09/05/2024 05:03 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:ORKIDZ PRESCHOOLFACILITY NUMBER:
013423777
ADMINISTRATOR/
DIRECTOR:		FATEMEH BAGHERZADEH KHORASFACILITY TYPE:
860
ADDRESS:1370 MARIN AVETELEPHONE:
(510) 529-4553
CITY:ALBANYSTATE: CAZIP CODE:
94706
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 24DATE:
09/05/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:Mehdi ShafieiTIME VISIT/
INSPECTION COMPLETED:
02:45 PM
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Centralized Application Bureau (CAB) Licensing Program Analyst (LPA) M. Domantay met with Applicant Mehdi Shafiei for the purpose of a pre-licensing inspection. Applicant requests a single licensed child care center for a infant program ages 0 months to 24 months (capacity 12), toddler program ages 18 months to 36 months (capacity 21), and is decreasing existing preschool program ages two years to first grade entry (capacity 25) license to serve a total of 58 children. The program will operate Monday through Friday from 8:00 a.m. to 5:30 p.m. The fire clearance was granted and approved on 7/2/2024 from the Albany Fire Department. The facility will provide will provide breakfast, lunch, and dinner. LPA reviewed with applicant the LIC 311A, Records To Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

LPA informed Mehdi that the facility will be converted to a single child care center license under facility number 013423777, therefore LPA will be closing the current preschool facility number 013423059.

INDOOR ACTIVITY SPACE:
There are 2 indoor areas for the infant program, 1 area for the toddler program, and 3 areas for the preschool program. LPA observed a sufficient amount of equipment, toys, tables, chairs, cubbies, and napping cots. Applicant plans to care for 12 crib aged infants. LPA observed 12 cribs in the crib room. LPA notified applicant that cribs in crib room will need to be reorganized to ensure cribs are not touching and ensure staff has access to get to infants. LPA notified applicant there should be a chair for staff in the crib room to ensure there is a staff in the room during nap time. The changing table in the infant room is in hands reach of a sink. There is a first aid kit in the storage cabinet of the toddler classroom. Medications will be stored in the kitchen area in a cabinet. LPA observed cleaning disinfectants are appropriately stored and inaccessible to children. Applicant stated there are no poisons or firearms on the premises. LPA observed a combination smoke/carbon monoxide detector in the infant classroom. LPA observed a electronic sign-in/sign-out system. Page 1
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Melissa Domantay
LICENSING EVALUATOR SIGNATURE: DATE: 09/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/05/2024
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 4
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: ORKIDZ PRESCHOOL
FACILITY NUMBER: 013423777
VISIT DATE: 09/05/2024
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LPA measured all classrooms/areas for each program. The total classroom space for the infant classroom contains a total of 562.95 square feet, which will accommodate Applicant's request for 12 infant children.
The total classroom space for the toddler classroom contains a total of 788.23 square feet, which will accommodate Applicant's request for 21 toddler children. The toddler program has 3 toilets and 3 sinks for toddler children. The total classroom space for the preschool classroom contains a total of 757.74 square feet, which will not accommodate Applicant's request for 25 preschool children. There is 2 toilets and 3 sinks for the preschool children, and a separate private restroom for the staff is located upstairs by the Director's office. Individual measurements are recorded on the Capacity Worksheet (LIC 9024). Children who become ill during the day will be isolated in the Director's office and will use the staff restroom, if necessary.

OUTDOOR ACTIVITY SPACE:
LPA measured the toddler outdoor. LPA will conduct additional inspection for the infant and preschool play yard and measure. All outdoor play areas are fenced with a wooden fence that is at least four feet tall. LPA observed a play structures in the toddler and preschool play yard. LPA observed sufficient amount of equipment and toys for children in the outdoor play yard. LPA observed a sandbox that was observed to be maintained and free of debris. There are no bodies of water on the premises. There is sufficient shading provided by canopies and trees for the infant, toddler, and preschool play areas. LPA notified Applicant if water tables are being used to ensure to empty the water tables when not in use.

The total outdoor space for the toddler program is 1630.75 square feet which will accommodate applicants request for 21 toddler children. Measurements for the infant and preschool play yard will need to be measured once applicant installs barricade between preschool and infant outdoor play yards.

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SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Melissa Domantay
LICENSING EVALUATOR SIGNATURE:

DATE: 09/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/05/2024
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: ORKIDZ PRESCHOOL
FACILITY NUMBER: 013423777
VISIT DATE: 09/05/2024
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LPA discussed the following: 100% supervision is required at all times, including in the bathroom; personal rights; inspection authority; reporting requirements; staff to children ratios and capacity; staff qualifications; and maintaining buildings and grounds. 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 department within 10 working days.

Applicant was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, 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.

Applicant was informed of the MyChildCarePlan.org site, 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.

This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. A 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, available at: http://www.ada.gov/childqanda.htm



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 platform. 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.

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SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Melissa Domantay
LICENSING EVALUATOR SIGNATURE:

DATE: 09/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/05/2024
LIC809 (FAS) - (06/04)
Page: 3 of 4
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: ORKIDZ PRESCHOOL
FACILITY NUMBER: 013423777
VISIT DATE: 09/05/2024
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Exit interview conducted and report was reviewed with the Applicant, Mehdi Shafiei.

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

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

2. Applicant must rearrange the cribs in the crib room.

3. Applicant must notify LPA when play yard renovations/changes are completed and LPA will measure all outdoor areas for infant, toddler, and preschool programs.

Page 4

SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Melissa Domantay
LICENSING EVALUATOR SIGNATURE:

DATE: 09/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/05/2024
LIC809 (FAS) - (06/04)
Page: 4 of 4