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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700548
Report Date: 10/18/2021
Date Signed: 10/18/2021 02:14:03 PM

Document Has Been Signed on 10/18/2021 02:14 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 STE 1102
OAKLAND, CA 94612
FACILITY NAME:PLAZITA SCHOOLS, INC.FACILITY NUMBER:
015700548
ADMINISTRATOR:MILLER, YALINFACILITY TYPE:
830
ADDRESS:1400 SAN LEANDRO BOULEVARDTELEPHONE:
(510) 566-5007
CITY:SAN LEANDROSTATE: CAZIP CODE:
94577
CAPACITY: 6TOTAL ENROLLED CHILDREN: 6CENSUS: 0DATE:
10/18/2021
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
11:26 AM
MET WITH:Krystell Guzman & Yalin MillerTIME COMPLETED:
02:40 PM
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A Prelicensing Visit was conducted today by Licensing Program Analyst (LPA), Melanie Otsuji. LPA met with Applicant, Krystell Guzman and Director Yalin Miller. The applicant has submitted an application for an INFANT license. A health and safety inspection was conducted inside and outside. The infant program will operate in 1 classroom (Room 5). Also on site is a Preschool Component operating out of 4 classrooms. Operating Monday through Friday from 7:00AM - 6:00PM. The measurements are as follows:

INDOORS: 148.42 square feet = 4 children
OUTDOORS: 188.27 square feet = 3 children

Classrooms are equipped with varied age appropriate materials and equipment. The diaper changing table is within arms reach of a sink. There is a separate crib area with up to 2 cribs for infants. There is 1 sink located within the classroom. The office and staff bathroom will serve as isolation area for ill children. There is a total of 1 play yard for the infant aged children to utilize. The infant yard is barricaded to prevent commingling with preschool aged children. Yards with high climbing equipment are cushioned with poured rubber. Canopies, trees and building overhang provide sufficient shade in all play yards. AM/PM snacks are served with lunch brought from home. There are food preparation areas in each classroom. Cabinets with cleaners are locked and/or inaccessible to prevent access to children. Facility will utilize electronic sign in and out. The system allows for a unique identifier and records the date and time of day.
This facility plans to provide Incidental Medical Services - IMS. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/(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
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Melanie Otsuji
LICENSING EVALUATOR SIGNATURE: DATE: 10/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/18/2021
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 STE 1102
OAKLAND, CA 94612
FACILITY NAME: PLAZITA SCHOOLS, INC.
FACILITY NUMBER: 015700548
VISIT DATE: 10/18/2021
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Yalin Miller is a fully-qualified infant/preschool director. Miller has current pediatric cpr/first aid. There is a working telephone on site. The center has obtained an approved fire safety inspection on 10/15/2021 for 6 infant children.

Zero Tolerance policies were explained. The center was found to be clean, safe, sanitary, and in good repair. A license for 4 infant aged children operating out of 1 room (Classroom 5) is recommended with an effective date of 10/18/2021.

An exit interview was conducted.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Melanie Otsuji
LICENSING EVALUATOR SIGNATURE:

DATE: 10/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2021
LIC809 (FAS) - (06/04)
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