<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700548
Report Date: 09/12/2022
Date Signed: 09/12/2022 01:46:16 PM

Document Has Been Signed on 09/12/2022 01:46 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:LA PLAZITA PRESCHOOLFACILITY NUMBER:
015700548
ADMINISTRATOR:GUZMAN, KRYSTELLFACILITY TYPE:
830
ADDRESS:1410 SAN LEANDRO BOULEVARDTELEPHONE:
(510) 332-5792
CITY:SAN LEANDROSTATE: CAZIP CODE:
94577
CAPACITY: 4TOTAL ENROLLED CHILDREN: 4CENSUS: 4DATE:
09/12/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:40 AM
MET WITH:Rocio GuerrereoTIME COMPLETED:
02:12 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
A Case Management Inspection was conducted on this date 09/12/2022 by Licensing Program Analyst (LPA) Melanie Otsuji. LPA met with Administrator, Rocio Guerrereo. An application was submitted for a CAPACITY INCREASE and to ADD a TODDLER OPTION (ages 18-36 months). The center has requested to add classroom #1 for the Toddlers. Hours of operation are from 7:00AM to 6:00PM, Monday through Friday. Present today was 1 additional staff member and 4 infant aged children. A health and safety inspection was conducted inside and outside. Measurements were taken during a previous LPA visit and they are as follows:

INDOORS: 699.67 square feet = 19 children
OUTDOORS: 2597.77 square feet = 34 children

Drinking water is available inside and outside by way of water fountains and bottles brought from home. Children bring their own lunch and AM/PM snacks from home. Facility has a back up supply should the children forget theirs at home. Menus are posted. Facility has a functioning carbon monoxide detector, smoke detector and fire extinguisher. Facility utilizes an electronic sign in/out program and each individual has their own unique identifier.

All licensing required documents are posted. Per Administrator, all Opening and Closing staff have current Pediatric CPR/First Aid. This facility plans to provide Incidental Medical Services – IMS. An updated Plan of Operation that includes IMS must be submitted to the Department when any changes are made. 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: 09/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/12/2022
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 2
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: LA PLAZITA PRESCHOOL
FACILITY NUMBER: 015700548
VISIT DATE: 09/12/2022
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Mandated reporter and appeal rights, civil penalties, unusual incident reporting and fingerprint requirements were discussed today. Director is also being informed of the web address (www.ccld.ca.gov) for downloading child care forms, and the director is encouraged to email ChildCareAdvocatesprogram@dss.ca.gov to be included in the Child Care Quarterly Updates distribution list. The director is also reminded that mandated reporter training is required for all staff and is to be renewed every 2 years at www.mandatedreporterca.com.

Zero Tolerance policies were explained. The center was found to be clean, safe, sanitary and in good repair.

There are no deficiencies cited during today's visit. A license with approval for 16 infant aged children which includes the option to have up to 12 toddlers (ages 18-36 months) operating out of two classrooms (Rooms 1, and 5) will be issued effective today, 9/12/2022.

An exit interview was conducted with Administrator, Rocio Guerrereo.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Melanie Otsuji
LICENSING EVALUATOR SIGNATURE:

DATE: 09/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2022
LIC809 (FAS) - (06/04)
Page: 2 of 2