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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700549
Report Date: 10/18/2021
Date Signed: 10/18/2021 02:17:12 PM

Document Has Been Signed on 10/18/2021 02:17 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:
015700549
ADMINISTRATOR:MILLER, YALINFACILITY TYPE:
850
ADDRESS:1400 SAN LEANDRO BOULEVARDTELEPHONE:
(510) 566-5007
CITY:SAN LEANDROSTATE: CAZIP CODE:
94577
CAPACITY: 59TOTAL ENROLLED CHILDREN: 59CENSUS: 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 a PRESCHOOL license. A health and safety inspection was conducted inside and outside. The preschool program will operate in 4 classrooms (Classrooms 1 through 4). Also on site is an Infant Component operating out of 1 classroom. Operating hours Monday through Friday from 7:00AM - 6:00PM. The measurements are as follows:

INDOORS: 2137.92 square feet = 61 children
OUTDOORS: 2226.85 square feet = 30 children

Measurements were taken of each room and of the out door play yard. There are two separate staff bathrooms and one will be utilized for an isolation restroom if a child becomes ill. A waiver and a yard schedule will be submitted for yard space never to exceed more than 30 children on the yard at one time. There is a fully stocked first aid kit with all required equipment available and a locked box for stored medications. The kitchen is kept off limits by a closed door. No exit doors were blocked. There is ample toys and furnishings throughout the center for children's use. There are cots and mats available for children.

There are 6 toilets (sized appropriately) and 6 sinks available for children's use. Heating and lighting was adequate. There is a play structure in the play yard and it is cushioned with poured rubber. The center Director will be Yalin Miller and a directors packet with all required documentation was submitted to CCL to complete the application. There is an approved fire clearance signed on 10/15/2021 for 59 preschool aged children and 6 infant aged children.

Report continued on 809C
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: 015700549
VISIT DATE: 10/18/2021
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There are no bodies of water nor hazards found on the premises. Playground equipment is in good condition. Drinking water is available inside and outside. All toilets and hand washing facilities are in safe and sanitary operating conditions. All licensing required documents are posted. 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

A license for 59 preschoolers operating out of 4 classroom (Classrooms 1 through 4) recommended effective today, 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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