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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700557
Report Date: 06/20/2024
Date Signed: 06/20/2024 02:22:18 PM

Document Has Been Signed on 06/20/2024 02:22 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 SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:YMCA OF THE EAST BAY-SIAC EARLY LEARNING CENTERFACILITY NUMBER:
015700557
ADMINISTRATOR/
DIRECTOR:		LILLY, DONUELLFACILITY TYPE:
850
ADDRESS:27211 TYRRELL AVENUETELEPHONE:
(510) 640-5836
CITY:HAYWARDSTATE: CAZIP CODE:
94544
CAPACITY: 100TOTAL ENROLLED CHILDREN: 100CENSUS: 41DATE:
06/20/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Carla CooperTIME VISIT/
INSPECTION COMPLETED:
12:30 PM
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Centralized Application Bureau (CAB) Licensing Program Analyst (LPA) Alecia Sifuentes met with Director of Operations Carla Cooper, Area Manager Monica Williams, Center Director Don Lilly for the purpose of a case management inspection. Licensee requests a decrease in capacity for 72 preschool children ages two years to entry into first grade. The fire clearance (STD850) was granted and received on 5/15/2024. The program currently operates Monday through Friday from 7:00 a.m. to 5:00 p.m.

INDOOR ACTIVITY SPACE:
There are four preschool classrooms located in rooms #4, #6, #8, and #10. LPA used current measurements from report dated 10/20/2022, therefore LPA did not take measurements. Room #4 contains a total of 939 square feet, room #6 contains a total of 710 square feet, room #8 contains a total of 753 square feet, and room #10 contains a total of 785 square feet for a total indoor square footage of 3,187 square feet which will accommodate Licensee’s request for 72 preschool children. There are two toilets and three sinks located in room #4, two toilets and two sinks located in room #6, two toilets and two sinks located in room #8, one sink located in room #10, and two bathrooms located in the hallway with four toilets and six sinks for a total of 10 toilets and 14 sinks available for the preschool children.

OUTDOOR ACTIVITY SPACE:
There is one preschool outdoor area on the property (preschool playground B). LPA used current measurements from report dated 10/20/2022, therefore LPA did not take measurements. Preschool playground B contains a total of 6,508 square feet which will accommodate Licensee’s request for 72 preschool children.

Report continues on LIC809-C.
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Alecia Sifuentes
LICENSING EVALUATOR SIGNATURE: DATE: 06/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/20/2024
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
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: YMCA OF THE EAST BAY-SIAC EARLY LEARNING CENTER
FACILITY NUMBER: 015700557
VISIT DATE: 06/20/2024
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Director 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 notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with Area Manager, Monica Williams.

The following items are required before a license will be issued:
1. Proof of 3 units in Infant Care/Dev. for Director.
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Alecia Sifuentes
LICENSING EVALUATOR SIGNATURE:

DATE: 06/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2024
LIC809 (FAS) - (06/04)
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