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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700597
Report Date: 11/09/2023
Date Signed: 11/09/2023 02:35:07 PM

Document Has Been Signed on 11/09/2023 02:35 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 EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:LITTLE APPLE ACADEMYFACILITY NUMBER:
015700597
ADMINISTRATOR:LEI, TONGXINFACILITY TYPE:
850
ADDRESS:2000 EAST 14TH STREETTELEPHONE:
(415) 623-0837
CITY:SAN LEANDROSTATE: CAZIP CODE:
94577
CAPACITY: 50TOTAL ENROLLED CHILDREN: 50CENSUS: DATE:
11/09/2023
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Tongxin LeiTIME COMPLETED:
02:40 PM
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On November 9, 2023, Licensing Program Manager (LPM) Jason Jang and Licensing Program Analyst (LPA) Simerjit Kaur met with Director Tongxin Lie for an informal meeting at the Oakland Child Care Regional Office. The purpose of the meeting was to discuss the functions of the program and issued citations.

The facility did not have all employees associated to facility.

The facility failed to report an incident that occurred on 9/5/23.

The facility failed to seek timely medical care for a child.

The facility did not follow the limitations on capacity. The facility had infant age children and preschool age children in the same room.

As a plan of correction all staff were required to discuss their responsibilities and follow the Title 22 regulations. The facility director reviewed the above citations and stated that they will implement California Code of Regulations Title 22 for preschool component and infant component. The director will contact CCLD for licensing information when needed. The licensee was reminded that any future serious violation may result in a Non compliance conference.

SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Simerjit Kaur
LICENSING EVALUATOR SIGNATURE: DATE: 11/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/09/2023
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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