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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073408207
Report Date: 10/11/2024
Date Signed: 10/11/2024 01:53:37 PM

Document Has Been Signed on 10/11/2024 01:53 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, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:BABY YALE ACADEMYFACILITY NUMBER:
073408207
ADMINISTRATOR/
DIRECTOR:		STROUGHTER, CHELSEAFACILITY TYPE:
840
ADDRESS:5521 LONE TREE WAY STE. 100TELEPHONE:
(925) 308-7693
CITY:BRENTWOODSTATE: CAZIP CODE:
94513
CAPACITY: 15TOTAL ENROLLED CHILDREN: 15CENSUS: 6DATE:
10/11/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:00 PM
MET WITH:Lita ReevesTIME VISIT/
INSPECTION COMPLETED:
02:00 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
On 10/11/2024 at 12:00 PM, Licensing Program Analyst (LPA) Christina Watts conducted a Case Management Inspection at Baby Yale Academy. LPA met with Owner, Lita Reeves and explained the purpose of this visit. During today's visit, there were 6 school age children in care with 1 staff in one classroom. Owner stated there were 25 school age children enrolled. All staff caring and supervision children have Criminal Record Clearance.

LPA conducted an a visit on an unrelated incident, LPA became aware of an incident occurred in the facility. LPA inspected the facility, reviewed records and conducted interviews. Multiple interviews stated C1 was on top of C5's shoulder and C1 fell off C5's shoulder. C1 sustained a broken arm 2 two places. Multiple interviews stated S1 did not witness the incident and school age children had to inform S1 of the incident. California Code of Regulation, Title 22 states staff are required to visually supervise children at all all times. This incident is in violation of California Code of Regulation, Title 22.

LPA Christina Watts informed Owner, Lita Reeves that this report dated 10/11/2024 with 1 Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.

Furthermore, LPA Watts informed the Owner to provide a copy of this licensing report dated 10/11/2024 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

*SEE LIC 809-D FOR DEFICIENCIES*

Exit interview conducted and report was reviewed with the Owner, Lita Reeves. A Notice of Site Visit was given and must remain posted for 30 consecutive days.

SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Christina Watts
LICENSING EVALUATOR SIGNATURE: DATE: 10/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/11/2024
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
Document Has Been Signed on 12/13/2024 03:13 PM - It Cannot Be Edited

Document is an Amendment of Original Document on 12/11/2024 11:43 AM


Created By: Christina Watts On 10/11/2024 at 12:07 PM
Link to Parent Document Below:
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, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: BABY YALE ACADEMY
FACILITY NUMBER: 073408207

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/11/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
10/14/2024
Section Cited
CCR
101229(a)(1)

1
2
3
4
5
6
7
101229 Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time...Supervision shall include visual observation.
1
2
3
4
5
6
7
By COB 10/14/2024, facility stated they will submit a statement to licensing on how they will come back into compliance. Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.
8
9
10
11
12
13
14
This requirement has not been met as evidenced by: Based on interviews, the licensee did not comply with the section cited above when staff did not observe an incident that happened to result in an injury to C1 which poses an immediate risk to the health, safety or personal rights of children in care.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Sherelle Johnson
LICENSING EVALUATOR NAME:Christina Watts
LICENSING EVALUATOR SIGNATURE:
DATE: 10/11/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/11/2024


LIC809 (FAS) - (06/04)
Page: 2 of 2