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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073408921
Report Date: 06/14/2023
Date Signed: 06/14/2023 04:01:32 PM

Document Has Been Signed on 06/14/2023 04:01 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:LITTLE ROSES PRESCHOOL-CARQUINEZ GARDEN SCHOOLFACILITY NUMBER:
073408921
ADMINISTRATOR:POSNER, HEATHERFACILITY TYPE:
850
ADDRESS:1650 CROCKETT BOULEVARDTELEPHONE:
(510) 837-8283
CITY:CROCKETTSTATE: CAZIP CODE:
94525
CAPACITY: 32TOTAL ENROLLED CHILDREN: 32CENSUS: 17DATE:
06/14/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
03:15 PM
MET WITH:POSNER, HEATHERTIME COMPLETED:
04:15 PM
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On June 14, 2023 at 1:25 PM Licensing Program Analyst (LPA) Nyeesha Blount conducted an unannounced case management inspection for an Unusual incident report that was reported on May 31, 2023. LPA met with Director Posner,Heather who advised she received a call from a parent on May 31,2023 advising that her child stated that a teacher slapped her in the face ( didn't specify which side of the face) Parent stated she was shocked and didn't think it actually happened, But she just wanted to bring it to the facility's attention. Director stated parent advised her that the child has been telling some little white lies lately ( by telling the staff it was her birthday when it was not). On June 31, 2023 Director had a conversation with Co- teacher Jacqueline Orellana whom was in the room behind a partisan having her lunch. She advised Director that she didn't hear anything like crying or yelling or that any issue had occurred. Director spoke with the teacher Susana whom was really shocked and surprised of hearing the allegation, upon the child arriving to school she ran and sat in Susanna's lap so she could read her a story. Director stated once she received the news she sent her home until able to talk to other staff & herself. LPA spoke with Co Teacher Jacqueline which stated she did not hear any noise or crying, that she and Susanna were both surprised of hearing what happened. Jacqueline stated the next day the child had the same normal behavior sitting with susanna while she was reading to her. Jaqueline stated she has never seen any issues with Susanna with children, she is a very nice person, she engages with the children, plays with the kids & reads to them, that she has a good relationship with her. LPA was not able to speak with Susanna due to leaving earlier today.Director stated she trust her staff and she doesn't feel as well as the parent that this has occurred, But wanted to be on the safe side by reporting to Licensing,
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Nyeesha Blount
LICENSING EVALUATOR SIGNATURE: DATE: 06/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/14/2023
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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