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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434400296
Report Date: 12/20/2024
Date Signed: 12/20/2024 02:45:45 PM

Document Has Been Signed on 12/20/2024 02:45 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:CHILDREN'S PRE-SCHOOL CENTER, THEFACILITY NUMBER:
434400296
ADMINISTRATOR/
DIRECTOR:		YENIKOMSHIAN, OLLIAFACILITY TYPE:
850
ADDRESS:4000 MIDDLEFIELD ROAD T-1TELEPHONE:
(650) 493-5770
CITY:PALO ALTOSTATE: CAZIP CODE:
94303
CAPACITY: 112TOTAL ENROLLED CHILDREN: 112CENSUS: 62DATE:
12/20/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:50 PM
MET WITH:Marilyn GravesTIME VISIT/
INSPECTION COMPLETED:
03:15 PM
NARRATIVE
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On 12/20/2024 at 12:45pm, Licensing Program Analyst (LPA) Jialing “Julianne” Zhu conducted an unannounced case management inspection for the purpose of investigating a reported incident. LPA met with Director Marilyn Graves. Also present during the inspection were 13 fingerprint-cleared staff and 62 children in care. The facility is within ratio and in compliance with capacity regulations today.

The incident occurred on 12/11/2024 and was reported to Licensing on 12/12/2024. Per director, one (1) preschooler was left unattended for approximately 4 minutes in the outdoor play area after class had transitioned back into the classroom.

During today’s inspection, LPA reviewed the above information with Director and conducted an interview to obtain more information. The facility was toured to conduct a Health and Safety Inspection of the outdoor play area where the child was reportedly unsupervised. The outdoor play area where the unsupervised child was found is fully fenced all around. One side of the fence is at least 5 feet high and has a gate that leads out of the facility. The gate is equipped with a push bar handle and alarm. The fence on the opposite side is approximately 3.5 feet high and shared with another outdoor play area. At the time of the incident, the unsupervised child was alone in the yard as the teacher transitioned inside with the children. The door to the yard was closed. Two (2) teachers were present in the other yard supervising their own children. One of the teachers heard the child, looked over into the other yard, and noticed the child alone. The teacher immediately went into the other yard and brought the child into the classroom. A health check was conducted immediately, and the child was unharmed. Based on the obtained information and LPA’s observation, LPA determined the child was left unsupervised, which posed an immediate threat to the health and safety of the child in care. After this incident, the following actions has been taken by the facility: child’s parent was notified, director talked to all teachers about the importance of name to face checks, the parent community was notified of this incident via email on 12/12/2024, and a mandatory staff meeting was held on 12/16/2024. LPA obtained a copy of the email sent to the parent community and meeting minutes from the staff meeting along with the attendance sheet. The facility already has a name-to-face check system in place where children are checked off on a clipboard. Additional steps have been put in-place: verbal confirmation of how many children is inside/outside during transitions. Page 1 of 2. See LIC 809C.

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Jialing Zhu
LICENSING EVALUATOR SIGNATURE: DATE: 12/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/20/2024
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: CHILDREN'S PRE-SCHOOL CENTER, THE
FACILITY NUMBER: 434400296
VISIT DATE: 12/20/2024
NARRATIVE
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Absence of supervision is an Immediate $500 violation. In addition, the facility was previously cited for absence of supervision on 05/22/2024. LPA determined this is a repeat violation within as 12-month period of California Code of Regulations 101229(a)(1), which will result in an immediate civil penalty of $1000. In summary, a Type A deficiency was issued and an immediate civil penalty of $1000 was assessed during today’s inspection.

As a result of the Type A deficiency cited during today’s inspection, a copy of this report and LIC 9224 Acknowledgment of Receipt of Licensing Reports must be provided to parents/guardians of current enrolled children in care and all children newly enrolled following a 12-month period of this report. The LIC 9224 must be signed within the next business day the children are in care and is to be kept in the children’s files.

A Notice of Site Visit was given and must remain posted for 30 days. Exit interview was conducted, report was reviewed, and Appeal Rights were provided to Director Marilyn Graves.

Page 2 of 2. End of Report.

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Jialing Zhu
LICENSING EVALUATOR SIGNATURE:

DATE: 12/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 12/20/2024 02:45 PM - It Cannot Be Edited


Created By: Jialing Zhu On 12/20/2024 at 02:19 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
, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: CHILDREN'S PRE-SCHOOL CENTER, THE
FACILITY NUMBER: 434400296

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/20/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/23/2024
Section Cited
HSC
101229(a)(1)

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Responsibility for Providing Care and Supervision 101229(a)(1) No child(ren) shall be left without the supervision of a teacher at any time... Supervision shall include visual observation.
This requirement was not met as evidenced by:
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LPA obtained sufficient information from Director to conclude this deficiency has been addressed with all parties involved within the facility. Precautions following this incident have also already been taken. (See LIC 809 for the information LPA obtained and observations of precautions taken as a result.)
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Based on LPA observations and interview, the licensee did not comply with the section cited above as a child was left unsupervised in the yard, which posed an immediate threat to the health and safety of the child in care.
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LPA shall endorse the facility the Technical Support Program (TSP), which is the non-enforcement service of Community Care Licensing to help providers.

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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:Chandra Charles
LICENSING EVALUATOR NAME:Jialing Zhu
LICENSING EVALUATOR SIGNATURE:
DATE: 12/20/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/20/2024


LIC809 (FAS) - (06/04)
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