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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434415330
Report Date: 09/13/2024
Date Signed: 09/13/2024 10:16:47 AM

Document Has Been Signed on 09/13/2024 10:16 AM - 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:STOCK FARM ROAD CHILDREN'S CENTERFACILITY NUMBER:
434415330
ADMINISTRATOR/
DIRECTOR:		RODRIGUEZ, SENCHALFACILITY TYPE:
830
ADDRESS:183 STOCK FARM ROADTELEPHONE:
(650) 736-8465
CITY:STANFORDSTATE: CAZIP CODE:
94305
CAPACITY: 64TOTAL ENROLLED CHILDREN: 64CENSUS: 31DATE:
09/13/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Senchal RodriguezTIME VISIT/
INSPECTION COMPLETED:
10:30 AM
NARRATIVE
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On 09/13/2024 at 9:00am, 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 Senchal Rodriguez. Also present during the inspection were 13 fingerprint-cleared staff and 31 children (9 infants and 22 toddlers) in care. The facility is within ratio and in compliance with capacity regulations today. The facility was toured to conduct a Health and Safety Inspection.

The incident occurred on 09/09/2024 and was reported to Licensing on 09/10/2024. Per director, one (1) toddler was left unattended in the toddler play yard for approximately 3-4 minutes until a teacher found the toddler.

During today’s inspection, LPA conducted interview with the director. LPA also observed the location of the classroom in relation to the toddler play yard and where the child was later found. The play yard is located down a ramp and around the corner from the classroom. The teachers’ view of the play yard while in the classroom is fully obstructed. Based on the information obtained during the director interview and LPA observation, LPA determined the child was left unsupervised, which posed an immediate threat to the health and safety of the child in care.

Absence of supervision is an Immediate $500 violation. As a result, a Type A deficiency is issued and a civil penalty of $500 is 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 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 Senchal Rodriguez.

Page 1 of 1. End of Report.

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Jialing Zhu
LICENSING EVALUATOR SIGNATURE: DATE: 09/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/13/2024
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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Document Has Been Signed on 09/13/2024 10:16 AM - It Cannot Be Edited


Created By: Jialing Zhu On 09/13/2024 at 09:51 AM
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: STOCK FARM ROAD CHILDREN'S CENTER
FACILITY NUMBER: 434415330

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/13/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/13/2024
Section Cited
CCR
101229(a)(1)

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101229 Responsibility for Providing Care and Supervision (a)(1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.

This requirement was not met as evidenced by:
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Per Director, the two (2) teachers responsible for providing care and supervision for the child was placed on temporarily leave, then written up for the incident. The teachers have returned on site as of today's inspection.
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Based on observation and interview, the licensee did not comply with the section cited above as one (1) child was left unattended in the toddler play yard, which poses an immediate health, safety, and/or personal rights risk to persons in care.
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During today's inspection, LPA reveiwed the Performance Improvement Plans for the teachers involved and determined it is sufficient to clear the deficiency.

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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: 09/13/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/13/2024


LIC809 (FAS) - (06/04)
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