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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013418997
Report Date: 10/20/2026
Date Signed: 10/20/2026 01:47:09 PM

Document Has Been Signed on 10/20/2026 01:47 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 CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:OUSD - ALLENDALE PRESCHOOLFACILITY NUMBER:
013418997
ADMINISTRATOR/
DIRECTOR:		HERRERA, CHRISTIEFACILITY TYPE:
850
ADDRESS:3670 PENNIMAN AVE.TELEPHONE:
(510) 879-1010
CITY:OAKLANDSTATE: CAZIP CODE:
94619
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 20DATE:
10/20/2026
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:39 AM
MET WITH:Stephanie JosephTIME VISIT/
INSPECTION COMPLETED:
02:01 PM
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On October 20, 2026, Licensing Program Analyst (LPA) Indira Loza met with OUSD Compliance Coordinator Stephanie Jones for an Unannounced Required - 3 Year Inspection. Present in care were 18 preschoolers and four staff. The teacher- child ratio was within compliance during the visit. The center was toured for a health and safety inspection. The facility operates Monday through Friday from 8:00am - 3:00pm.

Classrooms: The preschool operates out of one classroom in the Allendale Elementary School campus. The room floors and surfaces were observed to be clean and safe. Furniture and equipment were maintained in good condition, free of sharp, loose or pointed parts. The heating, lighting and ventilation is adequate. The activities and toys appear to be age appropriate for the children in care. The children have their own cubbies to store personal belongings. During today's inspection, LPA observed cleaning supplies/toxic items accessible to children. The cleaning supplies were located under the children's hand washing sink in an unlocked cabinet. There is a working telephone number for the center. The center provides a variety of daily activities which include quiet and active play, rest and relaxation, eating and toileting. On two separate occasions during today's visit, LPA observed children unsupervised in the classroom while the rest of the classroom were outside on the play yard.

Outdoor yard: The playground is maintained in a safe condition, and free of hazards. The play area is fully fenced with shaded areas for the children. There is a play structure on the play yard, and cushioning underneath the play structure to absorb any falls. There are no pools, fishponds, fixed in place wading pools or similar bodies of water on the property.



Food Service: The facility provides Breakfast, Lunch, and one snack to the children in care. Cleaning equipment was observed to be stored in separate areas from the food supplies. All menus were current and posted.
Mayla Mendoza
Indira Loza
DATE: 10/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/20/2026
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

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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 CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: OUSD - ALLENDALE PRESCHOOL
FACILITY NUMBER: 013418997
VISIT DATE: 10/20/2026
NARRATIVE
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Fire System: There is a working carbon monoxide detector in the classroom and smoke detectors are hardwired throughout the building. There is a first aid kit, and a fully charged 3A40BC fire extinguisher next to the main entrance to the classroom. The center documents their disaster drills every six months, and the last fire drill conducted was on 10/15/26.

Postings: The license is posted in a prominent publicly accessible location of the center. There is a posted form that contains local health department and information on child passenger restraints. LPA observed the Parents Rights (LIC995) and Personal Rights (LIC613A) posted. All proper postings are posted.

Records: A physical census of the children was taken and cross referenced with the sign-in and out log sheet, all children were accounted for and properly signed in.
A random sampling of six children files were reviewed, and children files were complete. 2 of 4 staff had no personnel file and two staff had partially complete staff files available. 1 of 4 staff had their immunization records available for review. 1 of 4 staff had a current Mandated Reporter certificate. There is one staff with a current Pediatric CPR/First Aid certificate throughout the day which expires on 6/14/27. During the visit, it was confirmed that the individual listed as the Director is no longer employed at the facility.

Medications - Incidental Medical Services (IMS): The facility is currently not providing any IMS.

Director facility representative was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

CCC Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test as specified in Health and Safety Code section 1597.16.

For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP.).

NAME OF LICENSING PROGRAM MANAGER: Mayla Mendoza
NAME OF LICENSING PROGRAM ANALYST: Indira Loza
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2026
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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 CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: OUSD - ALLENDALE PRESCHOOL
FACILITY NUMBER: 013418997
VISIT DATE: 10/20/2026
NARRATIVE
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LPA verified that the lead testing was completed in accordance to the Written Directives (Interim Licensing Standards) outlined in PIN 21-21.1-CCP. CCC has completed the lead testing and no exceedances were found.

LPA referred licensee to the Department website for lead: Lead Toxicity Prevention and Water Testing Information (https://www.cdss.ca.gov/inforesources/child-care-licensing/water-testing-information)

For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514- 0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

Director was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to [email protected]. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process. There were no citations issued during today's inspection.

Exit interview conducted and report was reviewed with OUSD Compliance Coordinator Stephanie Joseph.

A notice of site visit was given and must remain posted for 30 days. A copy of the report was provided. Appeal Rights were provided.

NAME OF LICENSING PROGRAM MANAGER: Mayla Mendoza
NAME OF LICENSING PROGRAM ANALYST: Indira Loza
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2026
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 10/20/2026 01:47 PM - It Cannot Be Edited


Created By: Indira Loza On 10/20/2026 at 12:50 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, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: OUSD - ALLENDALE PRESCHOOL
FACILITY NUMBER: 013418997

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/20/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101238.4(d)
Storage Space
(d) Combustibles, cleaning equipment and cleaning agents shall be stored in an area separate from food supplies in a locked cabinet or in a location inaccessible to children.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above due to an unlocked cabinet under the children's handwashing sink which contained cleaning agents easily accessible to the children in care. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/13/2026
Plan of Correction
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The facility representative shall send the LPA either a plan of how they will ensure the cabinet stays locked at all times, or send a photo of an installed self-latching safety lock, or a photo of the chemicals relocated to an area that's inaccessible to children. The plan or photo shall be emailed to the LPA no later than 11/13/26.
Type B
Section Cited
CCR
101229(a)(1)
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, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above due to two seperate occasions during the visit, LPA observed children in the classroom unsupervised while the remainder of the classroom was outside on the play yard, this poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/13/2026
Plan of Correction
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The facility representative shall hold a meeting with all staff discussing plans for how they will maintain 100% supervision. The plan and a staff sign-in sheet shall be emailed to the LPA no later than 11/13/26.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Mayla Mendoza
NAME OF LICENSING PROGRAM MANAGER:
Indira Loza
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 10/20/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/20/2026


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 10/20/2026 01:47 PM - It Cannot Be Edited


Created By: Indira Loza On 10/20/2026 at 12:50 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, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: OUSD - ALLENDALE PRESCHOOL
FACILITY NUMBER: 013418997

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/20/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101215.1(b)
Child Care Center Director Qualifications and Duties
(b) All child care centers shall have a director.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on interview, the licensee did not comply with the section cited above due to Director Christie Herrera no longer being employed at the center with no replacement Director assigned after her departure. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/20/2026
Plan of Correction
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The facility representative shall obtain a new Director and send the LPA a completed Director's Packet no later than 11/20/26.
Type B
Section Cited
CCR
101217(a)
Personnel Records
(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on interview and record review, the licensee did not comply with the section cited above in 2 of 4 staff did not have a Personnel Record and 2 of 4 staff had an incomplete Personnel Record. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/20/2026
Plan of Correction
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The facility representative shall send the LPA a copy of all staff's personnel records. This shall be sent to the LPA no later than 10/20/26.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Mayla Mendoza
NAME OF LICENSING PROGRAM MANAGER:
Indira Loza
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 10/20/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/20/2026


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 10/20/2026 01:47 PM - It Cannot Be Edited


Created By: Indira Loza On 10/20/2026 at 01:08 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, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: OUSD - ALLENDALE PRESCHOOL
FACILITY NUMBER: 013418997

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/20/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in 3 of 4 staff did not have the Mandated Reporter certificate which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/13/2026
Plan of Correction
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The facility representative shall have all staff take the Mandated Reporter course and send the LPA the staff's certificates no later than 11/13/26.
Type B
Section Cited
HSC
1596.7995(a)(1)
General Provisions and Definitions
(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above 3 of 4 staff did not have immunization records available which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/13/2026
Plan of Correction
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The facility representative shall obtain the staff's immunization records and send them to the LPA no later than 11/13/26.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Mayla Mendoza
NAME OF LICENSING PROGRAM MANAGER:
Indira Loza
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 10/20/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/20/2026


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