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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 010215117
Report Date: 04/25/2023
Date Signed: 04/25/2023 12:15:21 PM


Document Has Been Signed on 04/25/2023 12:15 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:JOSEPH-WHITEHEAD, DELORIS JFACILITY NUMBER:
010215117
ADMINISTRATOR:WHITEHEAD-JOSEPH, DELORISFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 482-9635
CITY:OAKLANDSTATE: CAZIP CODE:
94602
CAPACITY:12CENSUS: 3DATE:
04/25/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:35 AM
MET WITH:Deloris Joseph-WhiteheadTIME COMPLETED:
12:21 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 April 25, 2023 at 10:35 PM, Licensing Program Analyst (LPA) Indira Loza met with Licensee Deloris Joseph-Whitehead for an Unannounced Required Annual Inspection. There were three children present in care, and three additional fingerprint cleared adults. The teacher/ child ratio was being met today. The home was toured for a health and safety inspection. The facility operates from 6:00AM – 6:00PM Monday through Friday.

Due to time constraints the annual inspection will be continued at a later date.

There were no deficiencies cited during today's visit.
Exit Interview conducted.
Appeal Rights, Notice of Site visit, and report provided to Licensee Deloris Joseph-Whitehead.
SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 292-9724
LICENSING EVALUATOR NAME: Indira LozaTELEPHONE: 510-368-3672
LICENSING EVALUATOR SIGNATURE:
DATE: 04/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/25/2023
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 1