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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013414662
Report Date: 03/15/2023
Date Signed: 03/15/2023 01:18:42 PM


Document Has Been Signed on 03/15/2023 01:18 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:WADE, NATASHIAFACILITY NUMBER:
013414662
ADMINISTRATOR:WADE, NATASHIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 423-1509
CITY:OAKLANDSTATE: CAZIP CODE:
94601
CAPACITY:14CENSUS: 6DATE:
03/15/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:20 AM
MET WITH:Natashia WadeTIME COMPLETED:
01:25 PM
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On 03/15/2023 at 11:20 AM Licensing Program Analysts (LPA's) Michelle Sutton Diana Campos conducted an unannounced Annual Required inspection at Natashia Wade Family Childcare Home. LPA met with licensee and explained the purpose of today's inspection. LPA's were granted the inspection authority to enter the Home. The family childcare home days and hours of operation are Monday to Friday 07:30 AM to 08:00 PM. Present in the home at time of inspection were licensee, two fingerprint cleared assistants and 6 children in care.
Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Indoor Space: At 11:30am a health and safety tour of inside the home was done. LPA's toured the premises with licensee. The home is sanitized and orderly in compliance with Title 22 Regulations at this time. There is a 3A40BC fire extinguisher, smoke and carbon monoxide detector in the home.



IN-USE The home is a multi-level home, and the child care is operated in the basement area of the home. The basement consists of a play space, kitchen, bedroom and bathroom, which are all on limits. The child care has sufficient ventilation for safety and comfort. The upper level of the home is off limits, and is made in accessible by closed and/or locked doors and visual supervision. The isolation area is the bedroom. There are ample age appropriate toys that appear to be safe and in good condition. There is a gate at the bottom of the stairs leading down from the upstairs level of the home to the backyard. There are no pools, hot tubs or any other bodies of water. Children's and staff files were reviewed.
SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Diana CamposTELEPHONE: (510) 873-6322
LICENSING EVALUATOR SIGNATURE:
DATE: 03/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/15/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: WADE, NATASHIA
FACILITY NUMBER: 013414662
VISIT DATE: 03/15/2023
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 Medicines, cleaning products, sharp objects are stored inaccessible. LPA reminded licensee that smoking, baby walkers, bouncers, jumpers and similar items are not allowed in family childcare homes. Licensee states that there is 1 dog and no arms and ammunition stored in the home. Home maintains a working telephone.
Outdoor Space: AT 12:35 LPA toured the outdoor area (backyard) and observed it is currently not in use due to extreme weather conditions. LPA observed there are no pools, hot tubs or other bodies of water.
Children files and Facility files were reviewed. Facility contained Children's Roster, Licensee’s mandated reporter training expires 6/13/2024, pediatric CPR and first aid expires 7/2024.

This facility provides Incidental Medical Services- IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.
No deficiencies cited today.
A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the licensee Natashia Wade.
SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Diana CamposTELEPHONE: (510) 873-6322
LICENSING EVALUATOR SIGNATURE:

DATE: 03/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2023
LIC809 (FAS) - (06/04)
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