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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013422117
Report Date: 12/02/2019
Date Signed: 12/02/2019 10:35:49 AM

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 STE 1102
OAKLAND, CA 94612
FACILITY NAME:REED, ALICIAFACILITY NUMBER:
013422117
ADMINISTRATOR:REED, ALICIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 359-2460
CITY:NEWARKSTATE: CAZIP CODE:
94560
CAPACITY:14CENSUS: 10DATE:
12/02/2019
TYPE OF VISIT:Annual/RequiredUNANNOUNCEDTIME BEGAN:
08:20 AM
MET WITH:Alicia ReedTIME COMPLETED:
10:45 AM
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 12/02/19, Licensing Program Analysts Briana Plumboy and Jonathan Williams met with licensee Alicia Reed for an UNANNOUNCED REQUIRED ANNUAL INSPECTION. Present for this visit was 1 infant, 9 preschool age children, and assistant Cassidy Melendez. The home was toured to conduct a Health and Safety Inspection. The facility operates from 7:00am until 6:00pm.

The home is single story. The home is neat and clean with heating and ventilation for safety and comfort. The ON LIMIT AREAS are the side entrance addition room, the main play room, last bedroom located on the left side of the hallway, the living room, kitchen, backyard, and hallway bathroom. The OFF LIMIT AREAS are the detached garage and remaining bedrooms which will be inaccessible by closed and/or locked doors and visual supervision. The ISOLATION AREA will be the living room. The BACKYARD play area is fenced. There is an anchored play structure which has cushioning underneath. There are ample age appropriate toys that are in good condition. There are no pools, hot tubs or any other bodies of water present in the on limit areas during today's inspection. The licensee utilizes form Lic.282.

The home has a fully charged 2A10BC fire extinguisher, working smoke detector, carbon monoxide, and working telephone. The licensee CPR and First Aid certificate is current, and her assistant C.Melendez's certificate expires 04/22/2020. The licensee and her assistant Cassidy are in compliance with the immunization law. The assistant and licensee are in compliance with the mandated reporter training law. There is a gated wall heater located in the additional room for childcare. Per licensee, there are no firearms in the home. The licensee conducts and documents fire and disaster drills twice a year with the last fire drill documented on 10/18/19 and the last earthquake drill documented on 11/05/19. Facility roster reviewed. The licensee is in ratio today. All REQUIRED forms are posted and visible for public review.
There are no deficiencies cited. This report shall remain on file for 3 years. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted.
SUPERVISOR'S NAME: Wynn NoronaTELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Briana PlumboyTELEPHONE: (510) 725-7005
LICENSING EVALUATOR SIGNATURE:

DATE: 12/02/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/02/2019
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