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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013422117
Report Date: 11/06/2025
Date Signed: 11/06/2025 05:17:50 PM

Document Has Been Signed on 11/06/2025 05:17 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 SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:REED, ALICIAFACILITY NUMBER:
013422117
ADMINISTRATOR/
DIRECTOR:		REED, ALICIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 798-0353
CITY:NEWARKSTATE: CAZIP CODE:
94560
CAPACITY: 14TOTAL ENROLLED CHILDREN: 34CENSUS: 26DATE:
11/06/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:15 AM
MET WITH:Sandleen BelgaumiTIME VISIT/
INSPECTION COMPLETED:
05:30 PM
NARRATIVE
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On 11/06/2025 at 9:15am, Licensing Program Analysts (LPAs) Christina Uribe and Jialing "Julianne" Zhu conducted an unannounced Case Management visit. The licensee was not present during the inspection. LPAs met with facility representative/assistant, Sandleen Belgaumi, who arrived at 10:58am. Also present at the time of today’s inspection are 4 staff and 26 children.

During today's visit, LPAs conducted a health and safety tour of the child care home, conducted interviews with staff, and reviewed children's and personnel records. LPAs inspected all areas of the home and found that three areas which are off-limit areas were being used or accessed by children in care which does not match the Facility Sketch provided by the licensee detailing which rooms are on/off-limit areas for day care use. LPAs found that 26 children were present today at the same time. After verifying the ages of children present, LPAs found that there are 9 infants and 17 older children between the ages of 2-6 years present. LPAs observed that several infant devices such as high chairs, strollers, and play pens were being used outside of their intended purpose and infants were being restrained in these devices.

During records review, LPAs found that personnel files were either missing or incomplete for all staff, including no current certificates Mandated Reporter Training for Child Care Providers. There was no current Facility Roster (LIC 9040) available for review. The most recent Facility Roster (LIC 9040) that was reviewed was found to be outdated by at least one or two years.


Page 1 of 2 ***Continued on LIC 809C***
NAME OF LICENSING PROGRAM MANAGER: Chandra Charles
NAME OF LICENSING PROGRAM ANALYST: Christina Uribe
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 11/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/06/2025
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.

LIC809 (FAS) - (09/23)
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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 SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: REED, ALICIA
FACILITY NUMBER: 013422117
VISIT DATE: 11/06/2025
NARRATIVE
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One (1) Type A and five (5) Type B Violations issued today:

Type A Violation: Facility is operating out of ratio with 9 infants and 17 older children present.

Type B Violation: Facility is utilizing off-limit areas (primary bedroom, primary bathroom, and garage) for day care use without notifying the Licensing Department.

Type B Violation: Several children were observed to be confined or restricted to some form of restraint for a period of time in furniture that wasn't being used for it's intended purpose.

Type B Violation: Facility staff did not have a current Mandated Reporter certificate for Child Care Providers.

Type B Violation: Personnel files were incomplete with required documents missing.

Type B Violation: A current Facility Roster (LIC 9040) was unavailable for review.

LPA Uribe informed facility representative, Sandleen Belgaumi that this report dated 11/06/2025 documents one Type A citation which shall be posted for 30 consecutive days as there is/are immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Uribe informed the facility representative to provide a copy of this licensing report dated 11/06/2025 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Report was reviewed and a notice of site visit was given and must remain posted for 30 days. Appeal rights were given. Exit interview was conducted with facility representative/assistant, Sandleen Belgaumi.





Page 2 of 2 ***End of LIC 809 Report***
NAME OF LICENSING PROGRAM MANAGER: Chandra Charles
NAME OF LICENSING PROGRAM ANALYST: Christina Uribe
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 11/06/2025 05:17 PM - It Cannot Be Edited


Created By: Christina Uribe On 11/06/2025 at 03:52 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 STE 1102
OAKLAND, CA 94612

FACILITY NAME: REED, ALICIA
FACILITY NUMBER: 013422117

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/06/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/07/2025
Section Cited
CCR
102416.5(d)(1)

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For a Large Family Child Care Home, the maximum number of children for whom care may be provided at any one time when there is an assistant provider in the home..shall be..: Twelve children, no more than four of whom may be infants.
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Facility staff were instructed to call the parents of children in attendance to have children picked up in order to bring the number of children present down to meet ratio compliance. Additionally, licensee will develop a plan for how ratio requirements will be maintained moving
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This requirement was not met as evidenced by: During observations and record review, LPAs found that there are 9 infants and 17 older children present today which poses an immediate risk to the health, safety, and personal rights to children in care.
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forward. This plan will include an attendance schedule for children who will continue with enrollment and a list of children whose enrollment has been terminated. This written plan will be emailed to LPA Uribe at christina.uribe@dss.ca.gov no later than the due date of 11/07/2025.

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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.
Chandra Charles
NAME OF LICENSING PROGRAM MANAGER:
Christina Uribe
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 11/06/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/06/2025


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 11/06/2025 05:17 PM - It Cannot Be Edited


Created By: Christina Uribe On 11/06/2025 at 03:58 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 STE 1102
OAKLAND, CA 94612

FACILITY NAME: REED, ALICIA
FACILITY NUMBER: 013422117

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/06/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/05/2025
Section Cited
CCR
102416.3(a)(6)

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… Licensee shall notify the Department of the proposed changed, including … the following: Any change from an area of the family child care home previously identified as "off limits" to an area where care and supervision will be provided to children in care.
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Licensee will register for the in-person Family Child Care Home Orientation provided and led by CCLD, Child Care Program. Licensee will email proof of registration for this orientation to LPA Uribe at christina.uribe@dss.ca.gov no later than the due date of 12/05/2025.
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This requirement was not met as evidenced by: Based on observation and record review, LPAs found that the off-limit primary bedroom, bathroom, and garage were being used for child care which poses a potential risk to the health, safety, and personal rights to children in care.
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The licensee will also submit a new Facility Sketch (LIC 999) which details the on and off-limit rooms within the child care home. The new sketch will be emailed to LPA Uribe at christina.uribe@dss.ca.gov no later than the due date of 12/05/2025.
Type B
12/05/2025
Section Cited
CCR102423(a)(2)

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Each child receiving services from a family child care home shall have certain rights … These rights include, but are not limited to, the following: to receive safe, healthful, and comfortable accommodations, furnishings, and equipment. This requirement was not met as evidenced by:
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Licensee will register for the in-person Family Child Care Home Orientation provided and led by CCLD, Child Care Program. Licensee will email proof of registration for this orientation to LPA Uribe at christina.uribe@dss.ca.gov no later than the due date of 12/05/2025.
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During observations, LPAs found that several infants were being restrained in devices which were not being utilized for their intended purpose for a period of time such as high chairs, stroller, play pens, and swings which poses a potential health, safety, & personal rights risk to children.
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Licensee will also watch the Personal Rights training video on the CCLD website and create a written statement acknowledging the understanding of this requirement. Licensee will email this statement to LPA Uribe at christina.uribe@dss.ca.gov no later than the due date of 12/05/2025.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Chandra Charles
NAME OF LICENSING PROGRAM MANAGER:
Christina Uribe
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 11/06/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/06/2025


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 11/06/2025 05:17 PM - It Cannot Be Edited


Created By: Christina Uribe On 11/06/2025 at 04:08 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 STE 1102
OAKLAND, CA 94612

FACILITY NAME: REED, ALICIA
FACILITY NUMBER: 013422117

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/06/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/05/2025
Section Cited
CCR
102416.1(d)

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All personnel records shall be maintained at the child care home and shall be available to the licensing agency for review.

This requirement was not met as evidenced by:
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Licensee will register for the in-person Family Child Care Home Orientation provided and led by CCLD, Child Care Program. Licensee will email proof of registration for this orientation to LPA Uribe at christina.uribe@dss.ca.gov no later than the due date of 12/05/2025.
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During record review, LPAs found that all personnel files were either incomplete or missing required documentation. Some staff did not have any files available for review which poses a potential health, safety, and personal rights risk to children in care.
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Licensee will also watch the Record Keeping training video on the CCLD website and create a written statement acknowledging the understanding of this requirement. Licensee will email this statement to LPA Uribe at christina.uribe@dss.ca.gov no later than the due date of 12/05/2025.
Type B
12/05/2025
Section Cited
HSC1596.8662(b)(1)

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...a licensed child care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training, and shall complete renewal mandated reporter training every two years... This requirement was not met as evidenced by:
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Licensee will register for the in-person Family Child Care Home Orientation provided and led by CCLD, Child Care Program. Licensee will email proof of registration for this orientation to LPA Uribe at christina.uribe@dss.ca.gov no later than the due date of 12/05/2025.
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During record review, LPAs found that none of the staff present today had a current Mandated Reporter certificate for Child Care Providers which poses a potential risk to health, safety, and personal rights to children in care.
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Licensee and staff will take the Mandated Reporter training and submit certificates for herself and all staff to LPA Uribe at christina.uribe@dss.ca.gov no later than the due date of 12/05/2025.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Chandra Charles
NAME OF LICENSING PROGRAM MANAGER:
Christina Uribe
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 11/06/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/06/2025


LIC809 (FAS) - (06/04)
Page: 6 of 7
Document Has Been Signed on 11/06/2025 05:17 PM - It Cannot Be Edited


Created By: Christina Uribe On 11/06/2025 at 04:17 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 STE 1102
OAKLAND, CA 94612

FACILITY NAME: REED, ALICIA
FACILITY NUMBER: 013422117

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/06/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/05/2025
Section Cited
CCR
102417(g)(8)

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Each family child care home shall have a current roster of children as specified in Health and Safety Code Section 1596.841.

This requirement was not met as evidenced by:
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Licensee will register for the in-person Family Child Care Home Orientation provided and led by CCLD, Child Care Program. Licensee will email proof of registration for this orientation to LPA Uribe at christina.uribe@dss.ca.gov no later than the due date of 12/05/2025.
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During record review, LPAs found that the facility has not maintained a current Facility Roster (LIC 9040) available for review which poses a potential risk to the health, safety, and personal rights to children in care.
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Licensee will also create a current Facility Roster (LIC 9040) with currently enrolled children and children who have been enrolled in the last 3 years. Licesnee will email this roster to LPA Uribe at christina.uribe@dss.ca.gov no later than the due date of 12/05/2025.

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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.
Chandra Charles
NAME OF LICENSING PROGRAM MANAGER:
Christina Uribe
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 11/06/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/06/2025


LIC809 (FAS) - (06/04)
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