013423622-2-19-2021-02-CC-LDYN-BYE3PK-20210219172540

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013423622
Report Date: 02/16/2021
Date Signed: 02/19/2021 05:25:48 PM

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:	DIOUF, NDEYE		FACILITY NUMBER:	013423622
ADMINISTRATOR:	DIOUF, NDEYE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 812-0783
CITY:	ALAMEDA	STATE: CA	ZIP CODE:	94501
CAPACITY:	14	CENSUS: 0	DATE:	02/16/2021
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Ndeye Diouf		TIME COMPLETED:	09:30 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 2/16/21 at 8:30am, Licensing Program Manager (LPM) Loretta Dyson conducted a virtual prelicensing inspection with the applicant, Ndeye Diouf. There was no one else present. The inspection was completed thru the FaceTime application due to the COVID-19 pandemic. The applicant submitted an application for a change of location and an increase of capacity. The facility will operate Monday-Friday 7am-7pm. A tour of the home was completed, with LPM directing the applicant to point the camera around, to conduct a health and safety inspection. The home is a two story home, and has a split level first floor. The upper level of the first floor is separated from the lower level of the first floor by five steps. The upper level of the first floor and the second floor of the home will be off limits to children. These areas are made inaccessible with a gate at the bottom of the five steps and a closed door. The lower level of the first floor consists of two rooms and a bathroom which will all be on limits. LPM observed that these areas were neat and appeared to be clean. LPM observed an ample supply of age appropriate toys and activities. LPM did not observe any toxins or hazardous items accessible to children. LPM observed mats for children to sleep on and the applicant advised that she will provide care for children that are old enough to sleep on the mats for now. The applicant advised that she is aware of the new safe sleep regulations, and will have an approved crib available if she provides care for infants. The bathroom has a laundry area with a front loading washing machine and dryer. The applicant advised that these appliances will remain covered and inaccessible to children. LPM did not observe any cleaning supplies or detergents that would be accessible to children. The home has a fully charged 2A10BC fire extinguisher, working smoke detector, working carbon monoxide detector, working telephone, and first aid supplies. LPM verified that the applicant has all of the required postings, including the COVID-19 postings. The applicant was reminded to ensure that parents have access to the information.

SUPERVISOR'S NAME: Mayla Mendoza	TELEPHONE: (510) 873-6408
LICENSING EVALUATOR NAME: Loretta Dyson	TELEPHONE: (510) 622-2633
LICENSING EVALUATOR SIGNATURE:	DATE: 02/16/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/16/2021

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: DIOUF, NDEYE	FACILITY NUMBER: 013423622
	VISIT DATE: 02/16/2021

NARRATIVE

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LPM observed that the backyard is fully fenced. There is a canal behind the home, and LPM observed that the fence near the steps does not appear to be the required height. LPM observed a locked storage shed in the large part of the yard and in the side yard on the right side of the home. The small play structure has sufficient cushioning, underneath to absorb a fall.

A fire clearance, dated 2/2/21, was received from the Alameda City Fire Department. The applicant is reminded of the following: to review and follow COVID-19 guidelines, to ensure that all adults receive the required criminal record clearance and are associated to the license, prior to living or working in the home, and to report any injuries or unusual incidents, including COVID-19 exposures and positive results at the facility. The applicant is advised to review licensing regulations and guidelines, including the Provider Information Notices (PINs) on the website www.ccld.ca.gov and to sign up to receive quarterly updates by email by sending a request to ChildCareAdvocates@dss.ca.gov.

LPM reviewed the ratio and capacity for a large family child care home license, and reminded the applicant to adhere to these requirements at all times. LPM reminded the applicant that an assistant, who is at least 14 years of age, must be present in the home and helping to care for children when operating within the capacity of a large family child care home license. The applicant is reminded that any time an assistant is not present, the ratio and capacity requirements for a small family child care home must be followed. All documents required to complete the increase of capacity application have been received.

This facility will be licensed once verification, that the body of water behind the home is inaccessible to children and the fencing requirements have been met, is completed. An in-person inspection will be conducted to verify this. This report will remain on file for 3 years. An electronic signature will not be obtained, but a copy of the report will be sent to the applicant for signature.

SUPERVISOR'S NAME: Mayla Mendoza	TELEPHONE: (510) 873-6408
LICENSING EVALUATOR NAME: Loretta Dyson	TELEPHONE: (510) 622-2633
LICENSING EVALUATOR SIGNATURE:	DATE: 02/16/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/16/2021

LIC809 (FAS) - (06/04)

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