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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073404676
Report Date: 06/15/2023
Date Signed: 06/15/2023 03:32:47 PM


Document Has Been Signed on 06/15/2023 03:32 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:LANDON, MINERVAFACILITY NUMBER:
073404676
ADMINISTRATOR:LANDON, MINERVAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(925) 642-4683
CITY:ANTIOCHSTATE: CAZIP CODE:
94509
CAPACITY:14CENSUS: 9DATE:
06/15/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:50 PM
MET WITH:Minerva LandonTIME COMPLETED:
04:00 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 06/15/2023 at 1:50 PM, Licensing Program Analyst (LPA) Christina Watts arrived at licensee's Minerva Landon's large family home to conduct a Case Management inspection. Licensee was not home at the time of LPA arrival. LPA contacted licensee and licensee stated they were at James Dolon Community Park with daycare children. LPA met licensee at the Park to conduct an follow for Unusual Incident. During today's inspection, there are 9 children in care ( 4 preschoolers and 5 school age children) with an aide. Licensee stated they are 11 children enrolled. Licensee and Aide have Criminal Record Clearance.

LPA is following up on an self reported incident on April 26, 2023. Licensee reported that a neighbor threw rocks at the children outside while facility was eating lunch. Licensee stated that on April 24, 2023, licensee was setting up lunch for the children outside in the backyard. Licensee stated as children were eating lunch, their neighbor were outside on their side of the yard when the neighbor started verbally harassing the licensee. The licensee stated that she decided to have the children go inside to eat lunch. Licensee stated as the children were going inside, the neighbor's son started throwing small rocks from their side of the backyard to the licensee's backyard. Licensee stated that children were hit with the rock as they walking inside. Licensee stated that no children were hurt by the small rocks. Licensee stated that they informed the children's parent about the incident as well as licensing. Licensee stated they also called the police regarding the rock throwing incident. Licensee stated that the police showed up after the facility was closed and provided licensee information on how to move forward.

Licensee followed procedure in respect to contacting children's parent/authorized representative as well as contacting licensing when an unusual incident occurs in the home. There are no deficiencies being cited during today's inspection.

Exit interview conducted and report was reviewed with the licensee, Minerva Landon. A notice of site visit was given and must remain posted for 30 consecutive days.
SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 421-3587
LICENSING EVALUATOR NAME: Christina WattsTELEPHONE: (510) 246-1797
LICENSING EVALUATOR SIGNATURE:
DATE: 06/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/15/2023
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