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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073407944
Report Date: 07/16/2019
Date Signed: 07/16/2019 11:04:31 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, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:HARRIS, INGE-LISAFACILITY NUMBER:
073407944
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 0DATE:
07/16/2019
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Inge Lisa HarrisTIME COMPLETED:
11:10 AM
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An informal office conference was held for this facility at Oakland Regional Child Care Office on 07/16/19. The conference was attended by Licensing Program Manager, Wynn Norona, Licensing Program Manager, Chandra Charles and licensee, Inge Lisa Harris. Discussed during the conference was the deficiency cited on 07/26/18 and 2/15/17 for over capacity and hazardous items accessible to children on 2/15/17. The licensee has submitted a plan of correction and cleared on the deficiencies. Licensee acknowledged the limitations of her license and understands the importance of following and complying with the regulations.

It was explained to the licensee that the assigned analyst will be making more frequent visits to aid and to insure regulatory compliance. It is the hope of the Department that there will be no further issues that will necessitate administrative action against your license.

Licensee was reminded to update her mandated reporter training by visiting mandatedreporterca.com, CPR/First Aid, children's roster and maintain children's immunization records.

There were no deficiencies cited today. A copy of this report was provided to the licensee and is to remain in the facility records for a period of three years.
SUPERVISOR'S NAME: Diane PerezTELEPHONE: (510) 622-2590
LICENSING EVALUATOR NAME: Wynn NoronaTELEPHONE: (510) 622-2592
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2019
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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