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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073408763
Report Date: 07/10/2024
Date Signed: 07/10/2024 10:18:15 AM


Document Has Been Signed on 07/10/2024 10:18 AM - 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:LIGON, JANELLEFACILITY NUMBER:
073408763
ADMINISTRATOR:LIGON, JANELLEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(925) 325-2766
CITY:BRENTWOODSTATE: CAZIP CODE:
94513
CAPACITY:14CENSUS: 10DATE:
07/10/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Janelle LigonTIME COMPLETED:
10:30 AM
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Licensing Program Analyst (LPA) Cherie Acosta and Dealia Frison conducted an unannounced case management inspection. Present during the inspection was the licensee, her fingerprint cleared assistant and fingerprint cleared adult daughter/assistant. There were 5 preschool aged children and 5 school aged children in care.

The licensee has a pool that is fenced with a self closing gate that opens away from the pool. There is access to the pool from the dining room window. The pool fence does not prevent access to the pool from the window. The licensee has requested a waiver to use an adjustable child safety window guard to prevent access to the pool from the dining room window. The waiver has been approved. Licensee was provided a copy of the waiver. Licensee must comply with the conditions of the waiver and the waiver must be posted during child care hours.

Exit interview and report reviewed with Janelle Ligon.
Notice of Site Visit was provided and must be posted for 30 days.
SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Cherie AcostaTELEPHONE: (510) 622-1623
LICENSING EVALUATOR SIGNATURE:
DATE: 07/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/10/2024
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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