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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073409052
Report Date: 06/16/2022
Date Signed: 06/16/2022 05:10:24 PM


Document Has Been Signed on 06/16/2022 05:10 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:PLAZA, CECILIAFACILITY NUMBER:
073409052
ADMINISTRATOR:CECILIA PLAZAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 978-3980
CITY:EL CERRITOSTATE: CAZIP CODE:
94530
CAPACITY:14CENSUS: 13DATE:
06/16/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Cecilia PlazaTIME COMPLETED:
02:45 PM
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On 06/16/2022 at 1:45 PM, Licensing Program Analysts (LPA's) Christina Watts and Monica Mathur conducted an unannounced case management inspection. LPA's met with licensee, Cecilia Plaza and explained the purpose of today's inspection. Licensee currently operates day care out of detached garage with permit from the City of El Cerrito. Licensee wants to add main house as in use area for children in care.

LPA's inspected the main house which consist of 2 bedrooms, 1 bathroom, living room, dining room, kitchen and laundry. Off limit area is laundry closet which is located in the kitchen. Laundry closet is locked and inaccessible to children in care. All rooms in the main house will be used for day care. All dangerous and hazardous items are out of reach of children or in a latched cabinet inaccessible to children. Fire clearance request was approved on 05/11/2022 for the main house.

Main house is approved for IN USE for day-care as of 06/16/2022.

Exit interview was conducted with Applicant, Cecilia Plaza and the report was signed acknowledging receipts of documents.

SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 421-3587
LICENSING EVALUATOR NAME: Christina WattsTELEPHONE: (510) 246-1797
LICENSING EVALUATOR SIGNATURE:
DATE: 06/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/16/2022
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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