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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013416289
Report Date: 03/09/2020
Date Signed: 09/27/2024 07:57:41 AM

Document Has Been Signed on 09/27/2024 07:57 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:SIMS-HARPER, CARMENFACILITY NUMBER:
013416289
ADMINISTRATOR:SIMS-HARPER, CARMENFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 530-4745
CITY:OAKLANDSTATE: CAZIP CODE:
94602
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 10DATE:
03/09/2020
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Carmen Sims-HarperTIME COMPLETED:
12:45 PM
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On 03/09/20 at 11:30 AM Licensing Program Analysts (LPAs) Monica Mathur and Arminder Singh conducted an Unannounced Plan of Correction (POC) Inspection at Carmen Sims-Harper's family day care. LPAs met with Licensee, Carmen and explained the purpose of today's inspection. Also present was Licensee's fingerprint cleared assistant. There are 10 children in care (5 infants, 5 preschool age). Licensee is out of ratio during the time of inspection.

On 03/05/20 during an unannounced annual/random inspection, facility was issued citation Type A under 102416.5(d)(1):
102416.5 Staffing Ratio and Capacity (d) For a Large Family Child Care Home, the maximum number of children for whom care may be provided at any one time when there is an assistant provider in the home, including children under age 10 who reside at the licensee's home and the assistant provider's children under age 10, shall be either: (1) Twelve children, no more than four of whom may be infants [...]

With 5 infants and 5 preschoolers present during time of inspection today, the day care is out of ratio by 1 extra infant. Civil penalty of $300 assessed for Failure to Correct for period of three (3) days. Licensee states the infant was an unexpected drop in today.

At 12:45 PM this report was reviewed with the Licensee. A NOTICE OF SITE VISIT was issued and must be posted on or adjacent to the interior side of the main door into the home for 30 consecutive days.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Monica Mathur
LICENSING EVALUATOR SIGNATURE: DATE: 03/09/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/09/2020
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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