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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423009
Report Date: 02/19/2025
Date Signed: 02/19/2025 02:33:54 PM

Document Has Been Signed on 02/19/2025 02:33 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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:ZULUETA PINEDA, CLAUDIAFACILITY NUMBER:
013423009
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 7DATE:
02/19/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:45 PM
MET WITH:Claudia Zuleta PinedaTIME VISIT/
INSPECTION COMPLETED:
02:45 PM
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On February 19, 2025, at 12:45 PM., Licensing Program Analyst (LPA) Elimika Woods met with the licensee Claudia Zulueta Pineda for an Unannounced Capacity Increase Inspection. Present during the inspection were four preschool age children, and three school age children. The facility operates 8:00 AM-5:00 PM, Monday-Friday.

The licensee's home was toured for a health and safety inspection. The one story home consist of three bedrooms, one bathroom, a living room, kitchen, garage, and backyard. LPA tested the dual smoke and carbon monoxide detector in the living room and found it to be functioning properly. The home also has a 3A40BC fire extinguisher hanging on the kitchen wall which meets standards established by the State Fire Marshal, a working telephone, and a first aid kit.

ON LIMIT AREAS are: the living room, the first bedroom located on the left side of the hallway, and the hallway bathroom.

OFF LIMIT AREAS are: the kitchen, the master bedroom, the bedroom next to bathroom, and the garage.
The ISOLATION AREA will be the first bedroom located on the left side of the hallway.

This home was granted a fire clearance on 02/06/2025 from the Hayward Fire Department.

This home has fireplace that has a barricade/screen to prevent access by children in the living room and two wall heaters that are blocked/screened to prevent access by children in the hallway. LPA asked the licensee does she transports children and the licensee stated that she does not transport children. All toxin, hazardous materials and cleaning products were observed to be in inaccessible areas.

The Backyard area is the fully fenced backyard and LPA observed that it is free from defects or dangerous conditions. During today's inspection, there's a play structure with a swing and slide that’s anchored to the ground with cushioning underneath to absorb children falls. There are ample age-appropriate toys that appear to be safe and in good condition. There are two sheds with locks to prevent children access to equipment in the backyard.

See 809C
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Elimika Woods
LICENSING EVALUATOR SIGNATURE: DATE: 02/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/19/2025
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: ZULUETA PINEDA, CLAUDIA
FACILITY NUMBER: 013423009
VISIT DATE: 02/19/2025
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Licensee's Pediatric CPR & first aid training is complete and expires 04/2025. The licensee's Mandated Reporter training is also complete and expires 01/19/2026. The licensee conducts and documents fire and disaster drills twice a year with the last one conducted on 12/12/2024. All required forms are posted and visible for public view in the living room.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

A license for a large family childcare has been granted today, 02/19/2025. A notice of site visit was given to licensee and must remain posted for 30 days. Exit interview conducted and report was reviewed with licensee, Claudia Zulueta Pineda.

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Elimika Woods
LICENSING EVALUATOR SIGNATURE:

DATE: 02/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2025
LIC809 (FAS) - (06/04)
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