013423434-1-16-2025-52-CC-LDBX-DCYU5A-20250116141626

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013423434
Report Date: 01/16/2025
Date Signed: 01/16/2025 02:16:33 PM

Document Has Been Signed on 01/16/2025 02:16 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:	BERRY, MARIE LINDA		FACILITY NUMBER:	013423434
ADMINISTRATOR/ DIRECTOR:	BERRY, MARIE LINDA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(925) 750-7680
CITY:	PLEASANTON	STATE: CA	ZIP CODE:	94588
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 8	DATE:	01/16/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	12:25 PM
MET WITH:	Linda Marie Berry		TIME VISIT/ INSPECTION COMPLETED:	02:35 PM

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On January 16, 2025, Licensing Program Analyst (LPA) Lorraine Dacanay Breaux, met with licensee Linda Marie Berry for an UNANNOUNCED ANNUAL REQUIRED INSPECTION. Present for the inspection were 8 day care children and 2 fingerprint cleared assistants. The home was toured to conduct a Health and Safety Inspection. The facility currently operates Monday - Friday 06:30AM - 5:30PM.

The home is a single story home with 4 bedrooms, 2 bathrooms, living room, family room, kitchen with dinning area, laundry room, garage, three sheds back yard with locks. The home appears to be neat and clean with central heating and ventilation for safety and comfort. The home does have a fireplace in the living room that is screened to prevent access to children. Facility does carry insurance LPA reviewed, expires on 03/18/2025.

ON-LIMIT AREAS: Family room (front of the home), living room, dining room, and the main bathroom in the hallway, and the rear yard which is fully fenced. Isolation Area: Office ( Room with the glass double doors) away from the children in care, until the parents arrive.

OFF-LIMIT AREAS: All bedrooms which includes the master bedroom and bathroom, and the garage. Off limit areas and will be inaccessible to children by locked doors, safety gates and visual supervision.

All hazardous materials and toxins are kept out of reach from children and are not accessible. The home has a fully charged 3A40BC fire extinguisher located in the kitchen, working smoke detector(tested), carbon monoxide detector(tested), telephone and fully stocked first aid kit. There are no pools, hot tubs or any other bodies of water present at the time of the inspection. Licensee confirmed there are no pools/bodies of water during today's visit. Per licensee resides in the home. Per licensee there are no firearms on the premises. Per licensee does not transport children.

Page 1 of 3 ***Continued on LIC 809C***

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Lorraine Dacanay-Breaux
LICENSING EVALUATOR SIGNATURE:	DATE: 01/16/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 3

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: BERRY, MARIE LINDA	FACILITY NUMBER: 013423434
	VISIT DATE: 01/16/2025

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Records: LPA reviewed 2 children’s files and 3 personnel records. There is a current roster available for review and copy obtained. The licensee's Pediatric CPR/First Aid certificate expires on 2/17/2025 and the Mandated Reporter certificate recently expire on 01/24/2026. Licensee is reminded of their responsibility to renew CPR/First Aid and Mandated Reporter certificates every two years. The licensee conducts and documents fire and disaster drills twice a year 08/15/2024. All required forms are posted and visible for public review.

Criminal Record Clearance: 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.

Unusual Incident/Student Injury Report: Effective August 1, 2003 California Law requires Child Care Licensees to report unusual incidents or injuries to children in care to child’s parents and to the Department of Social Services using the Unusual Incident/Injury Form (LIC 624). Incidents must be reported within 24 hours to the regional office by phone and the written report, LIC 624, within 7 business days.

MyChildCarePlan.org: Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Megan’s Law: During the exit interview, the licensee, Linda Marie Berry confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

Page 2 of 3 ***Continued on LIC 809C***

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Lorraine Dacanay-Breaux
LICENSING EVALUATOR SIGNATURE:	DATE: 01/16/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2025

LIC809 (FAS) - (06/04)

Page: 2 of 3

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: BERRY, MARIE LINDA	FACILITY NUMBER: 013423434
	VISIT DATE: 01/16/2025

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Safe Sleep: LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Licensee cares for children starting at the age of 2 years old.

Incidental Medical Services (IMS): Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at http://www.ada.gov/resources/child-care-centers/.

Licensee is not administering medication during today's visit.

CCLD Inspection Process: To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

No deficiencies cited during today's inspection.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Appeal Rights Provided. Exit interview conducted and report was reviewed with the licensee, Linda Marie Berry.

Page 3 of 3 ***End of Report***

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Lorraine Dacanay-Breaux
LICENSING EVALUATOR SIGNATURE:	DATE: 01/16/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2025

LIC809 (FAS) - (06/04)

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