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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423567
Report Date: 12/06/2024
Date Signed: 12/06/2024 11:38:52 AM

Document Has Been Signed on 12/06/2024 11:38 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
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:PRIMAS, TONJAFACILITY NUMBER:
013423567
ADMINISTRATOR/
DIRECTOR:
FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 7DATE:
12/06/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Tonja PrimasTIME VISIT/
INSPECTION COMPLETED:
11:55 AM
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On 12/06/2024 at 8:30 AM Licensing Program Analyst (LPA) Janai McClain met with Licensee Tonja Primas for an Unannounced Case Management Inspection. Present during the inspection were one infant and six preschool age children in care. The facility operates Monday-Friday 7:30 AM-5:30 PM.

LPA toured the facility to conduct a Health and Safety inspection. LPA observed three fish tanks. Fish tank (1) is on a stand making it inaccessible to children. Fish tank (2) is in the off-limits bedroom near the kitchen. Fish tank (3) is on a low level stand and secured with clips. Licensee will purchase a stand for fish tank (3) or move it to an off-limits area.

No deficiencies were cited during the inspection.

Exit interview conducted and report was reviewed with the Licensee Tonja Primas. Appeal Rights provided.

Notice of Site Visit must remain posted for 30 days.

SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Janai McClain
LICENSING EVALUATOR SIGNATURE: DATE: 12/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/06/2024
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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