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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423641
Report Date: 01/05/2024
Date Signed: 01/05/2024 09:06:17 AM

Document Has Been Signed on 01/05/2024 09:06 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:RIERING-CZEKALLA, RUNAFACILITY NUMBER:
013423641
ADMINISTRATOR:RTIERING-CZEKALLA, RUNAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 269-2449
CITY:OAKLANDSTATE: CAZIP CODE:
94602
CAPACITY: 14TOTAL ENROLLED CHILDREN: 11CENSUS: 0DATE:
01/05/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Runa Riering-CzekallaTIME COMPLETED:
09:15 AM
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On 01/05/2024 at 8:45AM Licensing Program Analyst (LPA), A. Curry conducted an announced case management visit to inspect the newly built shed/playhouse in the backyard. LPA met with the licensee, Runa Riering-Czekalla, to explain the purpose of today's visit. A tour of the shed/play house was conducted and there are no health and safety concerns during today's visit. The licensee is aware that day care children shall not eat or sleep in the play house. The shed/play house can be used by day care children effective today 01/05/2024.

Exit interview conducted, appeal rights were given, and report was reviewed with the licensee, Runa Riering-Czekalla.
SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Ashley Curry
LICENSING EVALUATOR SIGNATURE: DATE: 01/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/05/2024
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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