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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423679
Report Date: 02/26/2025
Date Signed: 02/26/2025 11:02:09 AM

Document Has Been Signed on 02/26/2025 11:02 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:SANTANA, GERALDOFACILITY NUMBER:
013423679
ADMINISTRATOR/
DIRECTOR:		SANTANA, GERALDOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 527-1652
CITY:BERKELEYSTATE: CAZIP CODE:
94702
CAPACITY: 14TOTAL ENROLLED CHILDREN: 10CENSUS: 5DATE:
02/26/2025
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:45 AM
MET WITH:Priscylle SantanaTIME VISIT/
INSPECTION COMPLETED:
11:15 AM
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Licensing Program Analyst (LPA) Cherie Acosta conducted an unannounced Plan of Correction (POC) visit. LPA met with licensee's fingerprint cleared wife, Priscylle Santana. Licensee was not home during the visit. The home was operating within the ratio of a small family child care home with 3 infants and 2 preschool aged children today as there was only one adult present.

During the visit on 2/20/25, licensee was cited for operating out of ratio with 6 infants and 3 preschool aged children in care.

The citation cited on 2/20/25 is cleared during today's visit as the facility is in ratio today.

Licensee emailed LPA an incomplete plan of correction on 2/24/25 for citation issued on 2/20/25. Although the citation issued on 2/20/25 is cleared today, licensee shall submit a complete plan of correction to CCL by 2/27/25. Plan of correction shall ensure that licensee understands and shall remain in compliance with the required ratio. Licensee shall provide details of the changes made to ensure compliance.

Exit interview and report reviewed with Priscylle Santana. .
Notice of Site Visit was provided and must be posted for 30 day.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Cherie Acosta
LICENSING EVALUATOR SIGNATURE: DATE: 02/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/26/2025
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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