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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423836
Report Date: 09/12/2024
Date Signed: 09/12/2024 02:57:10 PM

Document Has Been Signed on 09/12/2024 02:57 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 CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:NAVARRO NOLAZCO, PERLA & VALDEZ NAVARRO, ZAYRAFACILITY NUMBER:
013423836
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 6CENSUS: 2DATE:
09/12/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:45 AM
MET WITH:Perla Navarro NolazcoTIME VISIT/
INSPECTION COMPLETED:
03:10 PM
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On September 12, 2024 at 8:45 am Licensing Program Analyst (LPA) Janai McClain met with Licensee Perla Navarro Nolazco for an increase in capacity inspection. There were two preschool age children in care. Operating days and times are Monday through Friday 5:00am-6:00pm.

Indoor Space: A health and safety tour of inside the home was done. LPA toured the premises with licensee. The home is a multi-level house consisting of 4 bedrooms, 2 bathrooms, living room, dining room, and kitchen. There is heating and ventilation for the safety and comfort of children in care.



Outdoor Space: LPA toured the outdoor area (backyard) and observed it was fenced. LPA observed there are no pools, hot tubs or other bodies of water. LPA observed the rear portion of the backyard is blocked off to prevent access to children in care. There does not appear to be any dangerous hazards in the backyard such as poisons or toxins during today's inspection. OFF-LIMIT areas are the dining room, kitchen, back bathroom, all bedrooms, and the rear area of the backyard. LPA observed these areas are kept inaccessible by gates, closed and/or locked doors, and visual supervision. IN-USE living room, first bathroom on the left, and backyard is used as the primary areas for day-care. Isolation area for sick children is the living room couch.

See 809C
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Janai McClain
LICENSING EVALUATOR SIGNATURE: DATE: 09/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/12/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: NAVARRO NOLAZCO, PERLA & VALDEZ NAVARRO, ZAYRA
FACILITY NUMBER: 013423836
VISIT DATE: 09/12/2024
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LPA did a walk through of the home and observed a pull down fire alarm in the living room, a working smoke/carbon monoxide detector in the kitchen and a 2A10BC fire extinguisher in the dining room.

On 08/02/24, a fire clearance was granted to facility by Oakland Fire Department. All documents have been reviewed for the increase of capacity application. Licensees were reminded that an assistant is needed with a large family child care home license, and whenever an assistant is not present, licensees will comply with the capacity requirements for a small family child care home.



All citations have been cleared. There were no deficiencies cited during today's visit.

Licensee was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.



As of 9/12/24 the home has been approved to operate as a large family day care license.

Exit interview conducted with licensees Perla Navarro Nolazco.

Report, Appeal Rights and Notice of site visit provided.

SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Janai McClain
LICENSING EVALUATOR SIGNATURE:

DATE: 09/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2024
LIC809 (FAS) - (06/04)
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