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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423836
Report Date: 08/21/2024
Date Signed: 08/21/2024 03:52:54 PM

Document Has Been Signed on 08/21/2024 03:52 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: 5DATE:
08/21/2024
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Perla Navarro Nolazco and Zayra Navarro ValdezTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
NARRATIVE
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On August 21, 2024 at 1:00 pm Licensing Program Analyst (LPA) Janai McClain met with Licensees Perla Navarro Nolazco and Zayra Navarro Valdez for an increase in capacity inspection. Operating days and times are Monday through Friday 5:00am-6:00pm.

At 1:03 PM LPA observed that Leslie Aylin Valdez Navarro was still residing in the facility after turning 18 years old on 7/7/2024. This is a Type B violation.

Indoor Space: At 1:05 PM 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: At 9:30 AM 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: 08/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/21/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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: 08/21/2024
NARRATIVE
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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.



Due to one Type B citation being issued during todays visit, the capacity increase will remain in pending status until all citations have been cleared.


Licensees were 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.

Exit interview conducted with licensees Perla Navarro Nolazco and Zayra Navarro Valdez.

Report, Appeal Rights and Notice of site visit provided.

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

DATE: 08/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/21/2024
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Document Has Been Signed on 08/21/2024 03:52 PM - It Cannot Be Edited


Created By: Janai McClain On 08/21/2024 at 01:54 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: NAVARRO NOLAZCO, PERLA & VALDEZ NAVARRO, ZAYRA
FACILITY NUMBER: 013423836

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/21/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/22/2024
Section Cited
CCR
102370(d)1

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(d) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility:(1) Obtain a California clearance or a criminal record exemption as required by the Department
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Leslie Aylin Valdez Navarro must obtain a criminal record clearance before caring for children in the facility.
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This requirement was not met as evidenced by: Based on observation and record review it was determined that an uncleared adult, Leslie Aylin Valdez Navarro, was residing in the home which poses an immediate risk to the health, safety, and personal rights of the children in care.
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This must be completed by 08/22/2024. Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.

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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Mayla Mendoza
LICENSING EVALUATOR NAME:Janai McClain
LICENSING EVALUATOR SIGNATURE:
DATE: 08/21/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/21/2024


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