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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423850
Report Date: 10/24/2024
Date Signed: 10/24/2024 11:41:57 AM

Document Has Been Signed on 10/24/2024 11:41 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:COOPER, DAEJENAEFACILITY NUMBER:
013423850
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 4CENSUS: 0DATE:
10/24/2024
TYPE OF VISIT:Case Management - Annual ContinuationANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:09 AM
MET WITH:Daejenae CooperTIME VISIT/
INSPECTION COMPLETED:
11:48 AM
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On 10/24/2024 at 9:09am, Licensing Program Analyst (LPA) Catherine Fernandes met with Licensee Daejenae Cooper for an Announced case management Inspection in conjunction with an increase in capacity visit. Present during the inspection was the Licensee and her underage child, there were no children in care during the inspection. Residing in the home is Licensee, and her two underage child. Licensee’s home was toured for a health and safety inspection. The facility operates 8:00am – 4:00pm, Monday - Friday.

The home is a two story house that consists of four bedrooms and two and half bathrooms. The entrance to the day care is the front door. The inside and outside of the home were observed to be neat, clean with age-appropriate materials and toys for the children. All toxins, cleaning products, medications, and hazardous materials were observed to be in inaccessible areas. During today’s inspection, LPA observed the following precautions the stairs in the home have a gate at the bottom to prevent a fall, the off limit kitchen has a safety gate to prevent access to the children in care, and the accessible plugs in the living room were observed to be covered. Heaters vents were on the ceiling and the fireplace was observed to be covered during today’s inspection. Licensee stated there are no firearms or pets in the home. LPA did not observe a body of water in or around home.

ON LIMITS AREA: The living/dining room which will be the main area of the day care, the downstairs half bathroom, and the fenced in backyard.
OFF LIMITS AREA: the kitchen, the garage, the laundry room and the entire 2nd floor, which will be inaccessible by closed and/or locked doors or visual supervision.
ISOLATION AREA: will be the converted dining room area.
Licensee stated that she takes the children to the park across the street from her house, LPA reminded the Licensee that while at a public park there needs to be 100 percent supervision for the children in care at all times.
REPORT CONTINUES ON 809C.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Catherine Fernandes
LICENSING EVALUATOR SIGNATURE: DATE: 10/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/24/2024
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
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: COOPER, DAEJENAE
FACILITY NUMBER: 013423850
VISIT DATE: 10/24/2024
NARRATIVE
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On 9/27/24, the Alameda City Fire Department inspected and granted the home approval for a capacity increase from six children to 12. The home has a fully charged 2A10BC fire extinguisher in the kitchen, a working smoke detector and carbon monoxide detector located near the downstair half bathroom and a working alarm above the front door.

The licensee has not obtained a signed Property Owner/Landlord Consent form (LIC9149). Without this consent, the applicant understands that, once licensed, they can operate with a maximum capacity of 12 children. If property owner/landlord consent is obtained in the future, the applicant is advised that a new Application for a Family Child Care Home License (LIC 279) must be submitted with a change of capacity fee of $25, to increase the capacity and provide care to 14 children.

Licensee has a working telephone, and all required forms are posted and visible for public view in the childcare room. The licensee conducts and documents fire and disaster drills twice a year with the last one conducted on 5/6/24 The Licensee's CPR and First Aid certificate is current and expires on 10/12/26. The Licensee was reminded of the responsibility as a mandated reporter and has provided proof of the required training which was conducted on 10/24/24. LPA reviewed four children’s files and the licensee's file and obtained a current facility roster. The licensee is incompliance with the immunization law.

Licensee was 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.
LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep web page at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

REPORT CONTINUES ON 809C
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Catherine Fernandes
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2024
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
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: COOPER, DAEJENAE
FACILITY NUMBER: 013423850
VISIT DATE: 10/24/2024
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Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02CCP. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: https://www.ada.gov/resources/child-care-centers/.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

During the exit interview, the Licensee Cooper confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.


No deficiencies were observed during today's inspection.

Before the home can be granted a capacity increase the following items need to be completed by 11/1/24:
- proof of orientation certificate
- landlord notification from needs to be submitted
- letter from the fire department needs to be provided
- consent from the landlord if wanting 14

A notice of site visit was given and must remain posted for 30 days.
Exit interview conducted and report was reviewed with the Licensee
Appeal rights, report and Notice of site visit provided
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Catherine Fernandes
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2024
LIC809 (FAS) - (06/04)
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