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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423851
Report Date: 06/18/2024
Date Signed: 06/18/2024 04:06:02 PM

Document Has Been Signed on 06/18/2024 04:06 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:WRIGHT, OLIVIA & MONTES-PAREDES, LESLIEFACILITY NUMBER:
013423851
ADMINISTRATOR/
DIRECTOR:
WRIGHT, OLIVIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(646) 417-1762
CITY:BERKELEYSTATE: CAZIP CODE:
94703
CAPACITY: 14TOTAL ENROLLED CHILDREN: 12CENSUS: 10DATE:
06/18/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:00 PM
MET WITH:Olivia WrightTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
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On 6/18/24 Licensing Program Analyst (LPA) Dealia Frison met with Licensee Olivia Wright and Leslie Montes-Paredes to conduct an unannounced Annual inspection. Present during today’s inspection was the both licensee's, and 9 preschool children. The hours of operation is 8am-5:30pm Monday through Friday.

Children’s files were reviewed. The home was toured for Health and Safety Inspection. The home is a single family home. The home consists of three bedrooms, two bathrooms, a kitchen, a dining room, and a living room. The two bedrooms are connected by a bathroom. There is a large backyard that is shared with the house behind the facility. The Off Limit areas are the bedroom to the left of the kitchen and the backyard. Off limit areas are made inaccessible by closed and/or locked doors, safety gates and visual supervision. The On Limit areas are both bedrooms and the bathroom on the left from the entrance, the living room and dining room which are on the right from the entrance, and the bathroom next to the kitchen. The isolation area is the bedroom to the left from the kitchen. The front yard is used for outdoor play, instead the back yard and park will be utilized for outdoor play.

The Licensee stated there are no firearms in the home. Licensee has Liability insurance. LPA observed a working carbon monoxide detector and a working smoke detector. There is a working phone in the home. The home is sanitary and orderly, with heating and ventilation for safety and comfort. The Licensee has a current Mandated Reporter Certificate which expires on 11/2024. The Licensee have a fully charged 3A40BC fire extinguisher.

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.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Dealia Frison
LICENSING EVALUATOR SIGNATURE: DATE: 06/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/18/2024
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: WRIGHT, OLIVIA & MONTES-PAREDES, LESLIE
FACILITY NUMBER: 013423851
VISIT DATE: 06/18/2024
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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

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. 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/

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform.
To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

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

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

There are no deficiencies cited during today’s inspection.A notice of site visit was provided and must be posted for 30 days.Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the Licensee Olivia Wright.

SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Dealia Frison
LICENSING EVALUATOR SIGNATURE:

DATE: 06/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/18/2024
LIC809 (FAS) - (06/04)
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