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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423862
Report Date: 07/11/2024
Date Signed: 07/11/2024 03:31:01 PM

Document Has Been Signed on 07/11/2024 03:31 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
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:TARVER, CHRISTAFACILITY NUMBER:
013423862
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 6DATE:
07/11/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:30 PM
MET WITH:Christa TarverTIME VISIT/
INSPECTION COMPLETED:
03:45 PM
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On 07/11/24, at 1:30 PM Licensing Program Analysts (LPAs), M. Caro and D. Campos conducted a case management - licensee initiated inspection. Licensee is currently licensed as a small family child care home and submitted an application for a capacity increase. Present during today's inspection were licensee, a finger print cleared assistant, licensee's minor daughter and 6 preschool children in care. The home was toured to conduct a health and safety inspection with licensee. Hours of operation for day care are Monday through Friday, 6:00am to 5:00am.

Community Care Licensing (CCL) has received an approved fire clearance which was granted on 5/31/24.

The home is a three story condominium within a gated community. The first floor consists of the kitchen, living room, and storage closet. The second floor consists of two bedrooms, a living room which will be used as the day care room, one bathroom and a small patio which is connected to the day care room by sliding doors. The third floor consists of two bedrooms and one bathroom. The home is neat and clean with heating and ventilation for safety and comfort.

ON LIMITS: Living room/play room, bathroom, small patio on the second floor, and the dinning room on the first floor. The isolation area is the play room on the second floor.
OFF LIMITS: The entire third floor as well as the two bedrooms to the left of the stairs on the second floor. All off limit areas will be inaccessible by closed and/or locked doors and visual supervision. The applicant was advised to contact Licensing, so that an inspection can be completed prior to changing an off limits area to on limits.

The outdoor play area is the small patio on the second floor where 100% visual supervision is required. Applicant states that there is a small play area within the gated community that can be used for outdoor play.
See 809-C for continuance.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Diana Campos
LICENSING EVALUATOR SIGNATURE: DATE: 07/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/11/2024
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: TARVER, CHRISTA
FACILITY NUMBER: 013423862
VISIT DATE: 07/11/2024
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There are ample age appropriate toys which are observed to be safe, clean and in good repair. There are no pools, hot tubs or any other bodies of water. There are no firearms in the home as stated by the licensee. There is one small dog (terrier mix) in the home. LPA did not observe any hazardous materials or toxins accessible to children today.
The home has a fully charged 2A 10 BC fire extinguisher. The home is equipped with working smoke detectors and carbon monoxide detector. There is a working telephone in the home. The applicant’s CPR and First Aid certificate is current and expires 2/22/25. Licensee completed the mandated reporter training on 8/28/22. Licensee is in compliance with immunization requirements. A copy of the children's roster was reviewed and a copy obtained. The fire and disaster drill log was reviewed and the last drill was conducted on 6/20/24. The facility file and children's files were reviewed and found to be complete. Safe sleep information was discussed with the licensee.

The licensee was reminded that ALL assistants, volunteers, frequent visitors, or adults living in the home, that are 18 years of age or older must be fingerprint cleared and associated to this facility prior to being in the presence of children in care or an immediate civil penalty will be assessed from $100 to $3000 per person, per incident. The applicant was reminded of the responsibility as a mandated reporter.

Incidental Medical Services (IMS) policy was discussed. 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: http://www.ada.gov/childqanda.htm.

No deficiencies observed during today's visit.

The licensee is now approved for a capacity increase to operate as a large family day care home with 12 children. Licensee was reminded that prior to operating at a capacity of 14 an application and a Landlord consent form with the appropriate fee must be submitted to the licensing office.

A Notice of Site visit was provided and must remain posted for 30 days.

Exit interview conducted with licensee Christa Tarver.

SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Diana Campos
LICENSING EVALUATOR SIGNATURE:

DATE: 07/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2024
LIC809 (FAS) - (06/04)
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