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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423864
Report Date: 12/20/2024
Date Signed: 12/20/2024 01:39:13 PM

Document Has Been Signed on 12/20/2024 01:39 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:LEON, ELISAFACILITY NUMBER:
013423864
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 4DATE:
12/20/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Elisa LeonTIME VISIT/
INSPECTION COMPLETED:
01:45 PM
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On 12/20/24 at 9am, Licensing Program Analysts (LPAs) Kayla Merchant and Christina Watts arrived at the facility for an unannounced capacity increase. LPAs met with licensee Elisa Leon. There were 4 infants in care. This family child care home operates Monday-Friday 7:30am-5:30pm. LPAs verified the licensee's phone number and email on record are correct.

LPAs toured the home with the licensee, to conduct a health and safety inspection. The home is two story home with the garage at the street level and all other areas of the home on the second level. The home consists of the living room, dining area, family room, kitchen, 4 bedrooms, 2 bathrooms and backyard. LPAs observed that it is neat and clean with heating and ventilation for the safety and comfort of children. The on limit areas include the living room, kitchen, dining area, family room, two bedrooms down the hallway, the bedroom next the family room and both bathrooms. The bedroom next to the bathroom near the family room and the garage will be off limits to children and are made inaccessible by closed and/or locked doors and visual supervision. The bedroom on the left side of the hallway with the two cribs will be used for isolation of sick children. The lower backyard is on limits to children. Licensee requested for the upper backyard to place on limit. LPAs observed age appropriate toys, grill, fire pit table, a tall heat lamp, chair and tables, folding chairs and folding tables, and patio furniture. The grill and fire pit does not have propane tanks and will need to be covered. The tall heat lamp will need to have the propane tank removed and be covered. The other items need to cleaned/cleared prior to being placed on limit. Licensee shall provide pictures of the upper backyard once completed. The licensee must secure a gate at the bottom of the steps leading to the upper section of the yard. LPAs observed age appropriate activities and equipment for children, and observed that they are in good condition. LPAs did not observe any bodies of water accessible to children. The licensee was advised that all poisons and/or hazardous items must be kept in a locked cabinet/drawer or placed out of reach of children. The applicant stated there are no firearms in the home. The licensee has one dog. During inspection, LPAs observed an infant child in pack and play with a bottle in their mouth and a blanket inside the pack and play while sleeping.

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SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Kayla Merchant
LICENSING EVALUATOR SIGNATURE: DATE: 12/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/20/2024
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: LEON, ELISA
FACILITY NUMBER: 013423864
VISIT DATE: 12/20/2024
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Licensee completed their Pediatric CPR/First Aid which expires 10/2026 and Mandated Reporter certificate which expires 10/02/2026. Licensee has documentation maintained for Measles, Pertussis Immunization's, Influenza Opt-Out statement for the current flu season. The licensee provided proof of control of property. Licensee's sister Alejandra Leon owns and lives in the home and has signed the LIC 9149. There is a working telephone in the home. Fire clearance request was approved on 10/16/2024 by Anthony Polk of the Oakland Fire Department.

LPA observed a fully charged 3A40BC fire extinguisher, working smoke and carbon monoxide detector. Medicines, cleaning products, sharp objects are stored inaccessible to children. LPA reminded that smoking, baby walkers, bouncers, jumpers and similar items are not allowed in family child care homes.

LPA discussed and reminded licensee day care needs to be operated within the limitations and capacity of a Large Family Child Care Home with regards to ratios and that licensee has to be present in the day care for 80% of the operation hours. All documents have been reviewed for the increase of capacity application. The Licensee was reminded that an assistant is needed with a large family child care home license, and whenever an assistant is not present, the licensee will comply with the capacity requirements for a small family child care home.

To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at:https://www.cdss.ca.gov/inforesources/community-carelicensing/subscribe and select the Child Care option to receive email communication.

LPA provided the main office number for the Oakland Regional Child Care office (510) 622-2602. Licensee is to call and report injuries or unusual incidents within 24 hours of knowledge of occurrence. Licensee is to review the form (LIC 624B) to follow up in writing within 7 days of the injury/unusual incident.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Kayla Merchant
LICENSING EVALUATOR SIGNATURE:

DATE: 12/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2024
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
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: LEON, ELISA
FACILITY NUMBER: 013423864
VISIT DATE: 12/20/2024
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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.

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 is required to complete these items:

-Secure a gate at the bottom of the steps in the backyard

-Make grill, fire pit table and tall heater lamp inaccessible

-Remove propane tank from tall heater lamp

-Clear/clean upper backyard

LPA Kayla Merchant informed licensee that this report dated 12/20/2024 documents a Type B citation. Type B citation(s) are a potential risk(s) to the health, safety, or personal rights of children in care.


*SEE LIC 809-D FOR DEFICIENCIES*

Exit interview conducted and report was reviewed with the licensee Elisa Leon. A Notice of Site Visit was given and must remain posted for 30 consecutive days.

SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Kayla Merchant
LICENSING EVALUATOR SIGNATURE:

DATE: 12/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 12/20/2024 01:39 PM - It Cannot Be Edited


Created By: Kayla Merchant On 12/20/2024 at 11:59 AM
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: LEON, ELISA
FACILITY NUMBER: 013423864

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/20/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/27/2024
Section Cited
CCR
102424(b)

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102425 Infant Safe Sleep (b) Cribs or play yards shall be free from all loose articles and objects. This requirement has not been met as evidenced by: Licensee did not comply with the section cited above when LPA observed infant child with a bottle in their mouth and a blacket in the playpen which poses potential risk
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By COB of 12/27/2024 Licensee stated they will read information on safe sleep regulations and write a statement on how they will come back into compliance. 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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to the health, safety or personal rights of children in care.
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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:Sherelle Johnson
LICENSING EVALUATOR NAME:Kayla Merchant
LICENSING EVALUATOR SIGNATURE:
DATE: 12/20/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/20/2024


LIC809 (FAS) - (06/04)
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