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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423896
Report Date: 05/30/2024
Date Signed: 05/30/2024 04:53:25 PM

Document Has Been Signed on 05/30/2024 04:53 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:TITUS, ANGELAFACILITY NUMBER:
013423896
ADMINISTRATOR/
DIRECTOR:		TITUS, ANGELAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 603-8187
CITY:OAKLANDSTATE: CAZIP CODE:
94612
CAPACITY: 14TOTAL ENROLLED CHILDREN: 12CENSUS: DATE:
05/30/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
04:40 PM
MET WITH:Angela TitusTIME VISIT/
INSPECTION COMPLETED:
05:00 PM
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On 05/30/2024 at 4:40PM Licensing Program Analyst (LPA) Janai McClain conducted an unannounced case management inspection to follow up on deficiencies that were cited at the facility. LPA met with the licensee Angela Titus, to explain the purpose of today's visit. Present during the visit were the licensee, her fingerprint cleared assistant, one infant, and one preschooler. On 05/24/2024 the facility received a Type A citation for allowing a child to wander away from the facility (See 809D dated 05/24/2024). An immediate $500 Civil Penalty was assessed today (See LIC421IM).


Exit interview conducted, appeal rights were given, and report was reviewed with the licensee Angela Titus.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Janai McClain
LICENSING EVALUATOR SIGNATURE: DATE: 05/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/30/2024
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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