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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423936
Report Date: 10/11/2024
Date Signed: 10/11/2024 11:50:39 AM

Document Has Been Signed on 10/11/2024 11:50 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
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:FABIAN, LAURAFACILITY NUMBER:
013423936
ADMINISTRATOR/
DIRECTOR:		LAURA FABIANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 289-3741
CITY:OAKLANDSTATE: CAZIP CODE:
94601
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
10/11/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:15 AM
MET WITH:Marcelo ZamoraTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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Licensing Program Analyst (LPA) D. Campos arrived at the above facility for the purpose of conducting an unannounced Case Management inspection in response to an informational report received from CCIB. Present during this inspection was licensee's spouse and Mother who assist with the day care supervising 6 children in care consisting of 3 infants and 3 preschoolers. Licensee was out on a medical appointment but arrived later.

Licensee was in ratio during today's inspection. Per licensee's husband, his mother in law is always present in the home to assist him or his wife or both with day care children. A copy of the facility roster was obtained.

As a result of today's inspection no deficiencies were cited.

Exit interview conducted and report reviewed with Licensee Laura Fabian.

A Notice of Site Visit was provided and must remain posted for 30 days.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Diana Campos
LICENSING EVALUATOR SIGNATURE: DATE: 10/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/11/2024
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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