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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013424020
Report Date: 02/12/2025
Date Signed: 02/12/2025 04:15:53 PM

Document Has Been Signed on 02/12/2025 04:15 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:LAC. LINHFACILITY NUMBER:
013424020
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 6TOTAL ENROLLED CHILDREN: 5CENSUS: 4DATE:
02/12/2025
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:42 PM
MET WITH:Linh LacTIME VISIT/
INSPECTION COMPLETED:
04:25 PM
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On 2/12/25, at 3:40pm, Licensing Program Analyst (LPA) Catherine Fernandes arrived announced on case management inspection for an increase in capacity inspection. LPA met with Licensee Linh Lac, present in care were three infants, one preschooler and a fingerprint cleared assistant. LPA Fernandes conducted and approved a small family child care license on 1/6/2025, Licensee has requested an increase of capacity which requires a fire clearance and experience running a small family day care home. Operating hours will be 8:00am to 6:00pm, Monday through Friday.

The home is a two story single family house with four bedrooms and two and half bathrooms, which was
observed to be neat and clean with heating and ventilation for the children in care.

On-limit-areas are the: living room which has been converted to the main area of the day care, the
downstairs half bathroom, the room next to the sliding door that leads to the backyard, the main area of the
backyard, and the right side of the backyard leading to the front of the house.
Off-limit-areas are the: entire upstairs (which includes the four bedrooms, two full bathrooms, and the
balcony), the entire left side of the first floor that includes the kitchen, the dining area and the family room, the gated left side of the backyard, and the garage, which will be made inaccessible by closed and/or locked
doors and visual supervision.

The home has a fully charged 2A10BC fire extinguisher and a pull down fire alarm in the kitchen next to the garage door. All required forms are posted and visible for public review from the childcare room. Licensee has provided proof of control of property and landlord consent to provide care to 14 children.

A fire clearance was granted by the Alameda City Fire Department on 2/5/25. LPA Fernandes reviewed files and did a walk through of the home. As of 2/12/25 the home is now approved to be a large child care home.

Exit interview conducted. Report and Notice of site visit provided.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Catherine Fernandes
LICENSING EVALUATOR SIGNATURE: DATE: 02/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/12/2025
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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