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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700224
Report Date: 03/02/2022
Date Signed: 03/02/2022 11:43:35 AM

Document Has Been Signed on 03/02/2022 11:43 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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:ISON, LATANYAFACILITY NUMBER:
015700224
ADMINISTRATOR:ISON, LATANYAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 962-1452
CITY:HAYWARDSTATE: CAZIP CODE:
94544
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 8DATE:
03/02/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:18 AM
MET WITH:LATANYA ISONTIME COMPLETED:
12:20 PM
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Licensing Program Analyst Sidney Cortez, met with licensee LATANYA ISON for an UNANNOUNCED ANNUAL RANDOM INSPECTION. Present for this visit was the licensee LATANYA ISON and (8) children: 6 kindergarten age children, 1 pre school age child, and 1 infant and her fingerprint cleared assistant Jacqueline Webster.The home was toured to conduct a Health and Safety Inspection. The facility currently operates from 6:00AM until 6:00 PM, MONDAY-FRIDAY. The home was toured to conduct a Health and Safety Inspection.The home is 3 stories. The home consists of 4 bedrooms, 3.5 bathrooms, living room, kitchen, garage, and front yard common play area. There is no pool or any type of bodies of water in the home. The home is neat and clean with heating and ventilation for safety and comfort. The OFF LIMIT AREAS are the 3 bedrooms, 2 Bathroom, and garage. The ON LIMIT AREAS are the living room, dining room, family room, kitchen, one bedroom on the first level of the house, 2 bathroom (the on the 1st floor and 2nd floor). The ISOLATION AREA will be one of the 1 bedrooms (the non master bedroom), located on the first level of the house (downstair bedroom). There are toys and learning materials in the activity room area. Hazardous materials and toxins are kept out of the reach of children and it was observed that there would be no toxins or hazardous items accessible to children during today's inspection. The home has a working smoke detector, carbon monoxide detector, working telephone, and First Aid Kit. The home has a fully charged (2A10BC) fire extinguisher, working smoke detector, working carbon monoxide detector, working telephone. The licensee CPR and First Aid certificate is current and expires (January 31, 2023). The licensee's mandated reporter is current and will expire on Feb 7, 2023. Per licensee, there are no firearms in the home. The licensee conducts and documents fire and disaster drills twice a year with the last one conducted on January, 2022. Lead Poisoning Training was taken in Feb 21, 2022. 2 Children files were reviewed, facility roster reviewed and copy obtained. The licensee is in ratio today. All REQUIRED forms are posted and visible for public review. See 809-C for continuance
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Sidney Cortez
LICENSING EVALUATOR SIGNATURE: DATE: 03/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/02/2022
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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