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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700345
Report Date: 12/05/2023
Date Signed: 12/05/2023 02:34:23 PM

Document Has Been Signed on 12/05/2023 02:34 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 SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:YEPEZ, DANIELFACILITY NUMBER:
015700345
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 2DATE:
12/05/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:18 PM
MET WITH:Daniel YepezTIME COMPLETED:
03:36 PM
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Licensing Program Analyst Sidney Cortez, arrived met with licensee Daniel Yepez for a case management visit for an Increase Capacity Change. Present for this visit was the licensee, his fingerprint cleared assistant Blanca Zamora and 4 preschool age children, and 2 infants (6 total). The facility currently operates from 6:00AM until 6:00 PM, MONDAY-FRIDAY. On-limit-areas are the: Living room, kitchen, dining room, bathroom next to barricade by stairs, family room, patio deck on the main level, outside the front door play area. The home is 1 story. The home consists of 4 bedrooms, 2 bathroom, living room, dining room, kitchen, backyard and garage 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 is the 3 bedrooms, one bathroom (inside the master bedroom) and the garage. The ON LIMIT AREAS are the living room, dining room, family room, bathroom (hallway), and one bedroom for the infants; and the backyard.

The ISOLATION AREA is the living room area–near the entrance, so its easier for parents to pick up the child. 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 one fully charged fire extinguisher (model 3A40BC), and working smoke/carbon monoxide detectors, first aid kit, emergency supplies, and working telephone. The applicant’s Health and Safety training is completed, and licensee’s CPR and First Aid certificates are current and both certificates will expire on Feb 2024.
Licensee received a certificate in mandated reporter training on 2/21/2022 which is valid for 2 years.

The licensee conducts and documents fire and disaster drills twice a year with the last one conducted on JUNE 2023. The licensee is in ratio today. All REQUIRED forms are posted and visible for public review.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Sidney Cortez
LICENSING EVALUATOR SIGNATURE: DATE: 12/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/05/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: YEPEZ, DANIEL
FACILITY NUMBER: 015700345
VISIT DATE: 12/05/2023
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Staff-children ratios were discussed with the Licensee for a Large Family Childcare Home (FCCH).
If there is no helper, the Licensee will need to operate within the small FCCH in regard to ratios. If care is provided to the 7th and 8th child for a Small FCCH or the 13th and 14th child for a Large FCCH, the last two children need to be school-aged (6 years old). The Licensee was advised that her ten-year-old and under children will be counted in the capacity.



Licensee is reminded that NO walkers, exersaucers, jumpers, bouncers, or similar items are to be used for children in care and shall be made inaccessible.

During Inspection, Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption or transfer their existing clearance or exemption prior to initial presence in a licensed Family Childcare Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.


A large Family Day Care License is recommended, effective 12/5/2023

An exit interview conducted, and the report was reviewed with the Licensee


SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Sidney Cortez
LICENSING EVALUATOR SIGNATURE:

DATE: 12/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2023
LIC809 (FAS) - (06/04)
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