<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700345
Report Date: 06/04/2024
Date Signed: 06/04/2024 01:55:27 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 06/04/2024 01:55 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/
DIRECTOR:
DANIEL YEPEZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 861-7995
CITY:HAYWARDSTATE: CAZIP CODE:
94544
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 5DATE:
06/04/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:04 PM
MET WITH:Daniel YepezTIME VISIT/
INSPECTION COMPLETED:
03:39 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst Sidney Cortez, met with licensee Daniel Yepez for an Unannounced Annual Random Inspection. Present for this visit was the licensee Daniel Yepez, his fingerprint cleared assistant Blanca Castorena, 5 preschool age children. The home was toured to conduct a Health and Safety Inspection. The facility currently operates from Monday through Friday from 6:00am until 6:00pm. 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. Per licensee, there is no fire-arm in the house. The home is neat and clean with heating and ventilation for safety and comfort. The Off Limit Areas are the 3 bedrooms,kitchen, 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 bedroom 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. 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 Licensee's CPR and First Aid certificates are current and will expire on April 2026. Licensee received a certificate in mandated reporter training on Februrary 2024 which is valid for 2 years. The licensee conducts and documents fire and disaster drills twice a year with the last one conducted on May 2024.


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
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Sidney Cortez
LICENSING EVALUATOR SIGNATURE: DATE: 06/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/04/2024
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 1