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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073405971
Report Date: 09/26/2023
Date Signed: 09/26/2023 03:49:48 PM

Document Has Been Signed on 09/26/2023 03:49 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:COUTEE, BETTYFACILITY NUMBER:
073405971
ADMINISTRATOR:COUTEE, BETTYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 860-3261
CITY:RICHMONDSTATE: CAZIP CODE:
94801
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 2DATE:
09/26/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
02:50 PM
MET WITH:Betty CouteeTIME COMPLETED:
03:45 PM
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Licensing Program Analyst (LPA) Cherie Acosta conducted an unannounced Plan of Correction (POC) visit. LPA met with Betty Coutee. There were two children in care during the visit.

Licensee was cited for the following on 8/17/23.

-102417(g)(9) Licensee did not have a written Emergency Disaster Plan.

-102423(a)(1) Personal Right - During the inspection, licensee's assistant, S1, was speaking loud and harshly to children in care.

During the visit today 9/26/23, licensee provided a copy of the written Emergency Disaster Plan.
Licensee stated that S1 has not returned since the inspection on 8/17/23. Licensee provided a letter which indicates that her assistant will not return and care for children until S1 receives training.

Citations issued on 8/17/23 are cleared today.

Notice of Site visit was provided and must be posted for 30 days.
Exit interview and report was reviewed with Betty Coutee.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Cherie Acosta
LICENSING EVALUATOR SIGNATURE: DATE: 09/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/26/2023
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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