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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073406108
Report Date: 04/26/2024
Date Signed: 04/26/2024 11:46:18 AM

Document Has Been Signed on 04/26/2024 11:46 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
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:COSAS, CAROLYNEFACILITY NUMBER:
073406108
ADMINISTRATOR/
DIRECTOR:		COSAS, CAROLYNEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(925) 686-0729
CITY:CONCORDSTATE: CAZIP CODE:
94521
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 3DATE:
04/26/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:12 AM
MET WITH:Carolyne CosasTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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On 4/26/24 Licensing Program Analyst (LPA) Ashley Akinleye arrived at the home for an unannounced case management-licensee initiated inspection for a capacity increase. LPA was met by licensee Carolyne Cosas. Licensee currently has a pending application for a capacity increase to a Large Family Child Care Home. Present during inspection were 2 infants and 1 preschool child. Licensee states she currently has 6 children enrolled. Hours of operation are Monday - Friday 7:30am -5pm.

LPA toured the home with licensee Carolyne Cosas for a health and safety inspection. The home is a single story home including 3 bedrooms and 2 bathrooms, kitchen, living room, and backyard. LPA observed all areas in and out of the home to be neat and clean, with heating and ventilation for the children in care.

The on-limits areas include family room, kitchen, 2 bathrooms, 1 bedroom and backyard.
The off limits areas include 2 bedrooms, and dining room.

LPA reminded licensee that whenever an assistance is not present she must operate as a Small Family Child Care Home with a capacity of 8.

Licensee has current CPR/First Aid certificates that expire on 10/20/25.
Fire clearance granted on 4/17/24.
Large Family Child Care Home License effective as of 4/26/24.
Exit Interview conducted with licensee Carolyne Cosas. Appeal rights provided, and a Notice of Site Visit to be posted for 30 days.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Ashley Akinleye
LICENSING EVALUATOR SIGNATURE: DATE: 04/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/26/2024
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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