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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073407813
Report Date: 10/16/2023
Date Signed: 10/16/2023 11:39:19 AM

Document Has Been Signed on 10/16/2023 11:39 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, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:PEREZ, SILVIAFACILITY NUMBER:
073407813
ADMINISTRATOR:PEREZ, SILVIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 566-6005
CITY:RICHMONDSTATE: CAZIP CODE:
94804
CAPACITY: 14TOTAL ENROLLED CHILDREN: 7CENSUS: DATE:
10/16/2023
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Silvia PerezTIME COMPLETED:
11:40 AM
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Licensing Program Managers (LPM) Sherelle Johnson and Mayla Mendoza and Licensing Program Analysts (LPA) Cherie Acosta and Brittany Crass met with Silvia Perez in the Oakland Regional office for an informal meeting to discuss licensee's noncompliance of staffing ratio and capacity.

During an annual inspection conducted on 9/26/23, licensee was operating out of ratio with 8 infants and 3 preschool aged children. Licensee was cited and a plan of correction was created.

LPA returned on 9/27/23 where it was observed licensee remained out of compliance with the same 8 infants and 3 preschool aged children in care.

It wasn't until inspection on 10/5/23, licensee was in compliance with 4 infants and 3 preschool aged children in care.

During today's meeting licensee was reminded of the importance of remaining in compliance with the required staffing ratio and capacity at all times. During todays meeting, Licensee stated she understands and agrees to remain in compliance.

Licensee was given information for resource and referral agency
www.cocokids.org and child care advocate www.childcareadvocatesprogram@dss.ca.gov

Exit interview was conducted and a copy of the report was provided to Silvia Perez.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Cherie Acosta
LICENSING EVALUATOR SIGNATURE: DATE: 10/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/16/2023
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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