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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073407991
Report Date: 05/15/2024
Date Signed: 05/15/2024 03:17:10 PM

Document Has Been Signed on 05/15/2024 03:17 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 CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:TAYE, YEMSRACHFACILITY NUMBER:
073407991
ADMINISTRATOR/
DIRECTOR:
FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 5DATE:
05/15/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:30 PM
MET WITH:Yemsrach TayeTIME VISIT/
INSPECTION COMPLETED:
03:30 PM
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On 5/15/2024 at 1:30PM, Licensing Program Analyst (LPA) Brittany Crass, conducted an unannounced case management visit for a change in capacity. LPA met with licensee Yemsrach Taye. Present during todays’ inspection were 5 children and licensees' fingerprint cleared adult daughter.

The home was toured to conduct a health and safety inspection. The on-limit areas include the living room, one bathroom, dining area, and backyard. The off-limits areas include the three bedrooms, one bathroom, kitchen, unfenced front yard, two fenced side yards and garage.

The licensee operates Monday through Friday from 7AM-6PM. The home was observed to be neat and clean with heating and ventilation for safety and comfort of the children in care. There are no bodies of water or pools accessible to children in care during today’s inspection. The home has at least one 2A40BC fire extinguisher, working smoke alarm, and working carbon monoxide detector. The licensees' CPR certificate expires on 5/5/2026, and Mandated Reporter Certificate expires on 5/10/2026.

Capacity regulations and infant safe sleep regulations were reviewed with the licensee.


On 5/3/2024, The Richmond Fire Department granted the facility a fire clearance in order to operate a large family home day care. As of todays inspection, the facility is now licensed to operate at a large capacity.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted, appeal rights were given, and report was reviewed with the licensee Yemsrach Taye.

SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Brittany Crass
LICENSING EVALUATOR SIGNATURE: DATE: 05/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/15/2024
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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