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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073408461
Report Date: 11/01/2024
Date Signed: 11/04/2024 04:50:29 PM

Document Has Been Signed on 11/04/2024 04:50 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:SIAMER, NACERAFACILITY NUMBER:
073408461
ADMINISTRATOR/
DIRECTOR:		SIAMER, NACERAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 240-5665
CITY:BRENTWOODSTATE: CAZIP CODE:
94513
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: DATE:
11/01/2024
TYPE OF VISIT:OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Nacera SiamerTIME VISIT/
INSPECTION COMPLETED:
03:45 PM
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Regional Manager (RM) Alexis Hollon, Licensing Program Manager (LPM) Sherelle Johnson and Licensing Program Analyst (LPA) Cherie Acosta met with licensee Nacera Siamer for an office meeting. Also present with licensee was La Krisha Dillard. The meeting was held in response to a substantiated complaint. Discussed was the Licensee's Plan of Correction.

During the meeting Licensee provided additional information pertaining to children's personal rights training taken.

Licensee shared her feeling about disagreeing with the citation she was given and working with her current Licensing Program Analyst.

It was explained to Licensee her appeal is under review.






SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Cherie Acosta
LICENSING EVALUATOR SIGNATURE: DATE: 11/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/01/2024
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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