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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073409007
Report Date: 04/03/2024
Date Signed: 04/03/2024 04:13:54 PM

Document Has Been Signed on 04/03/2024 04:13 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:REYES, SANDRAFACILITY NUMBER:
073409007
ADMINISTRATOR:
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 8DATE:
04/03/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
TIME VISIT/
INSPECTION BEGAN:
02:30 PM
MET WITH:Sandra ReyesTIME COMPLETED:
TIME VISIT/
INSPECTION COMPLETED:
04:30 PM
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On 4/3/24, Licensing Program Analysts (LPAs), Brindha Govindasamy and Monica Mathur conducted an unannounced increase in capacity inspection. Present during today's inspection were the licensee, her adult son, 2 infants, 4 preschool and 2 school aged children. The on limit areas of home was toured to conduct a health and safety inspection with the licensee. Hours of operation for day care are Monday through Friday 7:00am to 5:00pm. Community Care Licensing (CCL) received an approved fire clearance on 3/20/2024 by the Contra Costa Fire Department.

The on limits areas are the living room, bedroom 1, bathroom, backyard.
Family room (previously off-limits) was inspected and added to daycare area during today's inspection. Children will use walk through area between kitchen and family room to access backyard for outdoor play.
The off limits areas are garage, 2 bedrooms, Master bedroom, Master bathroom, kitchen, outside shed and fenced side yards. Off limit areas will be made inaccessible by use of gates, closed and/or locked doors and visual supervision. There are age appropriate toys in the home. The isolation will be in Bedroom #1. Per licensee, there are no firearms in the home. LPAs did not observe any hazardous materials or toxins accessible to children during today's inspection. The home has a fully charged 3A40BC fire extinguisher, working smoke detector and carbon monoxide, telephone, and fully stocked first aid kit. When caring for 12 or more children, parent notification LIC 9150 is required.
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SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Brindha Govindasamy
LICENSING EVALUATOR SIGNATURE: DATE: 04/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/03/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: REYES, SANDRA
FACILITY NUMBER: 073409007
VISIT DATE: 04/03/2024
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Licensee's CPR and First Aid certificate is current and expires 2/19/2025.
Licensee's Mandated Reporter training certificate is current and expires 9/28/2025. Preventative Health and Safety training with Lead poisoning training was completed. Licensee is in compliance with immunization requirements. Her adult son who lives in the home will be the additional helper. His file was complete. Staff and children's file was reviewed and file was complete.

Licensee owns the home so landlord consent is not required. Licensee is notified that when there is no helper present, Licensee will follow the ratio for a small capacity child care home.

No deficiencies observed at this visit. The licensee is now approved for an increase in capacity to operate as a large family day care home.

Exit interview conducted and report was reviewed with the licensee Sandra Reyes. A notice of site visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Brindha Govindasamy
LICENSING EVALUATOR SIGNATURE:

DATE: 04/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2024
LIC809 (FAS) - (06/04)
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