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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073409060
Report Date: 12/04/2024
Date Signed: 12/04/2024 03:54:46 PM

Document Has Been Signed on 12/04/2024 03:54 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:LOPEZ, ROSARIOFACILITY NUMBER:
073409060
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 7CENSUS: 5DATE:
12/04/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:20 PM
MET WITH:Rosario LopezTIME VISIT/
INSPECTION COMPLETED:
04:10 PM
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On 12/04/2024 at 1:20 PM, Licensing Program Analyst (LPA) Kareeca "Reeca" Sykes conducted an Unannounced Case Management – Licensee Initiated to increase the capacity of licensee's small family child care home. LPA met with licensee and guided analyst on a tour of the facility. During today's inspection, there were five (5) children in care (3 infant aged children and 2 toddlers) and seven (7) children enrolled. Residing in the home are licensee and licensee's adult daughter who is fingerprint cleared. Present during inspection was the license. Days and hours of operation will be Monday – Friday from 6AM - 6PM and Saturday - Sunday 10AM - 7PM.

This home is a two story home composed of four (4) bedrooms, three (3) bathrooms, Living Room, Dining Room, Loft, Laundry area, Kitchen, Backyard and Garage.
On-Limit Area: Living Room Bathroom 1, and Backyard
Off-Limit Areas: Dining Room, Kitchen, (Complete upstairs); Bedroom 1, Bedroom 2, Bedroom 3, Bedroom 4, Bathroom 2, Bathroom 3, Loft, Laundry Room, and the garage.
Isolation Area: An corner in the living room area away from other children in care

OUTDOOR SPACE: LPA toured the outdoor area which has ample amount of age appropriate toys that are observed to be safe, clean, and in good repair. LPA reminded applicant when outside of facility, 100% supervision of children in care is required. LPA did not observe any bodies of water.

Licensee has completed Pediatric CPR/First Aid certificate which expires 01/2026 and Mandated Reporter certificate which expires 01/2026 . Licensee has provided proof of all immunization's. Children's files were reviewed. Fire and Disaster drills have been reviewed and are up to date.

The Licensee provided a full rental agreement proof of control of property and has obtained a signed Property Owner/Landlord Consent form (LIC9149). There is a working telephone in the home.


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SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Kareeca Sykes
LICENSING EVALUATOR SIGNATURE: DATE: 12/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/04/2024
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: LOPEZ, ROSARIO
FACILITY NUMBER: 073409060
VISIT DATE: 12/04/2024
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Fire clearance request was approved on 11/19/2024 by Inspector Chris Giddis of the Contra Costa County Fire Protection District. LPA toured all areas used by children during this visit. Per Inspector Chris Giddis, the licensee or staff cannot care or supervise children on the second floor and the garage which is off limits. Inspector Giddis stated that 2nd floor is off limits as well as the garage.

Per licensee, there are no pets in the home and there are no firearms in the home. There is an electric fireplace located in the living room and made inaccessible to children in care. LPA observed a fully charged 3A40BC fire extinguisher, working dual smoke and carbon monoxide detector. Medicines, cleaning products, sharp objects are stored inaccessible to children. LPA reminded that smoking, baby walkers, bouncers, jumpers and similar items are not allowed in family childcare homes.

LPA discussed and reminded licensee that day care needs to be operated within the limitations and capacity of a Large Family Child Care Home with regards to ratios and that Licensee has to be present in the day care for 80% of the operation hours. All documents have been reviewed for the increase of capacity application. The Licensee was reminded that an assistant is needed with a large family childcare home license, and whenever an assistant is not present, the licensee will comply with the capacity requirements for a small family childcare home.



To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at:https://www.cdss.ca.gov/inforesources/community-carelicensing/subscribe and select the Child Care option to receive email communication.

LPA provided the main office number for the Oakland Regional Child Care office (510) 622-2602. Licensees are to call and report injuries or unusual incidents within 24 hours of knowledge of occurrence. Licensees are to review the form (LIC 624B) to follow up in writing within 7 days of the injury/unusual incident.

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SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Kareeca Sykes
LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2024
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: LOPEZ, ROSARIO
FACILITY NUMBER: 073409060
VISIT DATE: 12/04/2024
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Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.


Report will be submitted for managers final file review and approval.

During today's inspection, there were no violation observed.

Exit interview conducted and report was reviewed with the licensee, Rosario Lopez. A notice of site visit was given and must remain posted for 30 consecutive days.

SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Kareeca Sykes
LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2024
LIC809 (FAS) - (06/04)
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