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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073409348
Report Date: 11/02/2023
Date Signed: 11/02/2023 10:31:08 AM

Document Has Been Signed on 11/02/2023 10:31 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:WATSON, JOYFACILITY NUMBER:
073409348
ADMINISTRATOR:WATSON, JOYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 471-0314
CITY:RICHMONDSTATE: CAZIP CODE:
94805
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 7DATE:
11/02/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Joy WatsonTIME COMPLETED:
10:36 AM
NARRATIVE
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On November 2, 2023 at 9:15am Licensing Program Analyst (LPA) Indira Loza met with Licensee Joy Watson for a case management visit regarding another matter. Upon arrival were the Licensee, 3 infants, and 4 preschool age children.

At 9:16am, the facility was out of ratio as there were 7 children present and none were school-age. The Licensee's Assistant arrived at 10:00am bringing the facility into ratio.

One type A deficiency is being cited during todays visit. The Licensee must provide a copy of this report to all parents of children currently enrolled, and the parents of newly enrolled children in the next 12 months. In addition, form LIC9224 (Acknowledgment of Receipt of Licensing Reports) must be signed by each parent and placed in each child's file.

A copy of the LIC9224 is being provided to the Licensee during the inspection.
Exit interview conducted. Report, and Appeal Rights provided to Licensee Joy Watson.
Notice of Site visit must remain posted for 30 days
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Indira Loza
LICENSING EVALUATOR SIGNATURE: DATE: 11/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/02/2023
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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Document Has Been Signed on 11/02/2023 10:31 AM - It Cannot Be Edited


Created By: Indira Loza On 11/02/2023 at 10:04 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: WATSON, JOY
FACILITY NUMBER: 073409348

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/02/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/02/2023
Section Cited
CCR
101416.5(e)

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(a) The capacity specified on the license shall be the maximum number of children for whom care may be provided at any one time.(e) If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care
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The Licensee shall bring the facility into ratio before the Analyst leaves the facility.
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Home. This requirement was not met as evidenced by: Based on observation there were 3 infants and 4 preschool age children present with one staff person, which is an immediate risk to the health, safety, and personal rights of children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Mayla Mendoza
LICENSING EVALUATOR NAME:Indira Loza
LICENSING EVALUATOR SIGNATURE:
DATE: 11/02/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/02/2023


LIC809 (FAS) - (06/04)
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