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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073409526
Report Date: 05/08/2025
Date Signed: 05/08/2025 03:40:20 PM

Document Has Been Signed on 05/08/2025 03:40 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:AMAYA GARCIA, MAIRA & CANDIDAFACILITY NUMBER:
073409526
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 4DATE:
05/08/2025
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Maria Amaya GarciaTIME VISIT/
INSPECTION COMPLETED:
03:55 PM
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On 05/08/2025 at 1:00 PM, Licensing Program Analysts (LPAs), A. Hollinger and K. Sykes, conducted a Case Management - Licensee Initiated inspection. Licensee has applied for a capacity increase from a Cmall FCCH (max CAP 8) to a Large FCCH (max CAP 14). Present during today's inspection were Licensee and Licensee's mother and 4 children in care consisting of 1 toddler and 3 preschool age children. Facility is in ratio today. The home was toured with the Licensee to conduct a health and safety inspection. Hours of operation for day care are Monday through Friday, 7:00 AM to 6:00 PM.

Community Care Licensing (CCL) has received an approved fire clearance on 04/21/2025.

This is a single-story home which is neat and clean with heating and ventilation for the safety and comfort of children in care and consists of a living room, kitchen, 3 bedrooms, two bathrooms, front yard, and backyard.
The On-limit areas: The living room, kitchen, the front and back yard, and the bathroom located on the lower-level hallway.

The Off- limit areas: 3 bedrooms, the garage, laundry room, second bathroom and a the garden area in the back yard divided by a small fence. Off limit areas will be made inaccessible by use of gates, closed and/or locked doors and visual supervision at all times.

The fenced backyard is used as the outdoor play area. LPAs observed a small shed which is locked and made inaccessible to children and two playhouses which are secure into the ground. LPAs observed a gate that had a latch but recommended to Licensee to utilize a lock to ensure children do not have access to opening and closing of the gate located on the left side of the home. LPAs also observed a wheelbarrow with cement, a trash bag full of trash, and a rose bush which LPAs recommended the Licensee to remove the items and send proof of the removal of these items. Licensee was also reminded to implement 100% visual supervision when outside with children in care.
See 809-C for continuance-------------------------------------------------------------------------------
NAME OF LICENSING PROGRAM MANAGER: Monica Mathur
NAME OF LICENSING PROGRAM ANALYST: Ashley Hollinger
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 05/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/08/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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: AMAYA GARCIA, MAIRA & CANDIDA
FACILITY NUMBER: 073409526
VISIT DATE: 05/08/2025
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There are age appropriate toys in the home. There are no firearms in the home as stated by the Licensee. LPAs did not observe any bodies of water, hazardous materials, or toxins accessible to children today. LPAs observed heating vents located in the ceiling throughout the home. A sample of children's files were reviewed. The home has a fully charged 2A10BC fire extinguisher. The home is equipped with several working dual smoke and carbon monoxide detectors throughout the home. There is a working telephone in the home. The Licensees' CPR and First Aid certificates are current and expires 01/2026. Licensees' completed mandated reporter training which expires on 09/2025. Licensees' are in compliance with immunization requirements. Safe sleep information was discussed with the Licensee.

The Licensee was reminded that ALL assistants, volunteers, frequent visitors, or adults living in the home, that are 18 years of age or older must be fingerprint cleared and associated to this facility prior to being in the presence of children in care or an immediate civil penalty will be assessed from $100 to $3000 per person, per incident. The Licensee was reminded of the responsibility as a mandated reporter.

Incidental Medical Services (IMS) policy was discussed. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

No deficiencies observed at this visit.

The Licensee provided proof of property and is recommended for a capacity increase to operate as a large family day care home with a maximum capacity of 14 once the following items have been completed:

- Lock on gate located on the left side of the home

- Removal of trash and wheelbarrow/cement

A Notice of Site Visit was provided and must remain posted for 30 days.

Exit interview conducted and report reviewed with Licensee, Maira Amaya Garcia.

NAME OF LICENSING PROGRAM MANAGER: Monica Mathur
NAME OF LICENSING PROGRAM ANALYST: Ashley Hollinger
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 05/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2025
LIC809 (FAS) - (06/04)
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