<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073409727
Report Date: 11/15/2024
Date Signed: 11/15/2024 11:05:41 AM

Document Has Been Signed on 11/15/2024 11:05 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:GARCIA, MARIA F.FACILITY NUMBER:
073409727
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 1DATE:
11/15/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:GARCIA, MARIA TIME VISIT/
INSPECTION COMPLETED:
11:30 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On November 15, 2024 at 8:30AM Licensing Program Analyst (LPA) Nyeesha Blount conducted an unannounced case management visit for change of location. LPA met with Applicant Garcia, Maria who is background cleared (1) preschool child was present during today's inspection. LPA toured the entire home with Applicant for a Health and Safety inspection. Applicant has applied for a Change of Location for a Small Family Child Care Home with capacity for 8 children. Days and hours of operation will be Monday through Sunday from 6:00 AM - 6:00 PM. Applicant has current Pediatric cardiopulmonary resuscitation (CPR) and First Aid. Applicant has a fully stocked first aid kid. Applicant has current mandated reporter training which expires on 1/17/26. Applicant currently owns this property. Applicant stated there are no weapons in the home. Isolation of sick child will be the living room near the kitchen. Applicant understand that 100% supervision is required at all times. The home is neat and clean and has central heating and ventilation for safety and comfort. LPA observed that the home has sufficient lighting and an ample supply of age appropriate toys, activities and furniture. The facility has a functioning carbon monoxide detector, (1) fully charged 2A10BC fire extinguisher.


ON LIMIT AREAS: (1) bedroom, (1) bathroom, living room, dining room, play room (day care room) and fenced back yard.

OFF LIMIT AREAS: Entire upstairs of the home secured with gates made inaccessible to children in care.

Licensed effective 11/15/24
There are no deficiencies cited today. An exit interview was conducted. Appeal rights were given and discussed. A site visit notice was given and posted.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Nyeesha Blount
LICENSING EVALUATOR SIGNATURE: DATE: 11/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/15/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1