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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013412831
Report Date: 06/26/2024
Date Signed: 06/26/2024 01:48:51 PM

Document Has Been Signed on 06/26/2024 01:48 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 SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:GUERRERO, CORINAFACILITY NUMBER:
013412831
ADMINISTRATOR/
DIRECTOR:		GUERRERO, CORINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 728-1027
CITY:HAYWARDSTATE: CAZIP CODE:
94544
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
06/26/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:49 PM
MET WITH:Corina GuerreroTIME VISIT/
INSPECTION COMPLETED:
03:04 PM
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Licensing Program Analyst Sidney Cortez, met with licensee Corina Guerrero for an Unannounced Annual Random Inspection. Present for this visit was the licensee Corina Guerrero, her fingerprint cleared assistant Jennifer Esquivel, and 6 school age children. The home was toured to conduct a Health and Safety Inspection. The facility currently operates from 6:00AM until 07:00 PM, MONDAY-FRIDAY.


The home is a single-story home. The home consists of four bedrooms, two baths, family room, dining area, kitchen, back and side yard, and garage. On-limit: Daycare room, kitchen, dining area, family room, hallway bathroom, and the main part of back yard. Off-limit: All 4 bedrooms are Off-limits will be made inaccessible by closed and/or locked doors and visual supervision.The Isolation Area will be in the living room area away from children in care. The Outside play area is fully fenced and available to children in care. LPA did not observe any hazardous materials or toxins accessible to children during today’s inspection. There are toys and learning materials present during today's inspection. There is a hot tub which is currently empty of water and has locking safety latches. There are no other pools or accessible bodies of water. There is a fully fenced outdoor yard and play area which is free from defects or dangerous conditions.


The home has a fully charged 3A40BC fire extinguisher, working smoke detector, working carbon monoxide detector, working telephone. The licensee Health and Safety training is completed and CPR and First Aid certificates are current and expires in Jan, 2025. The licensee is in compliance with new immunization laws which pertain to day care providers. Per licensee, there are no firearms in the home. The licensee's mandated reporter training is current and expires (May, 2026). Per licensee, there are no firearms in the home. The licensee conducts and documents fire and disaster drills twice a year with the last one conducted on March 2024. 2 Children files were reviewed, facility roster reviewed and copy obtained. The licensee is in ratio today. All REQUIRED forms are posted.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Sidney Cortez
LICENSING EVALUATOR SIGNATURE: DATE: 06/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/26/2024
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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