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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013415205
Report Date: 06/11/2024
Date Signed: 06/11/2024 05:29:24 PM

Document Has Been Signed on 06/11/2024 05:29 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 CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:SORIA ALCAZAR, MARIAFACILITY NUMBER:
013415205
ADMINISTRATOR/
DIRECTOR:
SORIA ALCAZAR, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 606-0397
CITY:FREMONTSTATE: CAZIP CODE:
94536
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 4DATE:
06/11/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:45 PM
MET WITH:Maira AvilaTIME VISIT/
INSPECTION COMPLETED:
05:30 PM
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On June 11, 2024 at approximately 2:45pm Licensing Program Analyst (LPA) Randy Miranda and Licensing Program Manager Wynn Norona met with licensee Maira Avila and Maria Alcazar for the purpose of conducting an unannounced 1-year annual inspection for Health and Safety compliance. Present for today’s inspection was the licensee, licensee's daughter, her fingerprint cleared helper, one infant and 4 preschool age children. The hours of operation are Monday-Friday, 6:00 AM to 6:00 PM.

The facility is a 5-bedroom, three bath two-story home an attached 2-car garage enclosed (fenced) backyard play area. There is a fireplace in the family room with a screen. The home is neat and clean with heating and ventilation for safety and comfort. Per the licensee, the ISOLATION AREA will be in the living room away from the other children in care.



On-limit include: Downstairs child care room; child care eating area (west side of kitchen); family room (with screened fireplace); living room; hallway; bathroom at the end of the hall. Licensee was reminded that other than wipes or things used for the children in the children’s bathroom, they need to be empty of most all items (or locked up) such as cleaning products. There are no accessible hazardous cleaning chemicals or other liquids in the on-limits area.
Off-limits include: Kitchen, backyard patio with shed, back bedrooms on the right side of the hall, back bedroom attached to the living room and, upstairs (stairs behind a shut and locked door) and attached 2-car garage. Off limit areas are inaccessible by closed and/or locked doors, child gates and visual supervision.

Disaster drills are conducted every month, the last one was done 05/20/2024. Per licensee, there are no firearms in the home. LPA did not observe any bodies of water, hazardous materials, or toxins accessible to children on the premises during the inspection. The backyard play area has age appropriate toys and small structures. Licensee has two first aid kits in the kitchen.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Randy Miranda
LICENSING EVALUATOR SIGNATURE: DATE: 06/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/11/2024
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 SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: SORIA ALCAZAR, MARIA
FACILITY NUMBER: 013415205
VISIT DATE: 06/11/2024
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Licensee has ample age-appropriate toys and learning materials in the home. There is a fully charged 3A40BC fire extinguisher in the child care room; a working smoke and carbon monoxide detector (tested and functioning), and a working telephone.

The Licensee CPR/First Aid expires 08/2025. Daughter Maira expires 01/2025, and the assistant expires 02/2025. The licensee, Daughter Maira and assistant's mandated reporter training (verified AB1207) is current, both completed on 3/8/2024. Licensee is in compliance with immunization laws which pertains to day care providers, assistant has proof of TB test.



LPA reminded the licensee of the following: Mandated Reporter training is to be renewed every two years; CPR/First Aid is also renewed every two years. Baby bouncers & drop-down cribs are not allowed at the day-care facility.

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Randy Miranda
LICENSING EVALUATOR SIGNATURE:

DATE: 06/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2024
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 SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: SORIA ALCAZAR, MARIA
FACILITY NUMBER: 013415205
VISIT DATE: 06/11/2024
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Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

There were no deficiencies issued during today’s inspection.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee Maria Soria Alcazar.

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Randy Miranda
LICENSING EVALUATOR SIGNATURE:

DATE: 06/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2024
LIC809 (FAS) - (06/04)
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