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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013416181
Report Date: 10/19/2023
Date Signed: 10/19/2023 11:03:35 AM

Document Has Been Signed on 10/19/2023 11:03 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:RUSSELL-JONES, TAMMIEFACILITY NUMBER:
013416181
ADMINISTRATOR:RUSSELL-JONES, TAMMIEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 632-1727
CITY:OAKLANDSTATE: CAZIP CODE:
94603
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 11DATE:
10/19/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:34 AM
MET WITH:Tammie Russell-JonesTIME COMPLETED:
11:15 AM
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On 10/19/23, at 9:34AM, Licensing Program Analysts (LPAs) Catherine Fernandes And Brittany Crass arrived unannounced on a complaint investigation and met with staff member Sharon Payton, soon after licensee Tammi Russell-Jones arrived. Present in care were three infants, eight preschoolers and one additional staff member fingerprint print cleared staff member.

While at the home LPAs observed a saucer chair that was immediately removed and Licensee's children's roster was not current.

See LIC9102.

Exit interview conducted
Report, Appeal Rights and Notice of site visit provided.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Catherine Fernandes
LICENSING EVALUATOR SIGNATURE: DATE: 10/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/19/2023
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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