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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013420326
Report Date: 06/19/2024
Date Signed: 06/19/2024 09:54:46 AM

Document Has Been Signed on 06/19/2024 09:54 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
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:LAUTI, SOANAFACILITY NUMBER:
013420326
ADMINISTRATOR/
DIRECTOR:		LAUTI, SOANAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 967-3558
CITY:OAKLANDSTATE: CAZIP CODE:
94602
CAPACITY: 14TOTAL ENROLLED CHILDREN: 8CENSUS: 7DATE:
06/19/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:45 AM
MET WITH:Soana LautiTIME VISIT/
INSPECTION COMPLETED:
10:00 AM
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On June 19, 2024 at 8:45 AM Licensing Program Analyst (LPA) Janai McClain met with Licensee Soana Lauti for the purpose of conducting an unannounced Plan of Correction (POC) visit. Present during today's inspection were the Licensee, her fingerprint spouse, grandmother, and daughter, and seven preschool age children. LPA conducted a tour for a health and safety check.

On June 14, 2024 the Licensee was cited HSC 1596.871(c)(1)(A) for having one non-fingerprint cleared assistant present. The Licensee had one fingerprint cleared assistant present today. Therefore, the citation has been cleared.

There were no deficiencies issued during todays visit.
Report and appeal rights reviewed and provided to Licensee Soana Lauti.
Notice of Site Visit provided and must remain posted for 30 days.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Janai McClain
LICENSING EVALUATOR SIGNATURE: DATE: 06/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/19/2024
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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