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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013421295
Report Date: 06/14/2022
Date Signed: 06/14/2022 12:23:53 PM

Document Has Been Signed on 06/14/2022 12:23 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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:MCDONALD, ERICKAFACILITY NUMBER:
013421295
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 6DATE:
06/14/2022
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
11:25 AM
MET WITH:Licensee, Ericka McdonaldTIME COMPLETED:
12:40 PM
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Licensing Program Analyst (LPA) Jyoti Saini met with Licensee, Ericka McDonald for a case management visit for an increase of capacity. Present during this inspection was Licensee, supervising 2 infants and 3 preschoolers and one school age. The home is a one-story house consisting of 3 bedrooms, 2 bathrooms, living room, dining room, kitchen, backyard, and Garage. The hours of operation are 7:30AM- 5:30PM, Monday -Friday. Day care area: The living room, dining room, kitchen, bedroom #1, and bathroom adjacent to the kitchen, and fenced backyard. OFF LIMITS: Bedroom #2 and Bedroom #3, garage, and Bathroom #2

LPA inspected the house for health and safety hazards. There are no changes to the home since the last inspection visit on 03/09/2022. The Facility has an approved fire clearance from the Alameda County Fire Department dated May 31, 2022 with the condition that the garage is off limit to the day care. Staff-children ratios discussed with Licensee for a Large Family Child Care Home (FCCH). If there is no helper, Licensee will need to operate within the small FCCH in regard to ratios. If care is provided to the 7th and 8th child for a Small FCCH, or 13th and 14th child for a Large FCCH, the last two children need to be school aged. A sample handout is given to Licensee today regarding Small/Large Family Child Care Home Capacity Limitations. Licensee have valid CPR and expires on 11/20/2023. All required postings are properly posted. Provider is reminded of NO walker, exersaucers, jumpers, bouncers, and any similar items to be used for children in care and shall be made inaccessible.

Large family Childcare license is recommended effective 06/14/2022.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the licensee Ericka McDonald.

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE: DATE: 06/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/14/2022
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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