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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013421551
Report Date: 09/05/2024
Date Signed: 09/05/2024 11:18:56 AM

Document Has Been Signed on 09/05/2024 11:18 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:DAY, ESSIEFACILITY NUMBER:
013421551
ADMINISTRATOR/
DIRECTOR:		DAY, ESSIEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 567-3339
CITY:OAKLANDSTATE: CAZIP CODE:
94621
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 5DATE:
09/05/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:40 AM
MET WITH:Essie DayTIME VISIT/
INSPECTION COMPLETED:
11:30 AM
NARRATIVE
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Licensing Program Analysts (LPA) Cherie Acosta and Kareeca Sykes conducted an unannounced case management visit. LPAs first met with Trylon Love, Licensed arrived at the facility shortly after LPAs arrival. There were 3 infants and 2 preschool aged children in care.

During the visit LPAs observed 1 infant sleeping in a play yard with a blanket and 1 infant sleeping in a play yard with toys.

See 809-D for deficiency cited today

Notice of Site Visit was provided and must be posted for 30 days.
Exit interview and report reviewed with Essie Day.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Cherie Acosta
LICENSING EVALUATOR SIGNATURE: DATE: 09/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/05/2024
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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Document Has Been Signed on 09/05/2024 11:18 AM - It Cannot Be Edited


Created By: Cherie Acosta On 09/05/2024 at 10:41 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: DAY, ESSIE
FACILITY NUMBER: 013421551

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/05/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/12/2024
Section Cited
CCR
102425(b)

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INFANT SAFE SLEEP.Cribs or play yards shall be free from all loose articles and objects. This requirement was not met as evidenced by: 2 infants were sleeping with items in the play yard
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Items were removed from the play yard during the inspection.
Licensee shall submit a letter to CCL by 9/12/24 ensuring that she understands the regulation and shall comply.
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which is a potential risk to the health and safety of children in care.
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• Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected

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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Sherelle Johnson
LICENSING EVALUATOR NAME:Cherie Acosta
LICENSING EVALUATOR SIGNATURE:
DATE: 09/05/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/05/2024


LIC809 (FAS) - (06/04)
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