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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013421551
Report Date: 11/14/2024
Date Signed: 11/14/2024 10:08:12 AM

Document Has Been Signed on 11/14/2024 10:08 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: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: 4DATE:
11/14/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Trylyon LoveTIME VISIT/
INSPECTION COMPLETED:
10:10 AM
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Licensing Program Analysts Kayla Merchant and Cherie Acosta met with assistant Trylyon Love to clear a POC from a visit on 10/23/2024. During the visit on 10/23/2024, LPAs Acosta and Merchant observed 5 infants which put the facility out of ratio. Today LPAs Acosta and Merchant observed 4 infants. The facility is in ratio today and the POC is cleared.

Notice of Site visit was provided and must be posted for 30 days.

Report reviewed with assistant Trylyon Love.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Kayla Merchant
LICENSING EVALUATOR SIGNATURE: DATE: 11/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/14/2024
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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