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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423032
Report Date: 02/05/2024
Date Signed: 02/05/2024 11:46:06 AM

Document Has Been Signed on 02/05/2024 11:46 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 SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:AVILA, CRISTINAFACILITY NUMBER:
013423032
ADMINISTRATOR:CRISTINA AVILAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 787-2176
CITY:HAYWARDSTATE: CAZIP CODE:
94544
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 13DATE:
02/05/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:43 AM
MET WITH:Cristina AvilaTIME COMPLETED:
11:37 AM
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Licensing Program Analyst (LPA) Sidney Cortez conducted an annual random inspection for Cristina Avila. Present for this visit was the licensee Cristina Avila, and 2 fingerprint cleared assistants: Ofelia Harojimenez, and Andrea Figueroa and (13) total children: 1 infant, 3 pre school age, and 9 school age children. The home was toured to conduct a Health and Safety Inspection. The facility currently operates from 7:00AM until 5:00 PM, MONDAY-FRIDAY.

The home is single story. The home consists of 9 rooms. The home is neat and clean with heating and ventilation for safety and comfort. The OFF LIMIT AREAS are the master bedroom/bathroom, the first room located on the left in the hallway, the laundry/pantry room, kitchen, the tool shed area, which will be inaccessible by closed and/or locked doors and visual supervision.

The ON LIMIT AREAS are the living/dining room combo, the hallway bathroom, the room located inside the middle of the hallway, and the family room.The ISOLATION AREA will be the bedroom located in the right side of the hallway. Outdoor play area will be inside the backyard which is completely fenced. The outdoor play area is free from defects or dangerous conditions.

There are no pools, hot tubs or any other accessible bodies of water. All hazardous materials and toxins are kept out of the reach of children. The home has a fully charged 3A40BC fire extinguisher, working smoke detector, working carbon monoxide detector, working telephone. The licensee Health and Safety training is completed and CPR and First Aid certificates are current and expires in Oct, 2025. The licensee is in compliance with new immunization laws which pertain to day care providers. Per applicant, there are no firearms in the home. The licensee's mandated reporter training is current and expires (June, 2025). Per licensee, there are no firearms in the home. The licensee conducts and documents fire and disaster drills twice a year with the last one conducted on Jan 2024. 2 Children files were reviewed, facility roster reviewed and copy obtained. The licensee is in ratio today. All REQUIRED forms are posted and visible for public review.

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Sidney Cortez
LICENSING EVALUATOR SIGNATURE: DATE: 02/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/05/2024
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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