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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423032
Report Date: 06/06/2024
Date Signed: 06/06/2024 09:05:07 AM

Document Has Been Signed on 06/06/2024 09:05 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/
DIRECTOR:		CRISTINA AVILAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 787-2176
CITY:HAYWARDSTATE: CAZIP CODE:
94544
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 7DATE:
06/06/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:50 AM
MET WITH:Cristina AvilaTIME VISIT/
INSPECTION COMPLETED:
11:18 AM
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Licensing Program Analyst Sidney Cortez conducted a plan of correction and technical advisory visit for the licensee due the out of ratio citation she received last week. Present on this visit is the licensee, her 2 fingerprint cleared assistants: Ofelia Haro and Andrea Figueroa and 8 children.

Licensee submitted a signed statement stating she is going to adjust her schedule and staffing to accommodate the census and stay in ratio. Moreover, licensee will have a schedule of pick up and drop offs before her assistants leave for the day. She plans to also install cameras for better transparency and accountability for the parents.

Licensee will be conducting weekly staff meetings to discuss potential emergencies and better workflow to ensure that they stay in ratio.


Licensee was also reminded about the ratios. LPA Cortez provided her with the diagrams to help reinforce proper staffing.

LPA Cortez reminded the licensee to keep the children files, roster and personnel files updated. POC was cleared today.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Sidney Cortez
LICENSING EVALUATOR SIGNATURE: DATE: 06/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/06/2024
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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