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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423370
Report Date: 08/22/2023
Date Signed: 08/22/2023 12:41:42 PM

Document Has Been Signed on 08/22/2023 12:41 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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:RHODES, ERIKAFACILITY NUMBER:
013423370
ADMINISTRATOR:ERIKA EHODESFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 771-3565
CITY:SAN LORENZOSTATE: CAZIP CODE:
94580
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 5DATE:
08/22/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:36 PM
MET WITH:Erika RhodesTIME COMPLETED:
03:18 PM
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Licensing Program Analyst Sidney Cortez, met with licensee Erika Rhodes for an Unannounced Annual Random Inspection . Present for this visit was the licensee, her fingerprint cleared staff: Sandra Esquivel, 2 pre school age child, and 3 infants (5 total children). The home was toured to conduct a Health and Safety Inspection. The facility currently operates from 7:00AM until 6PM, MONDAY-FRIDAY.


The home is a single story home, and is neat and clean with sufficient heating and ventilation. The on limit areas include the living room, dining area, first bedroom on the right side of the hallway and the bathroom. The off limit areas include the kitchen, garage and the two bedrooms on the left side of the hallway. These areas are made inaccessible by gate, closed and/or locked doors and visual supervision. The isolation area is the bedroom. The backyard is used for outdoor play and is fully fenced and free from defects or dangerous conditions. LPA observed an ample supply of toys and activities available for children, and they are age appropriate and in good condition. The home does not have a fireplace and there are no heaters accessible to children. The licensee states that there are no firearms in the home. LPA did not observe any bodies of water, toxins or hazardous items accessible to children today.


The home has a working smoke detector, carbon monoxide detector, working telephone, and First Aid Kit. the home has a fully charged (3A40BC) fire extinguisher. The licensee CPR and First Aid certificate is current and expires (Sept 2023). The licensee's mandated reporter training is current and expires (Aug 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 August 2023. 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: 08/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/22/2023
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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