<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423965
Report Date: 08/13/2024
Date Signed: 08/13/2024 03:17:53 PM

Document Has Been Signed on 08/13/2024 03:17 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
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:FIERRO, LAURAFACILITY NUMBER:
013423965
ADMINISTRATOR/
DIRECTOR:		LAURA FIERROFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 599-3234
CITY:BERKELEYSTATE: CAZIP CODE:
94702
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
08/13/2024
TYPE OF VISIT:OfficeANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:30 PM
MET WITH:Laura FierroTIME VISIT/
INSPECTION COMPLETED:
03:20 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 08/13/2024 at 1:30 PM, Licensing Program Manager (LPM) Monica Mathur, Licensing Program Analysts (LPAs) Christina Watts, Karecca Sykes and Diana Campos, and Office Technician (OT) Kayla Merchant conducted a Informal Meeting with applicant, Laura Fierro. Also present during office visit was applicant's parent and licensee, Esther Ocampo. LPA Campos was present to translate for licensee, Esther Ocampo.

The purpose of this meeting. today is to inform applicant, Laura Fierro of their options for family child care home application. Application was initially submitted for Unit B. Applicant provided documentation for Unit B, now approved as Unit A. LPM Mathur explained to applicant Laura Fierro that on 06/19/2024, Fire Inspector, Corey Ross had denied fire clearance for Unit A. Applicant stated that she has fixed all issues and is currently ready for updated fire clearance. Applicant at this time is unable to provide Proof of Control of Unit A. LPM Mathur stated that applicant has until August 30, 2024 to provide Control of Property for Unit A. Failure to provide documentation requested can lead to delay of licensure or denial of application.

Exit interview conducted with applicant Laura Fierro and signed the report acknowledging receipts of report.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Christina Watts
LICENSING EVALUATOR SIGNATURE: DATE: 08/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/13/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1