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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700129
Report Date: 08/14/2024
Date Signed: 08/14/2024 10:03:46 AM

Document Has Been Signed on 08/14/2024 10:03 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:GIL, ANDREAFACILITY NUMBER:
015700129
ADMINISTRATOR/
DIRECTOR:		GIL, ANDREAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(925) 699-8803
CITY:SAN LEANDROSTATE: CAZIP CODE:
94577
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 3DATE:
08/14/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:15 AM
MET WITH:Andrea GilTIME VISIT/
INSPECTION COMPLETED:
10:15 AM
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On August 14, 2024 at 8:15 AM, Licensing Program Analyst (LPA) Elimika Woods met with licensee Andrea Gill for an unannounced CASE MANAGEMENT inspection to change the inactive status back to active. Present during the inspection was the licensee her fingerprint cleared daughter and her two children. Also present during the inspection was one preschool age child. Hours of operation is Monday to Friday, 8AM to 4:30 PM. The home was toured with the licensee to conduct a health and safety inspection.

At 8:30 AM, LPA toured the on and off limit areas of the home and was told by the licensee were the children will Isolate when sick which will be a section of the living room, away from other children in care. LPA asked the licensee if there were any weapons or firearms in the home and the LPA was shown where the firearms were stored, which was a locked firearm cabinet in an off-limits area inaccessible to children in care.

The On-Limits areas of the home are: Living and dining room, kitchen, hallway bathroom, front and backyard.
The Off-Limits areas of the home are: Both bedrooms, laundry room and backyard garage.

This home has a fireplace that's blocked to prevent access by children in the living room. LPA asked the licensee does she transports children and the licensee stated that she does not transport children. LPA tested the smoke detector in the hallway and the carbon monoxide detector on the kitchen table and found them to be functioning properly. The licensee showed me her first aid kit that she keeps in the hallway closet, and a fully charged 2A10BC fire extinguisher which meets standards established by the State Fire Marshal hanging on the laundry room wall. The laundry room will be utilize as a walk through only to gain access to the backyard.

The off-limits will be made inaccessible by closed and/or locked doors and visual supervision. LPA checked the cabinets in the on limit areas which includes the kitchen, living and dining room, bathroom, and any other cabinets or drawers accessible to children in care and did not observe any hazardous materials or toxins accessible to children during today’s inspection. At 9:15 AM, LPA inspected the backyard area to make sure that there are no pools, hot tubs or any other bodies of water present that violates the childcare licensing laws and there were none, during today's inspection.



See 809- C
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Elimika Woods
LICENSING EVALUATOR SIGNATURE: DATE: 08/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/14/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: GIL, ANDREA
FACILITY NUMBER: 015700129
VISIT DATE: 08/14/2024
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The licensee's Health and Safety training is completed, and CPR and First Aid certificate is current and expires on 04/2026. The licensee has completed mandated reporter training on 04/05/2024. The licensee is in ratio today. All required forms are posted and visible for public review.

The OUTDOOR PLAY area is the fully fenced backyard and LPA observed that it is free from defects or dangerous conditions. During today's inspection, there are no play structures which are required to be anchored. There are ample age-appropriate toys that appear to be safe and in good condition. There's a shed with a lock to prevent children access to equipment behind the garage in the backyard. The licensee will also use the front yard area for play, and the licensee is reminded to have 100% visual supervision since the fence is two to three feet tall.



Effective 08/14/2024, this facility is placed on active status and LPA advised licensee she will receive a new license in the mail.
SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Elimika Woods
LICENSING EVALUATOR SIGNATURE:

DATE: 08/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2024
LIC809 (FAS) - (06/04)
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