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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700326
Report Date: 09/06/2023
Date Signed: 09/06/2023 11:46:44 AM

Document Has Been Signed on 09/06/2023 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:ALANIZ, GABRIELA & ROMERO CAMPOS, JORGEFACILITY NUMBER:
015700326
ADMINISTRATOR:ALANIZ, GABRIELAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 798-2953
CITY:SAN LORENZOSTATE: CAZIP CODE:
94580
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 5DATE:
09/06/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
09:56 AM
MET WITH:Alaniz, GabrielaTIME COMPLETED:
11:45 AM
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On September 6th, 2023, Licensing Program Analyst (LPA) Sidney Cortez arrived unannounced for a plan of correction (POC) inspection to confirm facility is within its ratio/capacity limits. LPA met with licensee Gabriela Alaniz and Jorge Romero. Present were 4 infants, and 1 toddler with Jorge Romero (husband of licensee) as assistant

LPA Plumboy’s Complaint Investigation conducted on 8/29/2023 observed that there were 5 infants

Upon arrival today, LPA Cortez observed 5 children total (4 infants and 1 toddler) with both licensee and helper.

Section 102416.5(a) Staffing Ratio and Capacity cited on 08/29/2023 is cleared today. Copy of Letter of Deficiency Citations Cleared provided at visit.

Exit interview conducted with licensee Gabriela Alaniz and copy of report provided.

A Notice of Site Visit was provided and must remain posted for 30 days.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Sidney Cortez
LICENSING EVALUATOR SIGNATURE: DATE: 09/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/06/2023
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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