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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700377
Report Date: 06/25/2024
Date Signed: 06/25/2024 08:48:29 AM

Document Has Been Signed on 06/25/2024 08:48 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:HIGAREDA, KATIHAFACILITY NUMBER:
015700377
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 1DATE:
06/25/2024
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:48 AM
MET WITH:Katiha HigaredaTIME VISIT/
INSPECTION COMPLETED:
12:03 PM
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Licensing Program Analyst Sidney Cortez, conducted an Increase Capacity Inspection for the facility belonging to Katiha Higareda. The Fire Clearance was issued by the Hayward Fire Department on
June 13, 2024. The facility currently operates from Monday through Friday from 7:00am until 6:00pm.


The home is 1 story. The home consists of 2 bedrooms, 1 bathroom, living room/play room area, dining room, kitchen, backyard. The home is neat and clean with heating and ventilation for safety and comfort. The OFF LIMIT AREAS is the 2 bedrooms, and kitchen. The ON LIMIT AREAS are the living room, bathroom, backyard. The ISOLATION AREA is the living room area.
There are toys and learning materials in the activity room area .Hazardous materials and toxins are kept out of the reach of children. There is no pool or any type of bodies of water in the home. There is no firearms in the house.


The home has one fully charged fire extinguisher (model 2A10BC), and working smoke/carbon monoxide detectors, first aid kit, emergency supplies, and working telephone. Licensee’s CPR and First Aid certificates are current and both certificates will expire on May 2026. Licensee has a current mandated reporter training which will expire in Feb 2026. The licensee conducts and documents fire and disaster drills twice a year with the last one conducted on March 2024.

(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: 06/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/25/2024
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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