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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073407208
Report Date: 05/01/2024
Date Signed: 05/01/2024 10:42:01 AM

Document Has Been Signed on 05/01/2024 10:42 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
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:CERTEZA, ATHENAFACILITY NUMBER:
073407208
ADMINISTRATOR/
DIRECTOR:		CERTEZA, ATHENAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(925) 305-7377
CITY:BRENTWOODSTATE: CAZIP CODE:
94513
CAPACITY: 14TOTAL ENROLLED CHILDREN: 27CENSUS: 5DATE:
05/01/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Athena CertezaTIME VISIT/
INSPECTION COMPLETED:
11:00 AM
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
Licensing Program Analysts (LPA) Cherie Acosta and Dealia Frison conducted an unannounced Case Management inspection. Present during the inspection was the licensee, her fingerprint cleared husband, fingerprint cleared assistant, licensee's minor child that is not counted in the ratio. There were 3 infants and 2 preschool aged children in care.
LPAs toured the facility for a health and safety inspection. Licensee has a pool that was previously inspected by LPA Acosta. The pool has a fence with a self latching gate that opens away from the pool. The fence does not ensure the pool is inaccessible from the bedroom windows that opens to the backyard. Licensee has installed a child safety window guard in one of the bedroom windows to ensure the pool is inaccessible to children. Licensee also ordered a window guard for bedroom window that opens to the side yard. Licensee agrees to install the new window guard by 5/3/24 An approved waiver for use of the window guard was provided to licensee today.

There were no deficiencies during today's visit.
Notice of Site Visit was provided and must be posted for 30 days.
Exit interview and report reviewed with Athena Certeza,
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Cherie Acosta
LICENSING EVALUATOR SIGNATURE: DATE: 05/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/01/2024
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