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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073408850
Report Date: 10/17/2024
Date Signed: 10/17/2024 12:05:50 PM

Document Has Been Signed on 10/17/2024 12:05 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
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:CANNADA, NICOLEFACILITY NUMBER:
073408850
ADMINISTRATOR/
DIRECTOR:
CANNADA, NICOLEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(925) 325-5993
CITY:BAY POINTSTATE: CAZIP CODE:
94565
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 1DATE:
10/17/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:45 AM
MET WITH:Nicole CannadaTIME VISIT/
INSPECTION COMPLETED:
12:15 PM
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On 10/17/2024 at 10:45AM Licensing Program Analysts (LPA) Kareeca "Reeca" Sykes and Cherie Acosta conducted an UNANNOUNCED CASE MANAGEMENT- License initiated visit to add the backyard as an ON-LIMIT area. LPA's met with licensee Nicole Cannada to discuss the purpose of today's visit and was granted access into the facility to conduct a tour for health and safety. During the visit there was one (1) infant child present.

During the inspection LPA's inspected all ON-LIMIT areas of the home including the backyard
The ON-LIMIT AREAS: The complete downstairs (excluding the garage and laundry room)
The OFF - LIMITS AREAS: The complete second floor of the home, the garage, and laundry room

During the tour LPA's inspected the backyard. There is a play structure that is anchored to the ground and is secured. LPA's observed the play structure to have splinters. LPA's inspected the area while observing the backyard LPA's observed a portion of the right side of the yard to be off limits and made inaccessible by gates. The left side yard is off-limits to children and made inaccessible by gates.

Prior to having the backyard approved as an ON-LIMIT area licensee will submit the following corrections:
  • Licensee agrees to have the the play structure sanded and free of splinters.

  • Licensee has four (4) BBQ pits and propane tanks. Licensee shall make these inaccessible to children and submit proof.
Licensee agrees to have all corrections made by 10/24/2024.

Exit interview conducted, appeal rights were given, and report was reviewed with the Licensee Nicole Cannada. Notice of site visit was provided to licensee and must be posted for 30 days.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Kareeca Sykes
LICENSING EVALUATOR SIGNATURE: DATE: 10/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/17/2024
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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