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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073409280
Report Date: 11/18/2022
Date Signed: 11/18/2022 10:47:01 AM

Document Has Been Signed on 11/18/2022 10:47 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:HONEY, SADE & JONES, CHEYENNEFACILITY NUMBER:
073409280
ADMINISTRATOR:HONEY, SADEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(925) 477-1453
CITY:ANTIOCHSTATE: CAZIP CODE:
94509
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 3DATE:
11/18/2022
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:HONEY, SADE & JONES, CHEYENNETIME COMPLETED:
11:00 AM
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On November 18, 2022 at 8:30am Licensing Program Analyst (LPA) Nyeesha Blount and Licensing Program Manager (LPM) Mayla Mendoza conducted a follow-up Pre-Licensing inspection and met with applicant Honey, Sade. LPA disclosed the purpose of the inspection and was granted entry into facility by applicant. Present during this inspection was fingerprint cleared Applicant (3)preschool children present during the time of the inspectipon. LPA toured with Applicant for a health and safety inspection. The facility plans to operate Monday – Friday 6:30 am to 11:00pm, Saturday and Sunday 8:00am to 8:00pm.

The home is a two level, which consists of living room, dining room, laundry room, kitchen, (3) bedrooms, (2) bathrooms, fenced backyard, and garage. The day care is neat and clean and has central heating and ventilation for safety and comfort. There are sufficient age appropriate furnishings, toys, books and learning materials available. Applicant states there are no weapons in the home. All hazardous materials and toxins were observed to be inaccessible to children today, The day care is equipped with a fully charged 2A10BC fire extinguisher, working smoke detector, and working carbon monoxide detector. Pediatric CPR and First Aid are current and will expire on December 2023.

ON LIMITS: Family room, dining room, living room.

OFF LIMITS: The entire upstairs, laundry room, and garage.

ISOLATION AREA:. Black chair located in the kitchen corner.

OUTDOOR SPACE:The entire area was inspected to ensure the health and safety of the area. Currently will not be using the outdoor space until further notice. There are no pools, hot tubs, or any bodies of water on the premises during today’s inspection.

SEE LIC809 FOR CONTINUANCE.

SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Nyeesha Blount
LICENSING EVALUATOR SIGNATURE: DATE: 11/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/18/2022
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 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: HONEY, SADE & JONES, CHEYENNE
FACILITY NUMBER: 073409280
VISIT DATE: 11/18/2022
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Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Licensee was reminded about importance to stay in compliance with mandated reporter training and maintenance of sleep logs for all infants in care. In the areas that were evaluated, no regulatory violations were observed.

Exit interview conducted and report was reviewed with the licensee Honey, Sade..

Licensed Effective November 18, 2022.

SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Nyeesha Blount
LICENSING EVALUATOR SIGNATURE:

DATE: 11/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2022
LIC809 (FAS) - (06/04)
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