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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 435700381
Report Date: 07/29/2024
Date Signed: 07/29/2024 01:11:59 PM

Document Has Been Signed on 07/29/2024 01:11 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 SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:BARENO, JENNIFERFACILITY NUMBER:
435700381
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 4CENSUS: 4DATE:
07/29/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Jennifer BarenoTIME VISIT/
INSPECTION COMPLETED:
01:30 PM
NARRATIVE
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On 07/29/2024 at 1:00pm, Licensing Program Analyst (LPA) Christina Uribe conducted an unannounced Case Management visit for the purpose of a change of capacity. LPA Uribe met with licensee, Jennifer Bareno. Present for the inspection were 4 daycare children and the licensee's 17-year-old son/assistant. The licensee's son helped with translation services between the licensee and LPA.

Application for Capacity Increase: All documents have been received for the increase of capacity application. The fire clearance for a capacity of 14 children was sent to the Mountain View Fire Department (MVFD) on 07/09/2024. An inspection of the Family Child Care Home was performed by a MVFD inspector on 07/22/2024 and the home was granted the fire clearance. The licensee was reminded to abide by the conditions of the fire clearance which restricts the use of the garage to children in care. The licensee was reminded that an assistant must be present at all times when there is more than 8 children in attendance. Whenever the assistant is not present, the licensee will comply with the capacity requirements for a small family child care home.

Licensee understands the capacity and ratio requirements for a Large Family Child Care Home licensee.

The home is recommended for a change of capacity to an increase of 14 children and will go effective today, 07/29/20234.

A notice of site visit of given was given and must be posted for 30 days. Exit interview was conducted and report was reviewed with the licensee, Jennifer Bareno.

Page 1 of 1 ***End of Report***

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Christina Uribe
LICENSING EVALUATOR SIGNATURE: DATE: 07/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/29/2024
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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