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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 435700392
Report Date: 11/20/2023
Date Signed: 11/20/2023 03:23:32 PM

Document Has Been Signed on 11/20/2023 03:23 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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:KONTIA, LATIKAFACILITY NUMBER:
435700392
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 1DATE:
11/20/2023
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Latika KontiaTIME COMPLETED:
04:00 PM
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
On Monday, November 20, 2023, at 2 pm, Licensing Program Analyst (LPA) Manel Estoesta conducted a Pre-Licensing Visit. LPA met with the Applicant Latika Kontia. Present on this visit were the Applicant's Spouse and Applicant's infant daughter. The applicant submitted a Family Child Care Home (FCCH) Small License Application and Oakland South Child Care Program Office received the application on 10/03/2023.

The home was toured to conduct a Health and Safety Inspection with the Applicant. The home is a one-story home. The home is neat and clean with heating and ventilation for safety and comfort. The home plans to operate from Monday to Friday 8:30 am to 3 pm.

The On-Limit Areas are the living Room, dining room and hallway bathroom. The backyard will be a designated outdoor play area that is fully fenced.

The Off-Limit Areas are kitchen, family room, office room, 2 bedrooms, master bedrooms and master bathroom, garage and the side yards.

There are no pools, hot tubes, or any other bodies of water. LPA reminded the applicant that all hazardous materials and toxins are kept out of reach from children and are not accessible. The designated isolation area is the office room when a child gets sick in day care.

The home has a fully charged fire extinguisher 2A10BC, smoke detector, carbon monoxide, telephone (cell phone). As per the applicant, there are no firearms on the premises. The home does have a fireplace at the off limit areas and LPA reminded the applicant must be made inaccessible to children in care. The applicant understood.

SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE: DATE: 11/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/20/2023
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 2
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 STE 1102
OAKLAND, CA 94612
FACILITY NAME: KONTIA, LATIKA
FACILITY NUMBER: 435700392
VISIT DATE: 11/20/2023
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
26
27
28
29
30
31
32
The applicant completed the Health and Safety training completed on 9/20/2023, and CPR (Pediatric) and First Aid completed on 9/24/2023 with validity period of 2 years. The applicant completed the AB1207 Child Care Providers training online on 9/15/2023. LPA reminded the applicant that AB1207 requires a 2-year renewal. The applicant has records of Measles and Pertussis immunization, Influenza declination statement and TB clearance. LPA reminded the applicant that only the Influenza vaccination can be decline with a written declination. LPA reviewed the applicant's home mortgage bill statement dated 10/1/2023.

​Applicant was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, 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.



The applicant will install safety gates on the hallway to the bedrooms, to the family room and the side yards to prevent children accessing the off limit areas. The applicant will install safety latches on the hallway bathroom cabinets.

The home is not yet recommended for a FCCH Small license and will still need to provide further requirement as discussed today. The applicant will submit proof of the requirement via email or text. LPA and the applicant will schedule another meeting via online platform to discuss and provide technical assistance.

Exit interview conducted and report was reviewed with the applicant, Latika Kontia.

SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE:

DATE: 11/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2023
LIC809 (FAS) - (06/04)
Page: 2 of 2