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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 435700418
Report Date: 01/29/2025
Date Signed: 01/29/2025 11:39:45 AM

Document Has Been Signed on 01/29/2025 11:39 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
OAKLAND SOUTH CC RO, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:ALVAREZ, YISSELAFACILITY NUMBER:
435700418
ADMINISTRATOR/
DIRECTOR:
YISSELA ALVAREZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 704-4021
CITY:PALO ALTOSTATE: CAZIP CODE:
94303
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
01/29/2025
TYPE OF VISIT:OfficeANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:40 AM
MET WITH:Yissela AlvarezTIME VISIT/
INSPECTION COMPLETED:
11:45 AM
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On 01/29/2025 at 10:40am, Licensing Program Analyst (LPA) Jialing “Julianne” Zhu and Regional Manager (RM) Loretta Dyson met with applicant Yissela Alvarez for a scheduled office meeting at the Oakland Southeast Regional Office. The purpose of the meeting is to discuss conditions of licensure.

During the office meeting, the requirements for a large Family Child Care Home (FCCH): ratio and capacity regulations and presence of an assistant based on number of children present as well as children’s Personal Rights when under her care were discussed. We also discussed the substantiated allegation of unlicensed care from a complaint filed with Licensing in December 2024.

A license has not been approved following this meeting. A prelicensing visit is scheduled for 01/31/2025. Licensure determination will be made following the prelicensing visit.

Exit interview was conducted, report was reviewed, and Appeal Rights were provided to applicant, Yissela Alvarez.

Page 1 of 1. End of Report.

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Jialing Zhu
LICENSING EVALUATOR SIGNATURE: DATE: 01/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/29/2025
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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