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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073409307
Report Date: 07/22/2022
Date Signed: 07/22/2022 10:23:43 AM

Document Has Been Signed on 07/22/2022 10:23 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:YATES, SHANELFACILITY NUMBER:
073409307
ADMINISTRATOR:YATES, SHANELFACILITY TYPE:
850
ADDRESS:3195 GARRITY WAY, #823TELEPHONE:
(510) 417-1207
CITY:RICHMONDSTATE: CAZIP CODE:
94806
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: DATE:
07/22/2022
TYPE OF VISIT:Case Management - OtherANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:SHANEL YATES TIME COMPLETED:
10:45 AM
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On July 22, 2022 at 9:00 AM Licensing program analyst Nyeesha Blount met with Licensee Shanel Yates for an Announced Change of Location site visit. Prior location was 2601 Hilltop Drive # 834 Richmond, CA 94806 LPA toured the home with Licensee. the home is a (2) bedroom (2) bathroom apartment with a living room, kitchen, patio and garage Hours of Operation will be Monday - Sunday 6AM to 5AM. No children were present during todays inspection. Furnishings and equipment, including infant sleeping equipment, are age appropriate and free of sharp/broken pieces. there are age appropriate toys and books for the children in care.Licensee stated there are no firearms or weapons in the home..Isolation area for the children will be in the first bedroom to the right of the home the ON LIMITS areas of the home will be the living room, hall bathroom, first bedroom to the right of the hall. The OFF LIMITS areas of the home will be the master bedroom and bathroom, kitchen, patio and garage.

There is a working smoke detector, working carbon monoxide detector and fully charged 2A10BC fire extinguisher. There are no hazardous conditions observed in the patio.No outdoor play area will be used.There are no pools, hot tubs or accessible bodies of water present.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment. To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to [email protected]. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Nyeesha Blount
LICENSING EVALUATOR SIGNATURE: DATE: 07/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/22/2022
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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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: YATES, SHANEL
FACILITY NUMBER: 073409307
VISIT DATE: 07/22/2022
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Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

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 Shanel Yates.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Nyeesha Blount
LICENSING EVALUATOR SIGNATURE:

DATE: 07/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2022
LIC809 (FAS) - (06/04)
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