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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423650
Report Date: 08/15/2024
Date Signed: 08/15/2024 02:54:56 PM

Document Has Been Signed on 08/15/2024 02:54 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, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:CASTRO, ANAFACILITY NUMBER:
013423650
ADMINISTRATOR/
DIRECTOR:		CASTRO, ANAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 512-6467
CITY:BERKELEYSTATE: CAZIP CODE:
94710
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 14DATE:
08/15/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:30 PM
MET WITH:Ana CastroTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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On August 15, 2024 at 12:30pm Licensing Program Analyst (LPA) Indira Loza met with Assistant Telma Galicia for a Proof of Correction (POC) visit. The Licensee arrived approximately 20 minutes later. Present during the visit were the Licensee, 4 infants, 8 preschoolers, two school-age children, the Licensee's fingerprint cleared assistants Laura Rameno and Telma Galicia. LPA toured the home for a health and safety check.

On May 9, 2024 one Type A citation was issued for operating over ratio, California Code of Regulations (CCR) 102416.5(d)(2) was cited. The facility was operating within the licensing ratio during today's visit. Therefore the citation will be cleared.

Exit interview conducted.
Report and Appeal Rights provided to Licensee Ana Castro.
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Indira Loza
LICENSING EVALUATOR SIGNATURE: DATE: 08/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/15/2024
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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