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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423704
Report Date: 10/04/2023
Date Signed: 10/04/2023 12:57:48 PM

Document Has Been Signed on 10/04/2023 12:57 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
BAY AREA-CC OAKLAND, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:TAM, WING YEE MAEGANFACILITY NUMBER:
013423704
ADMINISTRATOR:TAM, WING YEE MAEGANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 430-0185
CITY:BERKELEYSTATE: CAZIP CODE:
94703
CAPACITY: 14TOTAL ENROLLED CHILDREN: 12CENSUS: 12DATE:
10/04/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:07 AM
MET WITH:Maegan Wing Yee Tam- LicenseeTIME COMPLETED:
01:05 PM
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On 10/4/23 at 11:07am, Licensing Program Analysts (LPAs) Briana Plumboy and Randall Dunevant conducted an unannounced case management inspection. Present for the inspection was 2 infants, 10 preschool age children, and 4 assistants. Licensee Maegan arrived at the the facility at 12:09pm.
Licensee is reminded to remain in capacity at her home at all all times and if children from 1549 Ashby Ave. Unit A Berkeley, CA 94703 (013423619) cross to unit B (013423704) or vice versa the children in care need children files at both facilities as well as acknowledgment from their guardian they are enrolled at both childcares (013423704 and 013423619). Also, if staff cross between unit A and Unit B, they need staff files at each facility as well as associations to both license numbers (013423704 and 013423619).
No deficiencies cited during today's inspection. A notice of site visit was given and must remain posted for 30 days.
Exit interview conducted and report was reviewed with the licensee Maegan Wing Yee Tam.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Briana Plumboy
LICENSING EVALUATOR SIGNATURE: DATE: 10/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/04/2023
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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