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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073406180
Report Date: 03/06/2025
Date Signed: 03/06/2025 10:35:19 AM

Document Has Been Signed on 03/06/2025 10:35 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 CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:NAVARRO, ROSAFACILITY NUMBER:
073406180
ADMINISTRATOR/
DIRECTOR:		NAVARRO, ROSAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(925) 759-7244
CITY:ANTIOCHSTATE: CAZIP CODE:
94531
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
03/06/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Rosa NavarroTIME VISIT/
INSPECTION COMPLETED:
10:45 AM
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On 03/06/2025 at 9:00 AM, Licensing Program Analysts (LPAs) A. Hollinger and K. Sykes conducted an unannounced Annual, Required inspection. Present during today’s inspection was the licensee, Rosa Navarro (Rosa Martin-Nunez). The Licensee stated that they are the only adult living in the home. The home was toured for Health and Safety Inspection.

The home was observed to be orderly, with heating and ventilation for safety and comfort. There are no pools, spas, hot tubs, or any other similar bodies of water at this home. There are no firearms on the premises as stated by the licensee. Detergents, cleaning compounds, medications and other items which could pose a danger to children are stored and inaccessible to children. The fireplace is in the living room area which the Licensee states they do not use. There are two dogs that reside in the home. LPAs verified that the fire extinguisher 2A10BC is fully charged. The home is equipped with a dual smoke and carbon monoxide detector. There is a working telephone in the home. The home provides appropriate toys, learning materials and play equipment. Facility and children's files weren't able to be reviewed due to them being in storage.

On limits area: the family room, dining room, living room, kitchen and hallway bathroom.

Off limits area: all four bedrooms, master bathroom, laundry room and garage. Off limits areas will be made inaccessible by use by closed and/or locked doors and visual supervision.

The licensee is currently not operating and has not been operating for at least a year. LPAs did not observe any children in the facility. Licensee has requested to be put on inactive status. LPAs printed out form LIC 9211 - Request for Inactive Child Care License Status and asked Rosa Navarro to complete and sign the form.

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SUPERVISORS NAME: Monica Mathur
LICENSING EVALUATOR NAME: Ashley Hollinger
LICENSING EVALUATOR SIGNATURE: DATE: 03/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/06/2025
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: NAVARRO, ROSA
FACILITY NUMBER: 073406180
VISIT DATE: 03/06/2025
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As of 03/06/2025, facility has been placed in inactive status. Facility inactive status is valid until 03/06/2026.

LPAs informed Rosa that facility can choose when to be taken off of inactive status to resume caring for children. LPAs also informed Rosa they would have to contact Licensing to reopen and resume childcare. During today's inspection, there were no violations observed.

Exit interview conducted and report was reviewed with Rosa Navarro (Rosa Martin-Nunez).
SUPERVISORS NAME: Monica Mathur
LICENSING EVALUATOR NAME: Ashley Hollinger
LICENSING EVALUATOR SIGNATURE:

DATE: 03/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2025
LIC809 (FAS) - (06/04)
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