<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 483010111
Report Date: 09/30/2021
Date Signed: 09/30/2021 09:21:07 AM

Document Has Been Signed on 09/30/2021 09:21 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, 101 GOLF COURSE DR. STE. A-230
ROHNERT PARK, CA 94928
FACILITY NAME:REED, TAMARA FCCHFACILITY NUMBER:
483010111
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
09/30/2021
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Tamara ReedTIME COMPLETED:
09:30 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst, (LPA) Glenn Ouye met with licensee Tamara Reed to conduct a change of location prelicensing visit.,

The facility interior and exterior was inspected. The on limits area are the living room, kitchen, hall bathroom, garage (which has been set up for child care use) and the back deck. The licensee intends to plant grass in the back lawn so she will not be using the rear lawn at this point but will use the rear lawn when the grass has grown. The back yard is completely fenced. The off limit areas are all of the bedrooms. The bedrooms are made inaccessible with door knob slip covers. There is no fire place in the home. The wall heater has a barrier making the heater inaccessible to the children. There are no bodies of water on the property. A smoke and carbon monoxide detectors were tested and functional. There is a fully charged fire extinguisher rated at 2A10BC kept on the kitchen counter. All cleaning supplies and medications are inaccessible to the children. There are no firearms in the home and no poisons. The regulatory requirement for storage of poisons is understood by the licensee.

The licensee and LPA discussed Covid-19 mitigation protocols such as face masking, sanitization and daily health screening for children attending the day care.

The change of location licensure is approved and the license is effective today, September 30, 2021.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Glenn Ouye
LICENSING EVALUATOR SIGNATURE: DATE: 09/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/30/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1