010206645-2-6-2020-02-CC-BNEN-BLJS86-20200206123838

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 010206645
Report Date: 02/06/2020
Date Signed: 02/06/2020 12:38:47 PM

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:	PATTERSON, SARAH.		FACILITY NUMBER:	010206645
ADMINISTRATOR:	PATTERSON, SARAH		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 540-5001
CITY:	BERKELEY	STATE: CA	ZIP CODE:	94702
CAPACITY:	12	CENSUS: 3	DATE:	02/06/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	11:45 AM
MET WITH:	Licensee Sarah Patterson		TIME COMPLETED:	01:30 PM

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On 02/06/2020, Licensing Program Analyst (LPA) Brittany Newton made an unannounced visit for the purpose of conducting a required annual inspection. LPA was met by licensee Sarah Patterson. Present for the visit was 3 infants and the licensees assistant J. Brisco. The home was toured to conduct a health and safety inspection.

This one story, 2.5-bed, 1.5-bath home was toured, the following areas are used for day-care: kitchen, dining room, 1.5 bathrooms, converted garage/play room and side yard. Off limit areas include: two bedrooms. The 1/2 bedroom/sitting room is used for isolation when a day care child is ill.

The home has electrical outlet covers throughout and a First Aid Kit is maintained. The home has a 3A40BC fire extinguisher and a combination smoke and carbon monoxide detector. Fire and Disaster Drills have been being conducted with the last one being 12/15/2019. There are adequate age appropriate toys, books, and games. There are no firearms present on the premises as stated by licensee. The outdoor play area is a fenced sideyard, which is free of hazards and has sufficient toys. CPR and First Aid is current and expiring 02/2021. Required forms were posted.

Incidental Medical Services (IMS) policy was discussed. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. Currently, the licensee has no kids in care requiring medicine. 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.

LPA reviewed children files which were found in compliance.

SUPERVISOR'S NAME: Sherelle Johnson	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Brittany Newton	TELEPHONE: (510) 622-2594
LICENSING EVALUATOR SIGNATURE:	DATE: 02/06/2020

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2020

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: PATTERSON, SARAH.	FACILITY NUMBER: 010206645
	VISIT DATE: 02/06/2020

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Licensee is reminded that ALL assistants, volunteers, frequent visitors, or adults living in the home, that are 18 years of age or older must be fingerprint cleared and associated to this facility prior to being in the presence of children in care or an immediate civil penalty will be assessed from $100 to $3000 per person, per incident. Licensee was reminded of the responsibility as a mandated reporter and the requirement to complete the training every 2 years.

A child care roster was obtained. The Licensee was given a copy of A Child Care Provider's Guide to Safe Sleep pamphlet and LPA discussed safe sleep practices, policy, and consulted with Licensee to answer questions.

No deficiencies observed at this visit. A Notice of Site visit was given and facility was reminded that it is required to be posted for 30 days. Exit interview conducted, appeal rights provided, and a copy of this report was left with Licensee Sarah Patterson.

SUPERVISOR'S NAME: Sherelle Johnson	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Brittany Newton	TELEPHONE: (510) 622-2594
LICENSING EVALUATOR SIGNATURE:	DATE: 02/06/2020

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2020

LIC809 (FAS) - (06/04)

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