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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 010213905
Report Date: 06/11/2019
Date Signed: 06/11/2019 03:57:09 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:FOSTER, JOYCELYNFACILITY NUMBER:
010213905
ADMINISTRATOR:FOSTER, JOYCELYNFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 832-6383
CITY:OAKLANDSTATE: CAZIP CODE:
94610
CAPACITY:14CENSUS: 8DATE:
06/11/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
02:20 PM
MET WITH:Joycelyn FosterTIME COMPLETED:
04:00 PM
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An unannounced Annual/Random inspection was conducted by LPA Dyer. The licensee was present with 8 preschool children and 1 fingerprint cleared assistant. Licensee was in compliance with the licensed capacity and facility ratios. Phone number is current. Hours: 6:00 am - 6:00 pm. The day care area of the home was inspected. Areas licensed for child care: downstairs area of the home. Off-limit areas will be made inaccessible to children by closed and/or locked doors; gates; and visual supervision.

All required forms are posted and visible for public review. There was a working smoke detector (tested); a fully charged 3-A:40-B:C fire extinguisher; a first aid kit, and a carbon monoxide detector. The home was clean and orderly, with heating and ventilation. There were safe, healthful and comfortable accommodations, furnishings and equipment available to children at the time of this inspection. There were a variety of books and toys for children's use. There was no hazardous materials, medicines, or cleaning solutions accessible to children during this inspection. Hazardous items are kept upstairs in the off limit area, inaccessible to children. Licensee stated there were no firearms or bodies of water on the premises. Stairs inside the home are gated. Front yard area is securely fenced. Licensee has riding toys, tables, chairs, water play, balls and other toys for child play.

Last disaster drill date logged: 5/15/19. A sample of files for children present today (4) were reviewed at 3:00 p.m. All have emergency information in file. Facility roster was obtained.

This facility plans to provide Incidental Medical Services – IMS. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. A Plan for Providing IMS must be submitted to the Department. 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. (continued)
SUPERVISOR'S NAME: Ann RobinsonTELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Phyllis DyerTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 06/11/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2019
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: FOSTER, JOYCELYN
FACILITY NUMBER: 010213905
VISIT DATE: 06/11/2019
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All staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. Licensee's Pediatric First aid and CPR cards expire 8/20/19. Licensee was reminded that anyone working, residing or frequently visiting the home must be fingerprint cleared prior to being in the presence of children, or an immediate civil penalty can be assessed. A qualified assistant must be physically present whenever 9 or more children are in care. When an assistant is not present, the home reverts back to small family child care ratios.

New Regulations were discussed. Licensee was aware of the New Regulations regarding Adult Immunizations and Mandated Reporter Training. Immunization records were in file. Licensee's Mandated Reporter Training expires 2/19/20.

Licensee was also reminded of the Department's Inspection authority, and the need to comply when notified that termination of an employee is necessary. The handout, "A Child Care Provider's Guide to Safe Sleep" was provided and discussed in detail at the last inspection and reviewed again today. Also discussed with the licensee: children in parked vehicles; substitutes; fingerprinting/association; advertisements; changes in on-limit areas; and smoking. Licensee was encouraged to frequently visit the licensing website at www.ccld.ca.gov for licensing regulations, forms and updates.

For CCL Updates, e-mail: childcareadvocatesprogram@dss.ca.gov.

NO DEFICIENCIES CITED TODAY.

Notice of site visit was posted at the time of the inspection and must be posted for 30 days. An exit interview was conducted. This report must be available for public review for 3 years.
SUPERVISOR'S NAME: Ann RobinsonTELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Phyllis DyerTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 06/11/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2019
LIC809 (FAS) - (06/04)
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