013412571-3-12-2020-02-CC-CFES-BMMSN2-20200312140048

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013412571
Report Date: 03/12/2020
Date Signed: 03/12/2020 02:00:56 PM

COMPREHENSIVE INSPECTION

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:	ROMERO, ALMA & FRANCISCO		FACILITY NUMBER:	013412571
ADMINISTRATOR:	ROMERO, ALMA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 655-5909
CITY:	OAKLAND	STATE: CA	ZIP CODE:	94608
CAPACITY:	14	CENSUS: 10	DATE:	03/12/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Alma Romero		TIME COMPLETED:	02:15 PM

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	On March 12, 2020, at 12:27pm, Licensing Program Analyst (LPA) Catherine Fernandes conducted an unannounced Annual Required Inspection and met with Licensee Alma Romero. Residing in the home is Licensee's finger print cleared husband and adult daughter. Present for this inspection was two fingerprinted cleared assistants, four infants and six preschoolers. The facility is a 2 story home with five bedrooms and three bathrooms. Licensee Romero accompanied LPA inside and out of the facility during the inspection. There is a separate entrance for the day care which is located on the left side of the home. The home's temperature was set at 65 degrees F. for the safety and comfort of the children. Day care hours are 8:00PM to 5:00PM, Monday to Friday. The on limit areas: are the kitchen, the dining room, the bathroom on the main floor, the fenced in backyard, the bathroom outside and the two main class area on the right side of the home. The off limit areas: are the two bedrooms upstairs, the living room and the front yard which will be inaccessible by closed and/or locked doors, gates and visual supervision. The isolation will be the room near the kitchen. The outdoor play area is free from defects or dangerous conditions and is fenced in. There are age appropriate toys that appear to be safe and in good condition. There are no pools, hot tubs or any other bodies of water. All hazardous materials and toxins are kept out of reach of children. The home has a fully charged 3A10BC fire extinguisher, working smoke detector/carbon monoxide detector located in the dining room, a working cell phone, and fully stocked First Aid Kit. The Licensee's CPR and First Aid certificate is current and expires on August 18, 2021. The fireplace located in the dining room and was observed covered. Per licensee, there are no firearms in the home. The licensee conducts and documents fire and disaster drills at least twice a year, the last drill was conducted on 05/28/2019. Licensee stated they will conduct a drill next week. LPA reviewed files, 4 out of 10 children's file and 1 out of 2 staff files. All reviewed files were complete. The facility roster was reviewed, and a copy obtained. The licensee is in ratio today. All required forms are posted and visible for public review. Report continues on 809C.

SUPERVISOR'S NAME: Sherelle Johnson	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Catherine Fernandes	TELEPHONE: (510) 725-7002
LICENSING EVALUATOR SIGNATURE:	DATE: 03/12/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2020

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: ROMERO, ALMA & FRANCISCO	FACILITY NUMBER: 013412571
	VISIT DATE: 03/12/2020

NARRATIVE

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The applicant was 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. The applicant was reminded of the responsibility as a mandated reporter. The licensee has provided proof that the required mandated reporter training has been completed on 03/18/2020.

Individual Medical Services (IMS) policy was discussed. No IMS is being provided. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, 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

Licensee was encouraged to frequently visit our website at www.ccld.ca.gov for licensing regulations and updates. The Licensee was given a copy of A Child Care Provider's Guide to Safe Sleep pamphlet and updated car seat laws.

For licensing updates email childcareadvocatesprogram@dss.ca.gov and ask to be added to the email list

There are no deficiencies cited during today's inspection.

A Notice of Site visit was posted at the time of inspection and must remain posted for 30 days.
This report shall remain on file for 3 years.

Updated Emergency Disaster Form LIC610 needs to be mailed to CCLD.

An exit interview was conducted with the licensee. The licensee was provided a copy of her appeal rights and the signature on this form acknowledges receipt of these rights.

SUPERVISOR'S NAME: Sherelle Johnson	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Catherine Fernandes	TELEPHONE: (510) 725-7002
LICENSING EVALUATOR SIGNATURE:	DATE: 03/12/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2020

LIC809 (FAS) - (06/04)

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