013414163-12-4-2019-02-CC-PDYR-BJJVH9-20191204152645

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013414163
Report Date: 12/04/2019
Date Signed: 12/04/2019 03:26:51 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:	FRANKLIN, MAVIS		FACILITY NUMBER:	013414163
ADMINISTRATOR:	FRANKLIN, MAVIS		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 638-7008
CITY:	OAKLAND	STATE: CA	ZIP CODE:	94605
CAPACITY:	14	CENSUS: 3	DATE:	12/04/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	12:40 PM
MET WITH:	Mavis Franklin		TIME COMPLETED:	03:30 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	An unannounced Annual/Random inspection was conducted by LPA Dyer. The licensee was present with 3 day care children (2 infants and 1 preschooler). Licensee was in compliance with her licensed capacity and facility ratios. Hours: 7:00 am - 6:00 pm. Phone number is current. The day care area of the home was inspected. Areas licensed for child care: day care classroom and bathroom. Off-limit areas will be made inaccessible to children by closed and/or locked doors; and visual supervision. All required forms are posted and visible for public review. There was a working smoke detector/carbon monoxide detector (tested); a fully charged 3-A:40-B:C fire extinguisher; and a first aid kit. The home was clean and orderly. There were safe, healthful and comfortable accommodations, furnishings and equipment available to children at the time of this inspection. No fireplace in the day care area of the home. There are no hazardous materials, medicines, or cleaning solutions accessible to children during this inspection. Hazardous items are kept in the closet on a high shelf, inaccessible to children. Poisons are kept locked in the garage. Licensee stated there were no firearms or bodies of water on the premises. Back yard area is securely fenced. Children have not played in the backyard recently due to rainy weather. Last disaster drill date logged: 10/18/19. 3 children's files were reviewed at 1:42 pm. Facility roster is available for review. Incidental Medical Services (IMS) policy was discussed. 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. (continued)

SUPERVISOR'S NAME: Ann Robinson	TELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Phyllis Dyer	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 12/04/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2019

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: FRANKLIN, MAVIS	FACILITY NUMBER: 013414163
	VISIT DATE: 12/04/2019

NARRATIVE

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All adults present during this inspection were fingerprint cleared and associated to the facility. 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.

Licensee was aware of the New Regulations regarding Adult Immunizations and Mandated Reporter Training. Licensee has immunizations in file, as well as a current Mandated Reporter Training certificate, and current CPR/First Aid Cards.

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 at the last inspection; and discussed again today. Also discussed with the licensee: children in parked vehicles; substitutes; fingerprinting/association; paying fees on-line 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, go to www.ccld.ca.gov. Click the "Receive Important Updates" box. Enter your e-mail address.

There are no deficiencies cited today.

Notice of site visit 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 Robinson	TELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Phyllis Dyer	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 12/04/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2019

LIC809 (FAS) - (06/04)

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