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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013414336
Report Date: 01/24/2020
Date Signed: 01/24/2020 04:43:55 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:WILKINS, FREDESWINDAFACILITY NUMBER:
013414336
ADMINISTRATOR:WILKINS, FREDESWINDAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 282-7224
CITY:ALAMEDASTATE: CAZIP CODE:
94501
CAPACITY:14CENSUS: 9DATE:
01/24/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Fredeswinda WilkinsTIME COMPLETED:
04:50 PM
NARRATIVE
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On 01/24/2020 at 03:00 PM Licensing Program Analysts (LPAs) Arminder Singh and Monica Mathur arrived at Fredeswinda Wilkins's family day care home and met with Assistant, Yaniris Bort-Didier, for an unannounced random annual inspection. LPAs explained the purpose of today's inspection. Licensee, Fredeswinda Wilkins (Wendy) was not present and Assistant stated she had stepped out for 15 minutes. Licensee returned at 3:15 PM during inspection. Licensee had to go to local pharmacy to get her medication, which was prescribed as an emergency. During the inspection, her 16 year old assistant also arrived at 3:20 PM. There are nine (9) children present. (2 infants, 6 preschoolers, and 1 school age). Days and hours of operation are Mon - Fri, 7:30 AM to 5:30 PM.

At 3:15 PM the home was toured to conduct a health and safety inspection.

The home is a one story home with a storage basement below. The home consists of a kitchen, dining room, living room, three bedrooms, two bathrooms. The ON LIMIT AREAS are the kitchen, dining room, living room, and bathroom #1. The remainder of home is OFF LIMITS which will be inaccessible by closed and or/locked doors and visual supervision. There are ample age appropriate toys that appear to be safe and in good condition. There are no pools, hot tubs, or any other bodies of water.

The home has a fully charged 3A10BC fire extinguisher, working smoke detector, and carbon monoxide detector. There is two wall heaters that are working and in good repair. Both wall heaters are properly barricaded/screened.

Licensee states there are no firearms in the home. The dining area is the isolation room. She has a first aid kit. Licensee also has a pet dog.

At 3:35 PM Five (5) child's records (C1-C5) were reviewed by the LPAs and the licensee. Files are complete. Both Licensee and Assistant have current Pediatric CPR and First Aid certificates are current and expire on March 24, 2020(licensee) and November 3, 2020(assistant). Mandated reporter training is current for both Licensee and Assistant.

Please see LIC 809 C for additional information
SUPERVISOR'S NAME: Ann RobinsonTELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Arminder SinghTELEPHONE: (510) 622-2634
LICENSING EVALUATOR SIGNATURE:

DATE: 01/24/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2020
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 3
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: WILKINS, FREDESWINDA
FACILITY NUMBER: 013414336
VISIT DATE: 01/24/2020
NARRATIVE
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This facility is not providing Incidental Medical Services - IMS at this time. LPA discussed IMS services and the requirement to create a plan of operation.
REMINDERS/RESOURCES
Criminal Background Clearance: All assistants, volunteers, frequent adult visitors (adults are individuals 18 years of age or older) must be fingerprint cleared and associated to the facility prior to be in the presence of children in care. Failure to comply, requires an immediate civil penalty of $100 to $3000 per person, per incident.

· CCLD Complaint Hotline, 1-844-LET-US-NO (1-844-538-8766) email: LetUsNo@dss.ca.gov

· NEW LAW: Safe Sleep Regulations: http://www.cdss.ca.gov/inforesources/Child-Care-Licensing/Public-Information-and-Resources/Safe-Sleep

- LPAs provided Lead Poisoning Information Flyer.

· Licensees and all staff are Mandated Reporters and are required to report to CCLD any suspected child abuse.

CCLD website address for obtaining licensing forms, training videos and other provider resources can be obtained at www.ccld.ca.gov or send email Child Care Advocate Program.

Deficiencies was cited today. See 809-D for details.

A NOTICE OF SITE VISIT was issued and must remain posted for 30 days. Exit interview was conducted and appeal rights were provided.
SUPERVISOR'S NAME: Ann RobinsonTELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Arminder SinghTELEPHONE: (510) 622-2634
LICENSING EVALUATOR SIGNATURE:

DATE: 01/24/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2020
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: WILKINS, FREDESWINDA
FACILITY NUMBER: 013414336
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/24/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/27/2020
Section Cited

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102416.5 Staffing Ratio and Capacity.(e) If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home[...] This requirement is not met as evidenced by:
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Per LPA's observation assistant was alone with 2 infants, 6 preschoolers, and one school aged child. Licensee had stepped out to get her medication from pharmacy on an emergency basis. When no assistant is present, This poses an potential risk to the health and safety of children.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Ann RobinsonTELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Arminder SinghTELEPHONE: (510) 622-2634
LICENSING EVALUATOR SIGNATURE:
DATE: 01/24/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/24/2020
LIC809 (FAS) - (06/04)
Page: 3 of 3