013415011-2-7-2020-52-CC-JWIS-BLKV2W-20200207150349

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013415011
Report Date: 02/07/2020
Date Signed: 02/07/2020 03:03:56 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 STE 1102
OAKLAND, CA 94612

FACILITY NAME:	CORDANO, NANCY AND MICHAEL		FACILITY NUMBER:	013415011
ADMINISTRATOR:	CORDANO, NANCY		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 790-9360
CITY:	NEWARK	STATE: CA	ZIP CODE:	94560
CAPACITY:	14	CENSUS: 7	DATE:	02/07/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:15 PM
MET WITH:	Licensee - Nancy Cordano		TIME COMPLETED:	03:15 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 02/07/2020, Licensing Program Analyst (LPA) Jonathan Williams met with Licensee Nancy Cordano for an Unannounced Required 1 Year Inspection. Present for this inspection are seven children in care (two infants and five preschoolers), the Licensee, and one assistant provider. The facility was toured to conduct a Health and Safety Inspection. The home is a one story home and is tidy and clean with heating and ventilation for safety and comfort. The ON LIMIT AREAS are the bedroom located to the right of the bathroom, the hallway bathroom, the master bedroom, the bedroom located to the left of the master bedroom, the living room, family room, laundry room, and kitchen. The OFF LIMIT AREAS are the master bathroom , the first bedroom located on the right side of the hallway, and the garage, all of which will be inaccessible by closed and/or locked doors and visual supervision. The backyard is fenced. There are toys and learning materials in the facility. There are no pools, hot tubs, ponds, or any other bodies of water in the on-limits areas during this inspection. All hazardous materials and toxins were observed to be made inaccessible to children during today's inspection. The facility has a fully charged 3A40BC fire extinguisher, working smoke detector, working carbon monoxide detector, and working telephone. The Licensee and assistant provider have current CPR and first aid certificates which expire on 08/17/2021 and 01/25/2022, respectively. There is no fireplace in the facility at this time. Per Licensee, there are no firearms located in the home. Children's roster was obtained. Children's files and personnel files were reviewed. The facility is in ratio today. See 809-C for continuation.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Jonathan Williams	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 02/07/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2020

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 STE 1102
OAKLAND, CA 94612

FACILITY NAME: CORDANO, NANCY AND MICHAEL	FACILITY NUMBER: 013415011
	VISIT DATE: 02/07/2020

NARRATIVE

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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 fingerprinted, obtain a criminal record clearance, and be associated to this facility prior to being in the presence of children in care.

Licensee was reminded that any failure to comply with these regulations will result in an immediate assessment of civil penalties of $100 to $3000 per person, per incident. Licensee was reminded of her responsibilities as a Mandated Reporter and was provided the following link to access Mandated Reporter trainings: www.mandatedreporterca.com. Licensee was reminded to take both Mandated Reporter "General" training and Mandated Reporter "Child Care Providers" training every two years. Licensee was directed to the following online resources where CCLD forms can be downloaded: www.ccld.ca.gov.

Incidental Medical Services (IMS) policy was discussed. Licensee was reminded that 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 and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm. Per Licensee, IMS is provided at this time in the facility. Licensee provided a plan for providing IMS to LPA today.

There are no deficiencies cited during today's visit. This report shall remain on file for 3 years. A Notice of Site Visit was provided to the Licensee and LPA reminded the Licensee to post the Notice of Site Visit where it is clearly visible inside the facility for 30 days. Exit interview was conducted.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Jonathan Williams	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 02/07/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2020

LIC809 (FAS) - (06/04)

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