013415898-12-9-2021-52-CC-BPLY-C9JNND-20211209093633

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013415898
Report Date: 12/09/2021
Date Signed: 12/09/2021 09:36:38 AM

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:	RUIZZORRILLA, HEIDEE AND SELWYN		FACILITY NUMBER:	013415898
ADMINISTRATOR:	RUIZZORRILLA, HEIDEE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 441-1499
CITY:	UNION CITY	STATE: CA	ZIP CODE:	94587
CAPACITY:	14	CENSUS: 6	DATE:	12/09/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:18 AM
MET WITH:	Heidee and Selwyn Ruizzorrilla- Licensees		TIME COMPLETED:	09:45 AM

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 12/9/21 at 8:18am, Licensing Program Analyst Briana Plumboy, met with licensees Heidee and Selwyn Ruizzorrilla for an UNANNOUNCED RANDOM INSPECTION. Present for this visit was 2 infants and 4 preschool age children. The home was toured to conduct a Health and Safety Inspection. The facility currently operates from 7:00am until 5:30pm. The home is single story. The home is neat and clean with heating and ventilation for safety and comfort. The ON LIMIT AREAS are the living room, family room, hallway bathroom, and two bedrooms located on the left side of the hallway. The OFF LIMIT AREAS are the master bedroom and bathroom and garage which will be inaccessible by closed and/or locked doors and visual supervision. The ISOLATION AREA will be either room on the left side of the hallway. The BACKYARD play area is fenced. The right side of the backyard is dedicated to children in care and there is a playhouse acting as a barricade to the rest of the yard. There are toys and learning materials. There are no pools, hot tubs or any other bodies of water present during today's inspection. All hazardous materials and toxins are kept out of the reach of children and it was observed that during the inspection there are no toxins or hazardous items accessible. The home has a fully charged fire extinguisher, pull down fire alarm, working smoke detector, working carbon monoxide detector, and working telephone. Both licensees CPR and First Aid certificates are current and expire 12/13/22. Both licensee's mandated reporter training is complete. Both licensee's and assistant Maria are in compliance with the immunization law. There is a fire place located inside the family room and is tied shut during today's inspection to prevent access by children. Per licensees, there are no firearms in the home. The licensees conducted and documents fire and disaster drills twice a year with the last one conducted on 08/24/21. The licensees document infant sleep checks and have Lic. 9227 on file for infants in care. 6 Children files were reviewed, facility roster reviewed and copy obtained. The licensees are in ratio today. All REQUIRED forms are posted and visible for public review. See 809-C for continuance

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Briana Plumboy	TELEPHONE: (510) 725-7005
LICENSING EVALUATOR SIGNATURE:	DATE: 12/09/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/09/2021

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: RUIZZORRILLA, HEIDEE AND SELWYN	FACILITY NUMBER: 013415898
	VISIT DATE: 12/09/2021

NARRATIVE

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Incidental Medical Services (IMS) policy was discussed. 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

Licensees were encouraged to frequently visit our website at ccld.ca.gov for licensing regulations and updates.

Licensee is reminded that ALL assistants, volunteers, and staff, 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. Licensee was reminded of the responsibility as a mandated reporter. All forms can be downloaded at www.ccld.ca.gov

LPA discussed the safe sleep regulations with licensees Heidee and Selwyn Ruizzorrilla and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensees Heidee and Selwyn Ruizzorrilla of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

A notice of site visit was given and must remain posted for 30 days.

No deficiencies cited during today's inspection. Appeal rights provided and discussed. Exit interview conducted and report was reviewed with licensees Heidee and Selwyn Ruizzorrilla.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Briana Plumboy	TELEPHONE: (510) 725-7005
LICENSING EVALUATOR SIGNATURE:	DATE: 12/09/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/09/2021

LIC809 (FAS) - (06/04)

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