013416631-3-9-2020-02-CC-BNEN-BMJSML-20200309140007

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013416631
Report Date: 03/09/2020
Date Signed: 03/09/2020 02:00:34 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:	MARIN, THANIA		FACILITY NUMBER:	013416631
ADMINISTRATOR:	MARIN, THANIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 841-1043
CITY:	BERKELEY	STATE: CA	ZIP CODE:	94703
CAPACITY:	11	CENSUS: 7	DATE:	03/09/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Licensee Thania Marin		TIME COMPLETED:	03:45 PM

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On 03/09/2020, Licensing Program Analyst (LPA) Brittany Newton made an unannounced visit for the purpose of conducting an annual inspection. LPA was met by Licensee Thania Marin. Present for the visit was the licensee’s assistant B. Betancourth with four infants and three preschoolers. The entire home was toured to conduct a health and safety inspection.

LPA conducted a tour of the areas of the home used for the child care. The home is a single story home, which has heating and ventilation for the safety and comfort of children in care. The home consists of the living room, dining area, kitchen, two bedrooms, bathroom and laundry area. There is a separate unit in the backyard. The on limit areas include the living room, dining area, kitchen and bathroom. The children walk through the laundry area to get to the backyard. The off limit areas include the separate unit and the bedrooms in the home. LPA is reminding facility to ensure that children are not sleeping in off limit areas. The isolation area is a section of the living room, away from other children in care. At 1:19PM, LPA observed a fully charged 2A10BC fire extinguisher. At 1:45PM, the licensee tested the smoke detector and carbon monoxide detector which was found operable. The fireplace and floor heater vents are blocked to prevent access by children. The fenced backyard is used for outdoor play, and LPA did not observe any defects or dangerous conditions. There are ample age appropriate toys and activities, which appear to be in good condition. The licensee provides two snacks for children. LPA observed ample fruits available. LPA did not observe any bodies of water, hazardous items, or toxins accessible today. Per licensee, there are no firearms in the home.

CPR and First Aid is current and expires 10/2020. The last fire drill was conducted 09/2019. Licensee is requesting the bedroom near the backyard area to be made on limits, LPA inspected the room and let licensee know about some items that would need to be made inaccessible before making the room on limits. LPA will return when requested by licensee. LPA reviewed children files which were found in compliance.

Individual Medical Services (IMS) policy was discussed. Currently, the facility does not have kids in care requiring medicine but does have a IMS plan on file. The following information regarding ADA was

SUPERVISOR'S NAME: Sherelle Johnson	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Brittany Newton	TELEPHONE: (510) 622-2594
LICENSING EVALUATOR SIGNATURE:	DATE: 03/09/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2020

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: MARIN, THANIA	FACILITY NUMBER: 013416631
	VISIT DATE: 03/09/2020

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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 is reminded that ALL assistants, volunteers, frequent visitors, or adults 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 and the requirement to complete the training every 2 years.

A child care roster was obtained. LPA gave licensee a guide to safe sleep pamphlet and discussed the importance of taking preventative measures.

No deficiencies observed at this visit. A Notice of Site visit was given and facility was reminded that it is required to be posted for 30 days. Exit interview conducted, appeal rights provided, and a copy of this report was left with Licensee Thania Marin.

SUPERVISOR'S NAME: Sherelle Johnson	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Brittany Newton	TELEPHONE: (510) 622-2594
LICENSING EVALUATOR SIGNATURE:	DATE: 03/09/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2020

LIC809 (FAS) - (06/04)

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