013417261-8-9-2021-52-CC-BPLY-C5QSQG-20210809140443

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013417261
Report Date: 08/09/2021
Date Signed: 08/09/2021 02:04:49 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:	CALALO, MARIA & JULSUNTHIE		FACILITY NUMBER:	013417261
ADMINISTRATOR:	MARIA & JULSUNTHIE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 583-1954
CITY:	CASTRO VALLEY	STATE: CA	ZIP CODE:	94546
CAPACITY:	14	CENSUS: 10	DATE:	08/09/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:31 PM
MET WITH:	Maria Calalo- Licensee		TIME COMPLETED:	02:15 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 8/9/21, Licensing Program Analyst Briana Plumboy, met with licensee Maria Calalo for an UNANNOUNCED 1 YEAR REQUIRED INSPECTION. Present for this visit both licensee's (Maria and Julsunthie), 2 infants, and 6 preschool age children, and 2 school age children. The home was toured to conduct a Health and Safety Inspection. The facility currently operates from 7:00am until 6:00pm. LPA Plumboy toured the home with licensee Maria Calalo. The children in care have two rooms dedicated to child care which are located through the living room, through the door located next to the kitchen, and down the stairs. There is a door located at the top of the stairs and a gate at the bottom of the stairs to prevent access to the stairs by children. There is also a bathroom located on the first level of the home which is dedicated to children in care. The home is a tri-level home. The home is neat and clean with heating and ventilation for safety and comfort. The OFF LIMIT AREAS are the entire 2nd and 3rd floor, and the garage on the 1st floor which will be inaccessible by closed and/or locked doors and visual supervision. The ISOLATION AREA will be the activity room. The BACKYARD play area is fenced. There is a designated area for the children to play in the backyard. This area is fenced in and contains 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 present in the on limits areas during today's inspection. All hazardous materials and toxins are kept out of the reach of children and it was observed that there are no toxins or hazardous items accessible to children during today's inspection. The home has a fully charged 3A40BC fire extinguisher, working smoke detector, working carbon monoxide detector, and working telephone. The licensee Maria Calalo's CPR and First Aid certificate is current and expires 06/7/23. There is a wall heater in the on limits area which has been shut off by PG&E and the home has centralized heating. There is a fireplace located in the off limits area. Per licensee, there are no firearms in the home. The licensees conduct and document fire and disaster drills twice a year with the last one conducted 4/27/21. Licensee has completed and received a certificate in mandated reporter training on 4/26/20. Facility roster reviewed and copy obtained. The licensee is 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: 08/09/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2021

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: CALALO, MARIA & JULSUNTHIE	FACILITY NUMBER: 013417261
	VISIT DATE: 08/09/2021

NARRATIVE

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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

The licensee is reminded any structural changes to the home or additions to the child care facility must be reported to Community Care Licensing. Also, any adults moving into the home must be reported to Community Care Licensing prior to them moving in and all requirements must be met before the person lives in the facility. Licensee was reminded of Departments inspection authority, with our without any notice.

Effective August 1, 2003 California Law requires Family Child Care Home licensees to report unusual incidents or injuries to children in care to child's parents and to the Department of Social Services using the Unusual Incident/Injury form (LIC 624B). Incidents must be reported within 24 hours by phone, fax, or electronic mail. Roster of the children must be properly maintained and fire/disaster drill every six months must be documented.

The licensee was also reminded that baby bouncers, exersaucers, johnny jumpers and similar items are not allowed in licensed day care.

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 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

For licensing updates email childcareadvocatesprogram@dss.ca.gov and ask to be added to the email list

There are no deficiencies cited. This report shall remain on file for 3 years. A notice of site visit was given and must remain posted for 30 days. This entire report was read to licensee by LPA Plumboy. Appeal rights provided and discussed. Exit interview conducted.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Briana Plumboy	TELEPHONE: (510) 725-7005
LICENSING EVALUATOR SIGNATURE:	DATE: 08/09/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2021

LIC809 (FAS) - (06/04)

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