<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013417261
Report Date: 08/10/2022
Date Signed: 08/10/2022 02:39:39 PM


Document Has Been Signed on 08/10/2022 02:39 PM - It Cannot Be Edited

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 & JULSUNTHIEFACILITY NUMBER:
013417261
ADMINISTRATOR:MARIA & JULSUNTHIEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 583-1954
CITY:CASTRO VALLEYSTATE: CAZIP CODE:
94546
CAPACITY:14CENSUS: 11DATE:
08/10/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:42 PM
MET WITH:Maria Calalo- LicenseeTIME COMPLETED:
02:51 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 8/10/22 at 1:42pm, 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), 4 infants, and 7 preschool age children, and associated assistant Erlinda Tobias. 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 7/13/22. Licensee has completed and received a certificate in mandated reporter training on 1/5/22, licensee Julsunthie completed his on 7/2/22, and Erlinda completed her training on 7/2/22.
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 NoronaTELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Briana PlumboyTELEPHONE: (510) 725-7005
LICENSING EVALUATOR SIGNATURE:
DATE: 08/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/10/2022
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 2


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: 08/10/2022
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
26
27
28
29
30
31
32
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

Licensee was 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 licensee Maria Calalo 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 licensee Maria Calalo 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 licensee Maria Calalo.

SUPERVISOR'S NAME: Wynn NoronaTELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Briana PlumboyTELEPHONE: (510) 725-7005
LICENSING EVALUATOR SIGNATURE:

DATE: 08/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2022
LIC809 (FAS) - (06/04)
Page: 2 of 2