013417562-1-30-2020-02-CC-PDYR-BLBTKP-20200130134816

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013417562
Report Date: 01/30/2020
Date Signed: 01/30/2020 01:48:21 PM

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:	WEST, JOI		FACILITY NUMBER:	013417562
ADMINISTRATOR:	WEST, JOI		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 632-0418
CITY:	OAKLAND	STATE: CA	ZIP CODE:	94605
CAPACITY:	14	CENSUS: 12	DATE:	01/30/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	11:17 AM
MET WITH:	Joi West		TIME COMPLETED:	01:57 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	An unannounced Annual/inspection was conducted by LPA Dyer. The licensee was present with 12 day care children (3 infants, 9 preschool-age) and one fingerprint cleared assistant. Licensee was in compliance with the licensed capacity and facility ratios. Phone number is current. Hours: 7:30 a.m. - 5:30 p.m. The day care area of the home was inspected. Areas licensed for child care: entry room, day care room and bathroom. Off-limit areas will be made inaccessible to children by closed and/or locked doors; and visual supervision. All required forms are posted and visible for public review. There was a working smoke detector (tested); a fully charged 3-A:40-B:C fire extinguisher; a first aid kit, and a carbon monoxide detector. The home was clean and orderly, with adequate heating and ventilation. There were safe, healthful and comfortable accommodations, furnishings and equipment available to children at the time of this inspection. There were a variety of books and toys for children's use. Licensee has a non-functioning indoor grill that is used to store day care supplies. There are no hazardous materials, medicines, or cleaning solutions accessible to children during this inspection. Hazardous items/poisons are kept in the laundry room, inaccessible to children. Licensee stated there were no firearms or bodies of water on the premises. Licensee has cots for children to nap. Bedding is laundered weekly by the licensee. Last disaster drill date logged: 1/14/20. At 12:08 p.m., a sample of children's files were reviewed. All have emergency information in file. Facility roster is available for review. Back yard area is securely fenced. Licensee has a child sized playhouse, riding toys, balls, child sized tables, a basketball hoop, and other outdoor toys for child play. 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. (continued)

SUPERVISOR'S NAME: Ann Robinson	TELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Phyllis Dyer	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 01/30/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2020

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: WEST, JOI	FACILITY NUMBER: 013417562
	VISIT DATE: 01/30/2020

NARRATIVE

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All staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. Licensee's Pediatric First aid and CPR cards expire 5/12/20.

Licensee was reminded that anyone working, residing or frequently visiting the home must be fingerprint cleared prior to being in the presence of children, or an immediate civil penalty can be assessed. A qualified assistant must be physically present whenever 9 or more children are in care. When an assistant is not present, the home reverts back to small family child care ratios.

Licensee has required immunizations in file, and her Mandated Reporter Training expires 1/25/2022. Mandated Reporter training is free and is available at www.mandatedreporterca.com (Child Care Provider Module).

Licensee was also reminded of the Department's Inspection authority, and the need to comply when notified that termination of an employee is necessary. The handout, "A Child Care Provider's Guide to Safe Sleep" was provided and discussed. Also discussed with the licensee: children in parked vehicles; substitutes; fingerprinting/association; advertisements; changes in on-limit areas; construction work at facility; paying fees on-line and smoking. Licensee was encouraged to frequently visit the licensing website at www.ccld.ca.govfor licensing regulations, forms and updates.

NO DEFICIENCIES CITED TODAY.

Exit interview was conducted. Notice of Site Visit must be posted for 30 days. This report must be available for public review for 3 years.

SUPERVISOR'S NAME: Ann Robinson	TELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Phyllis Dyer	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 01/30/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2020

LIC809 (FAS) - (06/04)

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