013418039-5-9-2019-02-CC-CCON-BBZPK5-20190509112235

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013418039
Report Date: 05/09/2019
Date Signed: 05/09/2019 11:22:41 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, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME:	COLON-PRICE, CARMEN, & BIELEFELDT, CARMEN		FACILITY NUMBER:	013418039
ADMINISTRATOR:	COLON-PRICE, CARMEN		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 530-3276
CITY:	OAKLAND	STATE: CA	ZIP CODE:	94602
CAPACITY:	14	CENSUS: 11	DATE:	05/09/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:19 AM
MET WITH:	Carmen Colon-Price and Carmen Bielefeldt		TIME COMPLETED:	11:45 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	Licensing Program Analyst (LPA) Caroline Colson met with Carmen Colon-Price and Carmen Bielefeldt for an unannounced random annual visit. There are three (3) infants and nine (9) preschool children present. A child's file was reviewed at by the LPA and the licensee on 5/9/19 at 9:58 AM. C1 have immunization records on the California School Immunization Form. The home was toured to conduct a health and safety inspection. The home is a two story home. The home consists of a living room, dinning room, kitchen, 3 bedrooms, 2 bathrooms, laundry area, unfenced front yard, fenced back yard and garage. The two bedrooms and one bathroom are the off-limit areas. The home has a 3A40BC fire extinguisher and one working smoke alarm and a carbon monoxide detector. Ms. Colon-Price states that there are no firearms in the home. The isolation area is the living room. First Aid Kit is available and complete. Ms. Colon-Price and Ms. Bielefeldt CPR and First Aid certificates both expire on February 19, 2021. Ms. Colon-Price and Ms. Carmen Bielefeldt use their backyard for outdoor play. This facility is not providing Incidental Medical Services-IMS at this time. LPA discussed IMS services and the requirement to create a plan of operation. Specifics on the plan can be found in the family child care home evaluator manual (FCCH EM) Policy 102417. The mandated reporter training website is www.mandatedreporterca.com to obtain the Mandated Reporter Training certificates. See LIC 809 C for additional information

SUPERVISOR'S NAME: Ann Robinson	TELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Caroline Colson	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 05/09/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2019

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: COLON-PRICE, CARMEN, & BIELEFELDT, CARMEN	FACILITY NUMBER: 013418039
	VISIT DATE: 05/09/2019

NARRATIVE

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REMINDERS/RESOURCES

· Criminal Background Clearance: All assistants, volunteers, frequent adult visitors (adults are individuals 18 years of age or older) must be fingerprint cleared and associated to the facility prior to be in the presence of children in care. Failure to comply, requires an immediate civil penalty of $100 to $3000 per person, per incident.

· CCLD Complaint Hotline, 1-844-LET-US-NO (1-844-538-8766) email: LetUsNo@dss.ca.gov

· NEW LAW: Safe Sleep Regulations: http://www.cdss.ca.gov/inforesources/Child-Care-Licensing/Public-Information-and-Resources/Safe-Sleep

· Licensees and all staff are Mandated Reporters and are required to report to CCLD any suspected child abuse.

CCLD website address for obtaining licensing forms, training videos and other provider resources can be obtained at www.ccld.ca.gov.

· Licensees may register to receive child care updates: www.myccl.ca.gov

LPA discussed the need to obtain EMSA approved stickers for their Pediatric CPR and First Aid certificates.

There were no deficiencies cited during this inspection.

SUPERVISOR'S NAME: Ann Robinson	TELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Caroline Colson	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 05/09/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2019

LIC809 (FAS) - (06/04)

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