013418478-8-23-2021-52-CC-BPLY-C66Q3H-20210823114846

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013418478
Report Date: 08/23/2021
Date Signed: 08/23/2021 11:48:51 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 STE 1102
OAKLAND, CA 94612

FACILITY NAME:	GALVAN, ALMA		FACILITY NUMBER:	013418478
ADMINISTRATOR:	GALVAN, ALMA R		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 728-5169
CITY:	CASTRO VALLEY	STATE: CA	ZIP CODE:	94546
CAPACITY:	14	CENSUS: 6	DATE:	08/23/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:51 AM
MET WITH:	Alma Galvan- Licensee		TIME COMPLETED:	12:00 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 08/23/21, Licensing Program Analyst Briana Plumboy met with licensee Alma Galvan for an UNANNOUNCED 1 YEAR INSPECTION. Present for this visit was licensee's assistant Nancy Silvestre, 3 infants, and 3 preschool age children. The home was toured to conduct a Health and Safety Inspection by LPA Plumboy and licensee. The facility currently operates Monday through Friday from 7:30am until 6:00pm. The home is a single family home. The home is neat and clean with heating and ventilation for safety and comfort. The ON LIMIT AREAS consist of the living room, dining room, family room, master bedroom, master bathroom, hallway bathroom, garage/childcare room and back yard. Licensee is aware children may not eat or sleep in the garage/child care room. The OFF LIMIT AREAS consists of the kitchen and the remaining 2 bedrooms which will be inaccessible by closed and/or locked doors and visual supervision. The ISOLATION AREA will be family room. The BACKYARD play area is fenced. The wall heater is barricaded for children's safety. There is an anchored swingset in the backyard during today's inspection which has sufficient cushioning. There are toys and learning equipment. There are no pools, hot tubs or any other bodies of water present in the on limits areas today. 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 during today's inspection. The home has a fully charged fire extinguisher, working smoke detector, working carbon monoxide detector, working telephone, and First Aid Kit. The licensee's CPR and First Aid certificate is current and expires 06/2023 and assistant Nancy Silvestre's is current and expires 04/2023. The licensee and her assistant present today are in compliance with the immunization law. The licensee completed mandated reporter training on 7/6/21, and her assistant completed mandated reporter training on 3/27/21. The fireplace is screened to prevent access by children. Per licensee, there are no firearms in the home. The licensee is documenting the infants in care's sleep checks as well as she has individual infant safe sleep plans on file. The licensee conducts and documents fire and disaster drills twice a year with the last one conducted in March 2021. 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: 08/23/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2021

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: GALVAN, ALMA	FACILITY NUMBER: 013418478
	VISIT DATE: 08/23/2021

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: 08/23/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2021

LIC809 (FAS) - (06/04)

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