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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013418519
Report Date: 10/30/2024
Date Signed: 10/30/2024 03:15:45 PM

Document Has Been Signed on 10/30/2024 03:15 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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:PALASTI, ADRIENNE EFACILITY NUMBER:
013418519
ADMINISTRATOR/
DIRECTOR:		PALASTI, ADRIENNE EFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 427-2351
CITY:CASTRO VALLEYSTATE: CAZIP CODE:
94546
CAPACITY: 14TOTAL ENROLLED CHILDREN: 5CENSUS: 5DATE:
10/30/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:15 PM
MET WITH:Adrienne Palasti- LicenseeTIME VISIT/
INSPECTION COMPLETED:
03:30 PM
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On 10/30/24, Licensing Program Analyst Briana Plumboy met with licensee Adrienne Palasti for an UNANNOUNCED RANDOM INSPECTION. Present for this visit was 1 infant, 3 preschool age children, 1 school age child, and assistant Andrea DeLa Torre. The home was toured to conduct a Health and Safety Inspection by LPA Plumboy and licensee. The facility currently operates Monday through Friday from 8:15am until 5:30pm.
The home is single story. The home has heating and ventilation for safety and comfort. The ON LIMIT AREAS are the living room, kitchen/dining room combination, the 2 bathrooms, the 1st room on the right upon entrance, and the room located next to the bathroom. The OFF LIMIT AREAS are the laundry room and the bedroom located next to the kitchen which will be inaccessible by closed and/or locked doors and visual supervision. The ISOLATION AREA will be the bedroom located next to the bathroom. The FRONTYARD play area is completely fenced. There is also a side yard connected to the front yard with a separate fence and canopy shade. There are toys and learning materials. 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 3A40BC fire extinguisher, smoke detector, carbon monoxide detector, first aid kit, and working telephone. Licensee has a valid CPR/First Aid certificate which expires 8/10/26 and assistant Andrea has a valid CPR/ First Aid certificate which expires 7/15/2025. The licensee Adrienne Palasti and assistant Andrea DeLa Torre are in compliance with the immunization law which pertains to providers. The licensee's mandated reporter training certificate is current and expires 10/30/26 and Andrea received her mandated reporter training certificate on 8/7/23. There is a wall heater which is screened to prevent access by children and located inside the living room. Per licensee, there are no firearms in the home. The licensee conducts and documents fire and disaster drills twice a year with the last one conducted on 10/16/24. The facility is in ratio today. All REQUIRED forms are posted and visible for public review.
See 809-C for continuance
Wynn NoronaTELEPHONE: (510) 421-1324
Briana PlumboyTELEPHONE: (510) 725-7005
DATE: 10/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/30/2024
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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: PALASTI, ADRIENNE E
FACILITY NUMBER: 013418519
VISIT DATE: 10/30/2024
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Licensee Adrienne Palasti is aware she should have knowledge of all Title 22 Regulations and follow all Title 22 Regulations at all times, as well as follow manufacture guidelines for all equipment in the facility.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02CCP. 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: https://www.ada.gov/resources/child-care-centers/.

Licensee was encouraged to frequently visit our website at ccld.ca.gov for licensing regulations and updates.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms.



To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-carelicensing/subscribe and select the Child Care option to receive email communication.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

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: 10/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2024
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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: PALASTI, ADRIENNE E
FACILITY NUMBER: 013418519
VISIT DATE: 10/30/2024
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LPA discussed the safe sleep regulations with licensee Adrienne Palasti and discussed the Child Care Licensing Safe Sleep webpage at: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep, as an additional resource. LPA also informed licensee Adrienne Palasti 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.

During the exit interview, the Licensee Adrienne Palasti confirmed that there are no Registered Sex Offenders living in the facility.

A notice of site visit was given and must remain posted for 30 days.

No deficiencies today's inspection. Appeal rights provided and discussed. Exit interview conducted and report was reviewed with licensee Adrienne Palasti.
SUPERVISOR'S NAME: Wynn NoronaTELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Briana PlumboyTELEPHONE: (510) 725-7005
LICENSING EVALUATOR SIGNATURE:

DATE: 10/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2024
LIC809 (FAS) - (06/04)
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