013419058-6-27-2019-02-CC-PDYR-BDK2SY-20190627173955

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013419058
Report Date: 06/27/2019
Date Signed: 06/27/2019 05:39:59 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:	ALFORD, STEPHANIE		FACILITY NUMBER:	013419058
ADMINISTRATOR:	ALFORD, STEPHANIE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 567-3422
CITY:	OAKLAND	STATE: CA	ZIP CODE:	94605
CAPACITY:	14	CENSUS: 14	DATE:	06/27/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	02:45 PM
MET WITH:	Stephanie Alford		TIME COMPLETED:	05:45 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/Random inspection was conducted by LPA Dyer. The licensee was present with her fingerprint cleared husband and 14 day care children (4 infants, 7 preschoolers and 3 school-age). Hours: 6:00 am - 6:00 pm. The day care area of the home was inspected and consists of living room, kitchen, play/rug area, bathroom and office. Off-limit areas will be made inaccessible to children by closed and/or locked doors; doorknob covers; gates; and visual supervision. All required forms are posted. There was a working smoke detector/carbon monoxide detector (tested); a fully charged 3-A:10-B:C fire extinguisher; and a first aid kit. There were safe, healthful and comfortable accommodations, furnishings and equipment available to children at the time of this inspection. The home was clean and orderly. Phone number is current. Fireplace was screened and blocked. Bathroom was inspected. There are no hazardous materials, medicines, poisons, or cleaning solutions accessible to children during this inspection. Hazardous items are kept in locked cabinets or in the garage, inaccessible to children. Stairs are gated. Licensee stated there were no firearms or bodies of water on the premises. There were a variety of books and toys for children's use. No pets. Bedding is laundered weekly by the licensee. Back yard area is securely fenced. Licensee has swings, riding toys, slides, balls, bats and other toys for child play. A sample of children's files (7 of 14) were reviewed. Last disaster drill date logged: 6/03/19. Facility roster was obtained. This facility plans to provide Incidental Medical Services – IMS. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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: 06/27/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2019

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: ALFORD, STEPHANIE	FACILITY NUMBER: 013419058
	VISIT DATE: 06/27/2019

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. Pediatric First aid and CPR cards expire 7/07/20.

New Regulations were discussed:
1. Adult Immunizations - As of September 1, 2016, a person shall not be employed/volunteer at a family child care home without immunizations against influenza, pertussis/whooping cough (Tdap), and measles (MMR). Each employee/volunteer shall receive a flu vaccination between August 1 and December 1 of each year; or submit a written declaration to decline the vaccine. Licensee has immunizations in file.
2. Mandated Reporter Training - Beginning 1/1/18, all licensed providers and employees are required to complete training on mandated reporter duties and to renew the training every 2 years. The training is free and is available at www.mandatedreporterca.com. Licensee completed the training 2/15/18.

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 was 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. Discussed with the licensee: children in parked vehicles; substitutes; and smoking. Licensee was encouraged to frequently visit the licensing website at www.ccld.ca.gov for licensing regulations, forms and updates.

No violations cited.

Notice of site visit was posted at the time of the inspection and must be posted for 30 days. An exit interview was conducted. 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: 06/27/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2019

LIC809 (FAS) - (06/04)

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