013419343-7-30-2021-02-CC-ASIH-C5EU3R-20210730151359

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013419343
Report Date: 07/30/2021
Date Signed: 07/30/2021 03:15:08 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:	SANTOS, JEORSON & ZENHA, ROSANE		FACILITY NUMBER:	013419343
ADMINISTRATOR:	SANTOS, JEORSON & ZENHA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 521-8190
CITY:	ALAMEDA	STATE: CA	ZIP CODE:	94501
CAPACITY:	14	CENSUS: 0	DATE:	07/30/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Rosane Zenha and Jeorson Santos		TIME COMPLETED:	03:30 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 07/30/2021 at 01:30 PM Licensing Program Analyst (LPA) Arminder Singh met with Licensees Rosane Zenha and Jeorson Santos, for an unannounced random annual inspection. There are no children present today. During inspection there was both Licensees. Days and hours of operation are Mon - Thursday, 8 AM to 5:00 PM. The home is a one story home with a garage located in the backyard. The home consists of a kitchen, living room, three bedrooms, two bathrooms, and a backyard. The ON LIMIT AREAS are the living room, kitchen, bedroom #1(located near entrance of home),bedroom room#2, and bathroom #2 in hallway. The home has a garage that is converted into a classroom. The OFF LIMITS area is bathroom #2 and bedroom #3 which is located towards the rear of the home. Off limit areas will be inaccessible by closed, gated and or/locked doors and visual supervision. There are ample age appropriate toys that appear to be safe and in good condition. There are no pools, hot tubs, or any other bodies of water. The home has a fully charged 3A40BC fire extinguisher, working smoke detector, and carbon monoxide detector. There are two wall heaters that are properly barricaded and are in good working condition. The home does have a fireplace that is located in the living room that is not being used and is made inaccessible. Licensee states there are no firearms in the home. Licensee does not have any pets. Fire/disaster drills are conducted every six months and are logged. Last drill was conducted on 05/26/2021. The bedroom #3 is the isolation room. Licensee does have a fully stocked first aid kit. At 2:30PM two (2) children's records were reviewed by the LPA and files are complete. Licensees both have current Pediatric CPR and First Aid certificates and expire on 07/2022. LPA has obtained a copy of the current children's roster. Please see LIC 809 C for additional information

SUPERVISOR'S NAME: Loretta Dyson	TELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Arminder Singh	TELEPHONE: (510) 725-2063
LICENSING EVALUATOR SIGNATURE:	DATE: 07/23/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2021

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, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: SANTOS, JEORSON & ZENHA, ROSANE	FACILITY NUMBER: 013419343
	VISIT DATE: 07/30/2021

NARRATIVE

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Outdoor Yard: The outdoor play area is free from defects or dangerous conditions and is fully fenced. There are ample age appropriate toys that appear to be safe and in good condition. There are no pools, hot tubs or any other bodies or hazardous materials and toxins are kept out of the reach of children. The outdoor play area is fully fenced and has artificial turf for padded surface. Licensees understand that 100% supervision is required at all times.

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.

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.

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.

Beginning January 1, 2019 AB 2370 requires licensed homes and centers to share information on the risks and effects of lead exposure with enrolling and re-enrolling families.
"Mandated Reporter" training for CA Child Care Providers that all staff are required to complete as of January 1, 2018. [Starting May 2019, both General Training followed by Child Care Providers Training is required to be taken]. The website for the online training is: http://www.mandatedreporterca.com/training/childcare.htm.

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SUPERVISOR'S NAME: Loretta Dyson	TELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Arminder Singh	TELEPHONE: (510) 725-2063
LICENSING EVALUATOR SIGNATURE:	DATE: 07/30/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2021

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: SANTOS, JEORSON & ZENHA, ROSANE	FACILITY NUMBER: 013419343
	VISIT DATE: 07/30/2021

NARRATIVE

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· 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

Website for provider resources:
http://www.cdss.ca.gov/inforesources/Community-Care/Self-Assessment-Guides-and-Key-Indicator-Tools/Quarterly-Updates

childcareadvocatesprogram@dss.ca.gov

In the areas that were evaluated, no regulatory violations were observed.

At 03:15 PM Exit Interview was conducted, where this report was reviewed and discussed with Licensees. Report was signed by the Licensees confirming receipt of documents.

A NOTICE OF SITE VISIT WAS ISSUED, AND MUST BE POSTED ON OR ADJACENT TO THE INTERIOR SIDE OF THE MAIN DOOR INTO THE FACILITY FOR 30 CONSECUTIVE DAYS.

END OF REPORT

SUPERVISOR'S NAME: Loretta Dyson	TELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Arminder Singh	TELEPHONE: (510) 725-2063
LICENSING EVALUATOR SIGNATURE:	DATE: 07/30/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2021

LIC809 (FAS) - (06/04)

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