013419867-5-26-2023-02-CC-PDYR-CS7PQE-20230526113101

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013419867
Report Date: 05/19/2023
Date Signed: 05/26/2023 11:31:09 AM

Document Has Been Signed on 05/26/2023 11:31 AM - It Cannot Be Edited

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:	BESS, MERCEDES		FACILITY NUMBER:	013419867
ADMINISTRATOR:	BESS, MERCEDES		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 479-1348
CITY:	OAKLAND	STATE: CA	ZIP CODE:	94605
CAPACITY:	14	CENSUS: 0	DATE:	05/19/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:05 AM
MET WITH:	Mercedes Bess		TIME COMPLETED:	11:40 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	An unannounced Required - 1 Year inspection was conducted by Licensing Program Analyst L. Dyer. LPA arrived at the facility at 9:00 a.m. There were no children present on the date of this inspection. Phone number and e-mail address are current. Hours: 7:00 a.m. - 7:00 p.m., with extended hours as needed. At 9:30 a.m., the following was observed: the day care area of the home was inspected. Areas licensed for child care: bathroom, living room, dining room. Off-limit areas will be made inaccessible to children by closed and/or locked doors; gates; and visual supervision. The home was clean and orderly, with adequate heating and ventilation. There were safe, healthful and comfortable accommodations, furnishings and equipment available to children at the time of this inspection. There were a variety of books and toys for children's use. There was a working smoke detector (tested); a fully charged 3-A:40-B:C fire extinguisher; a first aid kit, and a carbon monoxide detector (tested). Licensee stated there were no firearms on the premises. No fireplace. There are no hazardous materials, medicines, or cleaning solutions accessible to children during this inspection. Hazardous items are kept above the refrigerator, inaccessible to children. No bodies of water were seen. Back yard area is securely fenced. Licensee currently has 1 infant in care under 24 months of age. LPA discussed the safe sleep regulations with the licensee and discussed the Child Care Licensing Safe Sleep web page at: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and- resources/safe-sleep as an additional resource. Safe Sleep Handouts were also given to the licensee. LPA also informed licensee 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. Licensee states sheets are replaced when soiled or wet, and individual bedding is only used by one child only. Bedding is washed either: weekly, before used by another child, or when dirty. (continued)

SUPERVISOR'S NAME: Loretta Dyson	TELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Phyllis Dyer	TELEPHONE: (510) 725-7006
LICENSING EVALUATOR SIGNATURE:	DATE: 05/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2023

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: BESS, MERCEDES	FACILITY NUMBER: 013419867
	VISIT DATE: 05/19/2023

NARRATIVE

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Safe Sleep Reminders - Documentation must be maintained for each child under 24 months of age as they nap (every 15 minutes). An Individual Sleeping Plan is needed for each infant up to 12 months of age. These infants must sleep on their backs. Infants breathing, skin color, and body temperature must be monitored. Licensee must be able visually observe when a child awakens from a nap. Cribs or play yards must not hinder the entrance or exit to and from the sleeping space. Mattresses must be firm, sized appropriately, and be covered with a tightly fitted sheet, with no objects hanging above or attached. Sheets must be replaced when soiled or wet.
LPA reviewed personnel, facility, and children's records at 10:11 a.m. Licensees' CPR/First Aid expires 1/15/24. Licensee is currently completing Mandated Reporter Training. Last disaster drill: 4/13/23. Required postings are visible for public review. Children's files are complete.
Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, 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 up to $500 maximum per day/per person will be assessed if this regulation is violated. Licensee was also reminded of the Department's Inspection authority, and the need to comply when notified that termination of an employee is necessary.
Also discussed with the licensee: supervision of children at all times; children are not to be left in parked vehicles; car seats and high chairs; Unusual Incident Reporting; paying fees on-line; advertisements; changes in on-limit areas; smoking; and ill children in home.
To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at: www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

E-mail Addresses: Community Care Licensing: www.ccld.ca.gov.
Mandated Reporter Training:www.mandatedreporterca.com

NO DEFICIENCIES CITED TODAY.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the licensee Mercedes Bess.

SUPERVISOR'S NAME: Loretta Dyson	TELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Phyllis Dyer	TELEPHONE: (510) 725-7006
LICENSING EVALUATOR SIGNATURE:	DATE: 05/26/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/26/2023

LIC809 (FAS) - (06/04)

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