013420003-8-13-2019-02-CC-PDYR-BF22H7-20190813172415

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013420003
Report Date: 08/13/2019
Date Signed: 08/13/2019 05:24:20 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:	FIERRO, MARIAN		FACILITY NUMBER:	013420003
ADMINISTRATOR:	FIERRO, MARIAN		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 590-8430
CITY:	OAKLAND	STATE: CA	ZIP CODE:	94605
CAPACITY:	14	CENSUS: 7	DATE:	08/13/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Marian Fierro		TIME COMPLETED:	05:30 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	An unannounced Annual/Random inspection was conducted by LPA Dyer. The licensee was present with 7 day care children (3 infants, 4 preschool-age) and 1 fingerprint cleared assistant. Licensee was in compliance with the licensed capacity and facility ratios. Phone number will be updated. Hours: 7:45 am - 6:00 pm. The day care area of the home was inspected. Areas licensed for child care: living room, dining room, kitchen and bathroom. Off-limit areas will be made inaccessible to children by closed and/or locked doors; gates; and visual supervision. All required forms are posted and visible for public review with the exception of the new Car Safety Seat Law - it was given to post. There was a working smoke detector (tested); a fully charged 2-A:10-B:C fire extinguisher; a first aid kit, and a carbon monoxide detector. The home was clean and orderly, with adequate 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. Fireplace was screened and blocked. There are no hazardous materials, medicines, or cleaning solutions accessible to children during this inspection. Hazardous items are kept locked under the sink, inaccessible to children. Licensee stated there were no firearms or bodies of water on the premises. Back yard area is securely fenced. Children have not played outdoors recently. LPA pointed out areas in the backyard where additional care should be taken to watch children. Last disaster drill date logged: June 12, 2019. A sample of files for children present today were reviewed. 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 (continued)

SUPERVISOR'S NAME: Ann Robinson	TELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Phyllis Dyer	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 08/13/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2019

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: FIERRO, MARIAN	FACILITY NUMBER: 013420003
	VISIT DATE: 08/13/2019

NARRATIVE

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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.

All staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances/exemptions. Licensee is signed up for a renewal Pediatric First aid/CPR class. 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.

Licensee was aware of the New Regulations regarding Adult Immunizations and Mandated Reporter Training. Licensee has immunizations in file, and a current Mandated Reporter Training certificate. Licensee was also 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 at the last inspection, and discussed again today. Also discussed with the licensee: substitutes; changes in on-limit areas; construction work at facility; paying fees on-line and smoking. Licensee was encouraged to frequently visit the licensing website at www.ccld.ca.govfor licensing regulations, forms and updates.

For CCL Updates, go to www.ccld.ca.gov. Click the "Receive Important Updates" box. Enter your e-mail address.

For a free Indoor Radon Gas Test Kit for your facility, email: radonprogram@cdph.ca.gov or call 1-800-745-7236.

No deficiencies cited during this inspection.

Notice of site visit 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: 08/13/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2019

LIC809 (FAS) - (06/04)

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