013420469-1-18-2023-02-CC-PDYR-CN83GY-20230118171506

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013420469
Report Date: 01/18/2023
Date Signed: 01/18/2023 05:15:21 PM

Document Has Been Signed on 01/18/2023 05:15 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
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME:	THOMPSON, SANDARA		FACILITY NUMBER:	013420469
ADMINISTRATOR:	THOMPSON, SANDARA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 635-3139
CITY:	OAKLAND	STATE: CA	ZIP CODE:	94605
CAPACITY:	14	CENSUS: 9	DATE:	01/18/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:20 PM
MET WITH:	Sandara Thompson		TIME COMPLETED:	05:21 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 Required - 1 Year inspection was conducted by Licensing Program Analyst L. Dyer. LPA arrived at the facility at 1:20 p.m. The licensee was present with 9 day care children (4 infants and 5 preschool-age) and 1 fingerprint cleared assistant. Facility is in compliance with licensed capacity and facility ratios. Phone number and e-mail address are current. Hours: 6:00 a.m. - 6:00 p.m. At 1:40 p.m., the day care area of the home was inspected. 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 2-A:10-B:C fire extinguisher; a first aid kit, and a carbon monoxide detector (tested). Licensee stated there were no firearms or bodies of water on the premises. Fireplace in the living room was blocked and screened. There are no hazardous materials, medicines, or cleaning solutions accessible to children during this inspection. Back yard area is securely fenced. Licensee has a slide, riding toys, child sized kitchen, and other outdoor toys for child play. LPA discussed the safe sleep regulations in detail 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. 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. The handout, "A Child Care Provider's Guide to Safe Sleep" was provided and discussed, along with the requirements for an Individual Infant Sleep Plan. (continued)

SUPERVISOR'S NAME: Loretta Dyson	TELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Phyllis Dyer	TELEPHONE: (510) 725-7006
LICENSING EVALUATOR SIGNATURE:	DATE: 01/18/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/18/2023

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: THOMPSON, SANDARA	FACILITY NUMBER: 013420469
	VISIT DATE: 01/18/2023

NARRATIVE

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Safe Sleep Reminders - Documentation must be maintained for each child under 24 months of age as they nap (15 minute increments). An Individual Sleeping Plan is needed for each infant up to 12 months of age. These infants must sleep on their backs. Infant's breathing, skin color, and body temperature must be monitored. 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 2:56 p.m. Last disaster drill: 12/12/22. CPR class is scheduled for 2/23/23. Facility roster was current. Required postings are visible for public review.
All adults present during this inspection were fingerprint cleared and associated to the facility. 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; car seats and high chairs; Unusual Incident Reporting; advertisements; changes in on-limit areas; construction work at facility; paying fees on-line; smoking; ill children in home, and the Guardian background check process.
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.
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.

Important E-mail Addresses:
Community Care Licensing General Information and Updates:www.ccld.ca.gov
Mandated Reporter Training:www.mandatedreporterca.com
Guardian: background check process with self-service options: https://www.cdss.ca.gov/inforesources/ cdss-programs/community-care-licensing/caregiver-background-check/guardian (continued)

SUPERVISOR'S NAME: Loretta Dyson	TELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Phyllis Dyer	TELEPHONE: (510) 725-7006
LICENSING EVALUATOR SIGNATURE:	DATE: 01/18/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/18/2023

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: THOMPSON, SANDARA	FACILITY NUMBER: 013420469
	VISIT DATE: 01/18/2023

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 26 27 28 29 30 31 32	Safe Sleep, Adult Records and Children's Records were discussed in detail with the licensee. 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 Sandara Thompson.

SUPERVISOR'S NAME: Loretta Dyson	TELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Phyllis Dyer	TELEPHONE: (510) 725-7006
LICENSING EVALUATOR SIGNATURE:	DATE: 01/18/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/18/2023

LIC809 (FAS) - (06/04)

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