013420502-3-15-2023-52-CC-LDBX-CPXR4P-20230315124151

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013420502
Report Date: 03/15/2023
Date Signed: 03/15/2023 12:42:02 PM

Document Has Been Signed on 03/15/2023 12:42 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 STE 1102
OAKLAND, CA 94612

FACILITY NAME:	STOLL, DAINELLEE		FACILITY NUMBER:	013420502
ADMINISTRATOR:	STOLL, DAINELLEE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(925) 922-9494
CITY:	PLEASANTON	STATE: CA	ZIP CODE:	94588
CAPACITY:	14	CENSUS: 3	DATE:	03/15/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:15 AM
MET WITH:	Dainellee Stoll		TIME COMPLETED:	12:55 PM

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On March 15, 2023 at approximately 10:15 AM, Licensing Program Analyst (LPA) Lorraine Dacanay Breaux met with licensee Dainellee Stoll for the purpose of conducting an unannounced 1-year annual inspection, care tool was used for the visit. Present during today's inspection was licensee and fingerprint cleared husband, three (3) preschool children. The hours of operation will be Monday - Thursday, 8:30 AM to 12:30PM. Facility is closed on Fridays. Licensee provides part-time care for children over 24 months.

The home is a single story, 4 bedroom, 2 bath home owned by the licensee with a living room, family room, dining room, kitchen, attached 2-car garage (child care area), side and back yard areas. There is a fireplace in the living room (day care area) that is completely blocked by furniture and is not being used. The home has heating and ventilation for safety and comfort. The ON LIMIT AREAS are the living room, kitchen, formal dining room, garage (child care area), bathroom on the left in hallway family room, and backyard. OFF LIMIT AREAS are the ALL bedrooms and master bathroom (effective today, 3/15/23, licensee request to remove the on limits bedroom to off limits), all of which will be inaccessible by closed and/or locked doors and visual supervision. The ISOLATION AREA is the living room. The backyard is fully fenced. Due to the weather conditions limited on inspection. There are toys and learning materials in the facility. There are no pools, hot tubs, ponds, or any other bodies of water in the on-limits areas during this inspection. Off-limit areas will be inaccessible by closed and/or locked doors, child gates and/or by supervision.

Per licensee there are no firearms in the home. Detergents, cleaning compounds, medications and other items which could pose a danger to children are stored and inaccessible to children. The home has a fully charged 3A40BC fire extinguisher and fully stock first aide kit. Working and tested dual smoke/carbon monoxide detector and a working telephone.

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Lorraine Dacanay-Breaux	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 03/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2023

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 STE 1102
OAKLAND, CA 94612

FACILITY NAME: STOLL, DAINELLEE	FACILITY NUMBER: 013420502
	VISIT DATE: 03/15/2023

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Around 11:00 AM LPA requested and reviewed the files of 2 (two) children in care. All files contained Immunization, Parent's Rights, and Medical Consent forms. The facility roster was reviewed, and copies were obtain. The licensee conducts and documents fire and disaster drills twice a year with the last one conducted on 01/09/2023. The licensee's Health and Safety training is completed, and CPR and First Aid certificate is current and expires 12/18/2023. The licensee has completed mandated reporter training and the certificate expires 02/17/2024. All required forms are posted and visible for public review. Licensee does have carry liability insurance current and expires on 3/6/2024.

LPA reminded licensee of the following: Mandated Reporter training is to be renewed every two years; CPR/First Aid is also renewed every two years. Baby bouncers & drop-down cribs are not allowed at the day-care facility. The licensee is reminded any structural changes to the home or additions to the childcare facility must be reported to Community Care Licensing.

LPA discussed with licensee safe sleep and sleep log plan.

California Law requires Family Child Care Home licensees to report unusual incidents or injuries to children in care to child's parents and to the Department of Social Services using the Unusual Incident/Injury form (LIC 624B). Incidents must be reported within 24 hours by phone, fax, or electronic mail. Roster of the children must be properly maintained and fire/disaster drill every six months must be documented.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, 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.

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Lorraine Dacanay-Breaux	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 03/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2023

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 STE 1102
OAKLAND, CA 94612

FACILITY NAME: STOLL, DAINELLEE	FACILITY NUMBER: 013420502
	VISIT DATE: 03/15/2023

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LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage 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.

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/process.

Facility representative was reminded that all adults 18 and over, 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 Family Home Child Care. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

A notice of site visit was given and must remain posted for 30 days. Appeal Rights Provided. Exit interview conducted and report was reviewed with Licensee, Dainellee Stoll.

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Lorraine Dacanay-Breaux	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 03/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2023

LIC809 (FAS) - (06/04)

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