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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013420502
Report Date: 04/26/2024
Date Signed: 04/26/2024 03:32:21 PM


Document Has Been Signed on 04/26/2024 03:32 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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612



FACILITY NAME:STOLL, DAINELLEEFACILITY NUMBER:
013420502
ADMINISTRATOR:STOLL, DAINELLEEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(925) 922-9494
CITY:PLEASANTONSTATE: CAZIP CODE:
94588
CAPACITY:14CENSUS: 0DATE:
04/26/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
02:35 PM
MET WITH:Dainellee StollTIME COMPLETED:
03:50 PM
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On April 26, 2024 at approximately 02:35 PM, Licensing Program Analyst (LPA) Lorraine Dacanay Breaux met with licensee Dainellee Stoll for the purpose of conducting an unannounced required annual inspection. The care tool was used for the visit. Licensee was provided the LIC 126. Present during today's inspection was licensee and fingerprint cleared husband. The hours of operation 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, side and back yard. There is a fireplace in the living room (day care area) that is completely blocked by furniture. The home is neat and clean with heating and ventilation for safety and comfort.

The ON LIMIT AREAS: living room, kitchen, formal dining room, remodeled garage (child care area), main bathroom in the hallway, and backyard.

OFF LIMIT AREAS: ALL bedrooms, which includes the master bedroom and bathroom, all of which will be inaccessible by closed and/or locked doors and visual supervision. The ISOLATION AREA is the living room away from the children in care. The backyard is fully fenced, LPA did not note any hazardous or toxic materials. There are no pools, hot tubs, ponds, or any other bodies of water in the on-limits areas during this inspection. Licensee confirmed there are no swimming pools/hot tubs at the home. Off-limit areas will be inaccessible by closed and/or locked doors, child gates and/or by supervision.

Per licensee there are no firearms or pets 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 located in the hallway and fully stock first aide kit. Working and tested dual smoke/carbon monoxide detector (tested and functioning) and a working telephone.

SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Lorraine Dacanay-BreauxTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:
DATE: 03/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/11/2024
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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: STOLL, DAINELLEE
FACILITY NUMBER: 013420502
VISIT DATE: 04/26/2024
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The licensee completed the Health and Safety training, CPR/First Aid certification expires on 01/13/2026. The licensee is in compliance with the immunization laws and has completed the mandated reporter training on 03/04/2024. Licensee is reminded of their responsibility to renew CPR/First Aid and Mandated Reporter certificates every two years. The licensee conducts and documents fire and disaster drills twice a year and the last conducted drill was on 10/30/2023. All required forms are posted and visible for public review.

Licensee confirmed that she resides in the home. Licensee stated she does not provide transportation. Licensee stated she does not administer medication at this time.

Records: LPA discussed Safe Sleep with Licensee. There is a current roster available for review and copy obtained. The facility does have liability insurance which is valid through 05/2025. Staff interview also conducted and documented.



Provider Information Notices (PINs) & Quarterly Updates: Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders, by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important communication platform. To receive important licensed related information to licensed facilities, visit the CCLD website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email notifications.

Criminal Record Clearance: Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

MyChildCarePlan.org: Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

LIC 809C

SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Lorraine Dacanay-BreauxTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 04/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2024
LIC809 (FAS) - (06/04)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: STOLL, DAINELLEE
FACILITY NUMBER: 013420502
VISIT DATE: 04/26/2024
NARRATIVE
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Safe Sleep: 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.

Incidental Medical Services (IMS): Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, an updated Plan of Operation that includes 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/resources/child-care-centers/.

Megan’s Law: During the exit interview, the licensee, Dainellee Stoll confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

Unusual Incident/Student Injury Report: Effective August 1, 2003 California Law requires Child Care 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 624). Incidents must be reported within 24 hours to the regional office by phone and the written report, LIC 624, within 7 business days.

No deficiencies nor advisory notes issued during today's inspection.

A notice of site visit was given and must remain posted for 30 days. Appeal Rights Provided. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview conducted and report was reviewed with the licensee, Dainelle Stoll.

SUPERVISOR'S NAME: Chandra CharlesTELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Lorraine Dacanay-BreauxTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 04/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2024
LIC809 (FAS) - (06/04)
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