013421013-7-27-2021-52-CC-BPLY-C5BTD4-20210727143744

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013421013
Report Date: 07/27/2021
Date Signed: 07/27/2021 02:37:53 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 STE 1102
OAKLAND, CA 94612

FACILITY NAME:	CODD, AYDEE		FACILITY NUMBER:	013421013
ADMINISTRATOR:	CODD, AYDEE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 889-9221
CITY:	CASTRO VALLEY	STATE: CA	ZIP CODE:	94546
CAPACITY:	14	CENSUS: 0	DATE:	07/27/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:45 PM
MET WITH:	Aydee Codd		TIME COMPLETED:	02:45 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	On 07/27/21, Licensing Program Analyst Briana Plumboy, met with licensee Aydee Codd for an UNANNOUNCED RANDOM REQUIRED ANNUAL INSPECTION. Present for this visit was licensees finger print clear husband Frank Codd. The home was toured to conduct a Health and Safety Inspection. When the facility operates, business hours are Monday through Friday from 7:30am until 6:00pm. The FCCH has been closed due to the COVID-19 pandemic, but licensee plans to reopen her facility August 2021. The home is a four level home. The ON LIMIT AREAS are the lower two levels of the home, except the garage, the closet on the lower level, and laundry room. The on limit areas include the bottom level room, the bedroom located across from the bathroom, and the bathroom. The OFF LIMIT AREAS are the two upper levels which will be inaccessible by closed and/or locked doors and visual supervision. There are barricades located on each level of the stairs to prevent access to children under 5 years old. The ISOLATION AREA will be the sleeping area by the entrance to the day care. To enter the childcare, there is a gate located on the side of the home. The BACKYARD play area is completely fenced. The backyard has a pool which has been completely filled with tanbark and converted into a playground area. There are stairs located in the backyard and have a barricaded gate at the bottom to prevent access. Licensee is aware if toys are broken or not in the manufactures intended form, they must be restored to the manufactures intent, replaced, or removed from the childcare areas of the home. There are toys and learning materials. The home has a working smoke detector, working carbon monoxide detector, working telephone, and First Aid Supplies. Aydee Codd is in compliance with the immunization law which applies to providers. Per licensee, there are no firearms in the home. All REQUIRED forms are posted and visible for public review. See 809-C for continuance

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Briana Plumboy	TELEPHONE: (510) 725-7005
LICENSING EVALUATOR SIGNATURE:	DATE: 07/27/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2021

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: CODD, AYDEE	FACILITY NUMBER: 013421013
	VISIT DATE: 07/27/2021

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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

The licensee is reminded any structural changes to the home or additions to the child care facility must be reported to Community Care Licensing. Also, any adults moving into the home must be reported to Community Care Licensing prior to them moving in and all requirements must be met before the person lives in the facility. Licensee was reminded of Departments inspection authority, with our without any notice.

Effective August 1, 2003 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.

The licensee was also reminded that baby bouncers, exersaucers, johnny jumpers and similar items are not allowed in licensed day care.

Licensee is reminded that ALL assistants, volunteers, frequent visitors, or adults living in the home, that are 18 years of age or older must be fingerprint cleared and associated to this facility prior to being in the presence of children in care or an immediate civil penalty will be assessed from $100 to $3000 per person, per incident. Licensee was reminded of the responsibility as a mandated reporter. All forms can be downloaded at www.ccld.ca.gov

For licensing updates email childcareadvocatesprogram@dss.ca.gov and ask to be added to the email list

There are no deficiencies cited. This report shall remain on file for 3 years. A notice of site visit was given and must remain posted for 30 days. This entire report was read to licensee by LPA Plumboy. Appeal rights provided and discussed. Exit interview conducted.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Briana Plumboy	TELEPHONE: (510) 725-7005
LICENSING EVALUATOR SIGNATURE:	DATE: 07/27/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2021

LIC809 (FAS) - (06/04)

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