013421013-6-26-2023-52-CC-BPLY-CT6TZ5-20230626150946

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013421013
Report Date: 06/26/2023
Date Signed: 06/26/2023 03:09:50 PM

Document Has Been Signed on 06/26/2023 03:09 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:	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: 2	DATE:	06/26/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Aydee Codd- Licensee		TIME COMPLETED:	03:30 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	On 6/26/23 at 2:00pm, 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. Business hours are Monday through Friday from 7:30am until 6:00pm. 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. The licensee's CPR and First Aid certificate is current and expires 10/2/23. License Aydee Codd completed mandated reporter training on 8/1/21. The last disaster drill was documented to be conducted on 5/15/23. 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: 06/26/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2023

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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: CODD, AYDEE	FACILITY NUMBER: 013421013
	VISIT DATE: 06/26/2023

NARRATIVE

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Incidental Medical Services (IMS) policy was discussed. 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

Licensee was encouraged to frequently visit our website at ccld.ca.gov for licensing regulations and updates.

Licensee is reminded that ALL assistants, volunteers, and staff, 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

LPA discussed the safe sleep regulations with licensee Aydee Codd 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 Aydee Codd 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.

A notice of site visit was given and must remain posted for 30 days.

No deficiencies cited during today's inspection. Appeal rights provided and discussed. Exit interview conducted and report was reviewed with licensee Aydee Codd.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Briana Plumboy	TELEPHONE: (510) 725-7005
LICENSING EVALUATOR SIGNATURE:	DATE: 06/26/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2023

LIC809 (FAS) - (06/04)

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