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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013421174
Report Date: 01/17/2020
Date Signed: 01/17/2020 10:13:47 AM

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:SANCHEZ, ROSALBA & ERWINFACILITY NUMBER:
013421174
ADMINISTRATOR:SANCHEZ, ROSALBA & ERWINFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(925) 243-5693
CITY:LIVERMORESTATE: CAZIP CODE:
94551
CAPACITY:14CENSUS: 6DATE:
01/17/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:25 AM
MET WITH:Rosalba SanchezTIME COMPLETED:
10:30 AM
NARRATIVE
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Licensing Program Analyst (LPA’s) Leslie Ibo and Manel Estoesta arrived at the facility for an unannounced Annual/Random Inspection and met with licensee Rosalba Sanchez. Present for this inspection was finger print cleared assistant Cindy Hernandez, 3 infants, 3 preschool aged children. The licensee is in ratio today. At 8:59AM , 9:05AM and 9:38AM preschool aged children were dropped off by a parent, total ratio was 9 children. Also residing at home is the licensee’s finger print cleared husband Erwin Sanchez. The home was toured with the licensee to conduct a health and safety inspection. Hours of operation for day care are Monday through Friday, 8:00AM- 6:00PM.
ON LIMITS: kitchen, fenced backyard, napping room, day care room, living room , hallway bathroom
OFF LIMITS: master bedroom/bathroom, guess room, and garage which will always be inaccessible by closed and/or locked doors and visual supervision
ISOLATION: living room
The home is one story which consists of 2 bedrooms, 2 bathrooms, kitchen, living room, day care rooms, napping room, garage and fenced backyard. There were ample age appropriate toys that were observed to be safe and in good condition. There were toxins that were accessible when LPA’s did the inspection LPA’s advised the licensee to place the items inaccessible for children; medicines items were inaccessible during today's inspection. The home has a fully charged 2A10BC fire extinguisher, working smoke detector, working carbon monoxide detector, working telephone, and first aid kit. ***Continued on LIC809…
SUPERVISOR'S NAME: Jason JangTELEPHONE: (510) 622-2631
LICENSING EVALUATOR NAME: Leslie IboTELEPHONE: (510) 622-2646
LICENSING EVALUATOR SIGNATURE:

DATE: 01/17/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 3
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: SANCHEZ, ROSALBA & ERWIN
FACILITY NUMBER: 013421174
VISIT DATE: 01/17/2020
NARRATIVE
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There are no pools, hot tubs or any other bodies of water. The home has a fireplace that is blocked, and licensee stated it is not being used. Per licensee, there are no firearms in the home. There was play structure located at the fenced backyard, LPA's inspected the play structure and found to be safe for children to use. All required licensing documents are posted and visible for public review.
Children's files were reviewed found to be complete per licensing regulation. The facility roster was reviewed, and a copy obtained. The licensee's Pediatric CPR/First Aid certificate is current with an expiration date of November 2020, licensee’s assistant Cindy Hernandez has a current CPR/First Aid certificate with an expiration date of Nov. 2020. Licensee has current mandated reporter training that was done 3/12/2018, assistant has mandated reporter training that was completed Sept 29, 2018 and has a proof of required immunization's. Licensee has completed disaster drill with the last drill conducted 11/10/2019, copy was obtained for documentation purposes. Safe Sleep practices were discussed, and new car seat laws were provided. Licensee was advised to conduct and document fire and disaster drills for the new day care children at least once every six months. Licensee was reminded that exersaucers, baby walkers, bouncers, jumpers, and similar items are not allowed, and that smoking is prohibited in the home during day care hours. Licensee does not transport children. Licensee was reminded that children are never to be left in a parked vehicle.
A review of staff records indicates that all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearance. Licensee was reminded that anyone working, residing or frequently visiting the home must be fingerprint cleared prior to being in the presence of children, or an immediate civil penalty can be assessed. Licensee is aware that any authorized employee of the Department may enter and inspect the home with or without advance notice.
Licensee was encouraged to frequently visit our website at www.ccld.ca.gov for licensing regulations and updates, and to also email childcareadvocatesprogram@dss.ca.gov to be included in the Child Care Quarterly Updates distribution list. Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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/childqanda.htm

See LIC809D for deficiencies cited today.

Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected. This report shall remain on file for 3 years. A Notice of Site visit was posted at time of inspection and must remain posted for 30 days.

This report shall remain on file for 3 years. A Notice of Site visit was provided.

Exit interview conducted with licensee Rosalba Sanchez. Copy of report and appeal rights provided.

SUPERVISOR'S NAME: Jason JangTELEPHONE: (510) 622-2631
LICENSING EVALUATOR NAME: Leslie IboTELEPHONE: (510) 622-2646
LICENSING EVALUATOR SIGNATURE:

DATE: 01/17/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2020
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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: SANCHEZ, ROSALBA & ERWIN
FACILITY NUMBER: 013421174
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/17/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/17/2020
Section Cited

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102417 Operation of a Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not be limited to:4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children.
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Based on inspection, LPA's observed Poisons, detergents, cleaning compounds) which poses an potential health and safety risk to children in care.
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Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected

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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Jason JangTELEPHONE: (510) 622-2631
LICENSING EVALUATOR NAME: Leslie IboTELEPHONE: (510) 622-2646
LICENSING EVALUATOR SIGNATURE:
DATE: 01/17/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/17/2020
LIC809 (FAS) - (06/04)
Page: 3 of 3