013421222-2-10-2022-52-CC-RHAR-CBHQ45-20220210104945

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013421222
Report Date: 02/10/2022
Date Signed: 02/10/2022 10:49:58 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:	ERENO, JO ANNA		FACILITY NUMBER:	013421222
ADMINISTRATOR:	ERENO, JO ANN		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 896-8952
CITY:	FREMONT	STATE: CA	ZIP CODE:	94536
CAPACITY:	14	CENSUS: 10	DATE:	02/10/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:00 AM
MET WITH:	Jo Anna Ereno		TIME COMPLETED:	10:58 AM

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 February 10, 2022 at approximately 8:00am Licensing Program Analyst (LPA) Russ Haderer met with licensee JoAnna Ereno for the purpose of conducting an unannounced annual inspection for health and safety. Upon arrival, present were the licensee, one sleeping child (adult), 1 assistant and 3 children in care (2 infants and 1 toddler). During the inspection, 1 additional assistant arrived and 7 additional children (2 infants, 5 toddlers). The facility is in ratio today. The hours of operation are Monday-Friday, 7:30am to 5:30pm. The facility is a single story 3-bedroom, 2-bathroom home with an attached two-car garage. It is rented by the licensee and contains a dining room, kitchen, living room, three bedrooms and two bathrooms, an enclosed (fenced) back with side yard areas and a separate courtyard area between the living room and one bedroom, and a small driveway area in the front of the home. The home is neat and clean with heating and ventilation for safety and comfort. On-limit-areas include: The living room (day care area), dining room, kitchen, first bedroom on the right side of hall for napping, the house bathroom, large back yard patio just off the kitchen. Off-limit-areas include: The bedroom on the left side of the hall, master bedroom and bathroom, attached two car garage and the courtyard area between the living room and the first bedroom on the right; the side yard on the west side (with a locked shed in the off limits area). The off-limit areas will be inaccessible by closed and/or locked doors, and/or by child supervision. Toxins, medicines, and hazardous items were inaccessible during today's inspection. There is a fireplace in the living room (day care area) that is fully blocked off by a large wooden cubby structure for children’s toys. Per licensee, there are no firearms in the home.

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell Haderer	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 02/10/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2022

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: ERENO, JO ANNA	FACILITY NUMBER: 013421222
	VISIT DATE: 02/10/2022

NARRATIVE

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There is a fully charged 2A10BC fire extinguisher located in the kitchen, The facility has working (tested and functioning) smoke and carbon monoxide detectors. The licensee conducts and documents Fire/Disaster Drills at least twice a year, and the log indicates a drill was conducted 11-1-2021. All required licensing documents are posted and visible for public review.

At 8:46am, children's files were reviewed and found to be complete. The facility roster was reviewed, and a copy obtained. All files were organized and complete. One child requires an EpiPen. All forms and Plan was available, however, the medication expired 1-31-2022 (10 days past), however the child was not in care this day. The parents were contacted and will not bring the child again until non-expired medication will be provided.

At 9:40am staff files were reviewed. All files were organized and complete.

The licensee’s and helper’s Pediatric CPR/First Aid certificate is current and expires 6/5/2023. Mandated reporter training was completed (licensee on 5/11/2020, helpers done 5/11/2020 and Nov 2021).

LPA reminded the 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 rents the property, does not carry liability insurance. LIC282 forms signed and dated in each child’s file.

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: Russell Haderer	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 02/10/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2022

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: ERENO, JO ANNA	FACILITY NUMBER: 013421222
	VISIT DATE: 02/10/2022

NARRATIVE

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Licensee was reminded that all adults 18 and over living or working in the home, 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 licensed Family Child Care Home. 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.

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/inspection-process.

LPA discussed the safe sleep regulations with licensee [or facility representative] 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 [facility representative] 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.

There were no deficiencies issued today. This report will remain on file for 3 years.

A review of operating safely during the Covid-19 pandemic (RAST) was conducted.

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

Exit interview conducted and report was reviewed with the licensee Jo Anna Ereno.

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell Haderer	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 02/10/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2022

LIC809 (FAS) - (06/04)

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