013421646-11-4-2019-02-CC-CCON-BHLR9A-20191104114913

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013421646
Report Date: 11/04/2019
Date Signed: 11/04/2019 11:49:18 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, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME:	BELTRAO, MARISA		FACILITY NUMBER:	013421646
ADMINISTRATOR:	BELTRAO, MARISA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 529-4123
CITY:	ALBANY	STATE: CA	ZIP CODE:	94706
CAPACITY:	14	CENSUS: 10	DATE:	11/04/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:35 AM
MET WITH:	Marisa Beltrao		TIME COMPLETED:	12:10 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	Licensing Program Analysts Caroline Colson and Arminder Singh met with Marisa Beltrao and her husband, Leonardo Villanueva and assistant, Gioconda Garcia for an unannounced random annual inspection at 9:35 AM. There are 7 preschool children and 4 infants. One (1) child's record was reviewed by the LPA's and the licensee on 11/4/19 at 10:50 AM. C1 has a complete file. Staff records were reviewed. The home was toured to conduct a health and safety inspection. The home is a one story home. The home consists of a living room, kitchen, 2 bedrooms, 1 bathroom, fenced back yard, locked outhouse, garden and unfenced front yard. The off limit areas are the fenced front yard, converted garage and bedroom located near the living room. Licensee uses her fenced back yard for outdoor play. The home has a 2A10BC fire extinguisher, working smoke and carbon monoxide detectors. There is a working heater that is properly barricaded and does not get hot to the touch. Licensee states there are no firearms in the home. The living room is the isolation room. She conducts fire/disaster drills every six months. Her infant CPR and First Aid certificates are current and expire on March 30, 2021. She has a first aid kit. There is a small dog who is properly immunized. This facility is not providing Incidental Medical Services - IMS at this time. LPA discussed IMS services and the requirement to create a plan of operation. Specifics on the plan can be found in the family child care home evaluator manual (FCCH EM) Policy 102417. Please LIC 809 C for additional information

SUPERVISOR'S NAME: Ann Robinson	TELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Caroline Colson	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 11/04/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2019

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, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: BELTRAO, MARISA	FACILITY NUMBER: 013421646
	VISIT DATE: 11/04/2019

NARRATIVE

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REMINDERS/RESOURCES

· Criminal Background Clearance: All assistants, volunteers, frequent adult visitors (adults are individuals 18 years of age or older) must be fingerprint cleared and associated to the facility prior to be in the presence of children in care. Failure to comply, requires an immediate civil penalty of $100 to $3000 per person, per incident.

· CCLD Complaint Hotline, 1-844-LET-US-NO (1-844-538-8766) email: LetUsNo@dss.ca.gov

· NEW LAW: Safe Sleep Regulations: http://www.cdss.ca.gov/inforesources/Child-Care-Licensing/Public-Information-and-Resources/Safe-Sleep

· Licensees and all staff are Mandated Reporters and are required to report to CCLD any suspected child abuse.

CCLD website address for obtaining licensing forms, training videos and other provider resources can be obtained at www.ccld.ca.gov

· Licensees may register to receive child care updates: www.myccl.ca.gov

The mandated reporter training was discussed and needs to be completed every two years.
Analyst reviewed beverage law requirements and separating napping equipment for children in care and and the back yard. In addition, the back yard has a extremely uneven surface. Analyst will talk with a manager to discuss how to ensure the health and safety of the children when they are out at play in the back yard. Licensee will fix the gate that leads to the sidewalk and the staircase that leads to the fenced back yard.

There were no deficiencies cited during this inspection.

SUPERVISOR'S NAME: Ann Robinson	TELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Caroline Colson	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 11/04/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2019

LIC809 (FAS) - (06/04)

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