013422372-7-29-2021-02-CC-PDYR-C5DRQF-20210729131329

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013422372
Report Date: 07/29/2021
Date Signed: 07/29/2021 01:13:36 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, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME:	ALDERMAN, CATHERINE		FACILITY NUMBER:	013422372
ADMINISTRATOR:	ALDERMAN, CATHERINE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 562-5681
CITY:	OAKLAND	STATE: CA	ZIP CODE:	94605
CAPACITY:	14	CENSUS: 3	DATE:	07/29/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Catherine Alderman		TIME COMPLETED:	01:25 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	An unannounced Required - 1 Year inspection was conducted by Licensing Program Analyst L. Dyer. LPA arrived at the facility at 10:00 a.m. The licensee was present with her husband, daughter (fingerprint cleared); and 3 infants. Facility is in compliance with licensed capacity and facility ratios. Phone number and e-mail address are current. Hours: 7:00 a.m. - 6:15 p.m. The day care area of the home was inspected. Areas licensed for child care: living room/dining room/playroom, hall, kitchen and bathroom. Off-limit areas will be made inaccessible to children by closed and/or locked doors; gates; and visual supervision. The home was clean and orderly, with adequate ventilation. There were safe, healthful and comfortable accommodations, furnishings and equipment available to children at the time of this inspection. There were a variety of books and toys for children's use. There was a working smoke detector (tested); a fully charged 3-A:40-B:C fire extinguisher; a first aid kit, and a carbon monoxide detector. Stairs inside the home are gated. Fireplace was blocked. There are no hazardous materials, medicines, or cleaning solutions accessible to children during this inspection. Hazardous items are kept in a high cabinet in the kitchen, inaccessible to children. Licensee stated there were no firearms or bodies of water on the premises. Back yard area is securely fenced. Licensee has a variety of toys in the outdoor shaded area. Guidance for Child Care Providers and Programs (version June 29, 2021), New Safe Sleep Regulations, and Individual Sleeping Plans for Infants were provided and discussed with the licensee. There are currently no infants enrolled at the facility under 12 months of age. LPA reviewed facility, personnel and children's records at 11:41 a.m. Mandated Reporter Training has been completed and expires 12/19/22. Licensees' CPR/First Aid expires 1/23/23. Adult immunizations are in file. Individual 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. (continued)

SUPERVISOR'S NAME: Phyllis Dyer	TELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Phyllis Dyer	TELEPHONE: (510) 725-7006
LICENSING EVALUATOR SIGNATURE:	DATE: 07/29/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2021

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, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: ALDERMAN, CATHERINE	FACILITY NUMBER: 013422372
	VISIT DATE: 07/29/2021

NARRATIVE

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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 reminded of the Department's Inspection authority, and the need to comply when notified that termination of an employee is necessary. Also discussed with the licensee: supervision of children at all times; swaddling; substitutes available; advertisements; changes in on-limit areas; construction work at facility; paying fees on-line; ill children; and the new Guardian background check process. A qualified assistant must be physically present whenever 9 or more children are in care. When an assistant is not present, the home reverts back to small family child care ratios. Also, 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 was encouraged to frequently visit the licensing website at www.ccld.ca.govfor licensing regulations, forms and updates.

Important E-mail Addresses:
Community Care Licensing General Information and Updates:www.ccld.ca.gov.
Mandated Reporter Training: www.mandatedreporterca.com (Child Care Providers Module - required every 2 years).
Alameda County Public Health Department Website: www.acphd.org
Guardian: background check process with self-service options: https://www.cdss.ca.gov/inforesources/cdss-programs/community-care-licensing/caregiver-background-check/guardian

NO DEFICIENCIES CITED TODAY.

Exit interview conducted. Appeal rights were discussed and given. Notice of site visit must be posted for 30 days. This report must be available for public review for 3 years.

SUPERVISOR'S NAME: Phyllis Dyer	TELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Phyllis Dyer	TELEPHONE: (510) 725-7006
LICENSING EVALUATOR SIGNATURE:	DATE: 07/29/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2021

LIC809 (FAS) - (06/04)

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