013422619-2-7-2020-52-CC-JWIS-BLKQMB-20200207111716

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013422619
Report Date: 02/07/2020
Date Signed: 02/07/2020 11:17:23 AM

COMPREHENSIVE INSPECTION

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:	LANDA, SONIA		FACILITY NUMBER:	013422619
ADMINISTRATOR:	LANDA, SONIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 676-2447
CITY:	NEWARK	STATE: CA	ZIP CODE:	94560
CAPACITY:	14	CENSUS: 10	DATE:	02/07/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Licensee - Sonia Landa		TIME COMPLETED:	11:25 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 02/07/2020, Licensing Program Analyst (LPA) Jonathan Williams met with Licensee Sonia Landa and Licensee's spouse Jorge Landa for an Required 1 Year Inspection. Present for this inspection are ten children in care (four infants and six preschoolers), the Licensee, and the Licensee's spouse. The facility was toured to conduct a Health and Safety Inspection. The home is a one story home and is tidy and clean with heating and ventilation for safety and comfort. The ON LIMIT AREAS are the kitchen, living room, family room, hallway bathroom on the right, hallway bedroom on the left, and the backyard. The OFF LIMIT AREAS are the master bedroom, master bathroom, garage, first room in the hallway on the right, and the patio. The backyard is fenced. There are toys and learning materials in the facility. There are no pools, hot tubs, ponds, or any other bodies of water in the on-limits areas during this inspection. All hazardous materials and toxins were observed to be made inaccessible to children during today's inspection. The facility has a fully charged 2A10BC fire extinguisher, working smoke detector, working carbon monoxide detector, and working telephone. Both Licensee and Licensee's spouse have current CPR and first aid certificates which expire on 3/2021 and 9/2021, respectively. Mandated Reporter Training for Licensee and Licensee's spouse expire 3/2020. There is a fireplace in the home which is blocked from children. Per Licensee, there are no firearms kept in the home. The facility is in ratio today. Children's files and staff files were reviewed for proper documentation. See 809-C for continuation.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Jonathan Williams	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 02/07/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2020

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: LANDA, SONIA	FACILITY NUMBER: 013422619
	VISIT DATE: 02/07/2020

NARRATIVE

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Licensee is reminded that ALL assistants, volunteers, frequent visitors, or adults living in the home, that are 18 years of age or older must be fingerprinted, obtain a criminal record clearance, and be associated to this facility prior to being in the presence of children in care.

Licensee was reminded that any failure to comply with these regulations will result in an immediate assessment of civil penalties of $100 to $3000 per person, per incident. Licensee was reminded of her responsibilities as a Mandated Reporter. Licensee was directed to the website where Mandated Reporter trainings can be accessed: mandatedreporterca.com. Licensee was reminded to take both required Mandated Reporter trainings every two years, which are titled "General" and "Child Care Providers". Licensee was directed to the following online resources where CCLD forms can be downloaded: www.ccld.ca.gov.

Incidental Medical Services (IMS) policy was discussed, as IMS services are provided in this facility at this time. Licensee was reminded that 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 and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

There are no deficiencies cited. This report shall remain on file for 3 years. A Notice of Site Visit was provided to the Licensee and LPA reminded the Licensee to post the Notice of Site Visit where it is clearly visible inside the facility for 30 days. Appeal rights were provided to the Licensee. Exit interview was conducted.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Jonathan Williams	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 02/07/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2020

LIC809 (FAS) - (06/04)

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