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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013422719
Report Date: 08/23/2019
Date Signed: 08/23/2019 03:16:50 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:SPEARS, SABRINAFACILITY NUMBER:
013422719
ADMINISTRATOR:SPEARS, SABRINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 228-2932
CITY:OAKLANDSTATE: CAZIP CODE:
94605
CAPACITY:14CENSUS: 6DATE:
08/23/2019
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Sabrina SpearsTIME COMPLETED:
04:00 PM
NARRATIVE
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LPA Lisa Dyer and LPM Robinson conducted a Case Management inspection. Present for the inspection were the licensee, 1 fingerprint cleared staff, and 6 children in care (1 infant, 4 preschool, 1 school-age). During the inspection it was found that children were left alone with unfingerprinted and/or unassociated staff members/adults. According to licensee, Staff Member Kevin worked for the facility during summer months transporting children alone in his motor vehicle. He was not fingerprint cleared nor associated to have contact with children. On 7/30/19, licensee left a parent, who was not fingerprint cleared, alone with children in care. Licensee will be cited for these two unfingerprinted/unassociated persons interacting/supervising day care children. On 7/30/19, licensee was present when 5 of her day care children were placed in her assistant’s vehicle without proper restraints. Licensee rode in her personal vehicle (with one child who requested to ride with her) and led this group to the movies. Licensee left the children at the theater with her assistants (1 with clearances and 1 without clearances). Licensee did not consider how the children would be safely transported back to her facility. Therefore, she is being cited for her conduct, which is inimical - Conduct which is inimical to the health, morals, welfare, or safety of either an individual in or receiving services from the facility or the people of this state.

The attached Type A deficiencies are being cited and must be corrected by the due date. Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. All parents/guardians must sign an acknowledgement form of proof of receiving this report (LIC9224). The LIC 9224 must be placed in the child's file to be reviewed by licensing. Exit interview conducted. Licensee was provided a copy of their appeal rights, and appeal rights were discussed. This report must be kept available for public review for 3 years. Notice of site visit was posted at the time of the inspection and must remain posted for 30 days.
SUPERVISOR'S NAME: Ann RobinsonTELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Phyllis DyerTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 08/23/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2019
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: SPEARS, SABRINA
FACILITY NUMBER: 013422719
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/23/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/26/2019
Section Cited

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Criminal Record Clearance. All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility: Obtain a California clearance or a criminal record exemption as required by the Department..
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This requirement was not met as evidenced by licensee interview and document review: 2 persons who provided care and supervision to children were not fingerprint cleared.
This poses an immediate risk to the health and safety of children in care. An immediate civil penalty of $500 for Kevin and $100 for parent will be cited today.
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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.
Type A
08/26/2019
Section Cited

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Conduct Inimical...Conduct which is inimical to the health, morals, welfare, or safety of either an individual in or receiving services from the facility or the people of this state.
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This requirement was not met as evidenced by licensee interview: licensee’s conduct was inimical to the safety of children receiving services.
This poses an immediate risk to the heath and safety of 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.

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: Ann RobinsonTELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Phyllis DyerTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:
DATE: 08/23/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/23/2019
LIC809 (FAS) - (06/04)
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