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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013422725
Report Date: 08/03/2022
Date Signed: 08/03/2022 11:33:39 AM


Document Has Been Signed on 08/03/2022 11:33 AM - It Cannot Be Edited

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:CHOY, ARACELLYFACILITY NUMBER:
013422725
ADMINISTRATOR:CHOY, ARACELLYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 400-9900
CITY:UNION CITYSTATE: CAZIP CODE:
94587
CAPACITY:14CENSUS: 11DATE:
08/03/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:31 AM
MET WITH:Aracelly Choy- LicenseeTIME COMPLETED:
11:45 AM
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On 8/3/22 at 10;31am, Licensing Program Analyst Briana Plumboy met with licensee Aracelly Choy for an UNANNOUNCED REQUIRED 1 YEAR RANDOM INSPECTION. The home was toured to conduct a Health and Safety Inspection. The family child care home currently operates Monday through Friday from 7:30am until 5:30pm. Present for the inspection was licensees fingerprint clear and associated husband Daniel Choy, 1 fingerprint cleared and associated assistant Alondra Sainz, 10 preschool age children, and licensees 2 school age children.
The home is two stories. The home is neat and clean with heating and ventilation for safety and comfort. The ON LIMIT AREAS are the family room, downstairs bathroom, and backyard. The OFF LIMIT AREAS are the garage, formal dining room, living room, kitchen, laundry room, and entire second level of the home which will be inaccessible by closed and/or locked doors and visual supervision. The family room has been designed as a classroom. There is a gate at the bottom of the stairs to prevent access to the stairs and second level of the home. The ISOLATION AREA will be an area inside the family room. The BACKYARD play area is fenced, and contains a play structure which is anchored to the ground and has cushioning material underneath to absorb a fall. There are child safety gates throughout the home located at the entrance to the kitchen from the family room, at the base of the stairs, and from the entrance of the home to the living room. There are toys and learning materials. There are no pools, hot tubs or any other bodies of water present in the on limit areas during the inspection.
The home has a fully charged 2A10BC fire extinguisher, pull down fire alarm, working smoke detector, working carbon monoxide detector, and working telephone. The licensees CPR and First Aid certificate is current and expires 04/17/23. The licensee, her assistant, and her husband are in compliance with the immunization law. The licensee obtained a certificate of completion in mandated reporter training on 06/24/21. The last disaster drill (earthquake) was conducted on 3/10/22. The fireplace is screened to prevent access by children. Per licensee, there are no firearms in the home. All REQUIRED forms are posted and visible for public review. See 809-C for continuance
SUPERVISOR'S NAME: Wynn NoronaTELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Briana PlumboyTELEPHONE: (510) 725-7005
LICENSING EVALUATOR SIGNATURE:
DATE: 08/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/03/2022
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: CHOY, ARACELLY
FACILITY NUMBER: 013422725
VISIT DATE: 08/03/2022
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Incidental Medical Services (IMS) policy was discussed. 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

Licensee was encouraged to frequently visit our website at ccld.ca.gov for licensing regulations and updates.

Licensee is reminded that ALL assistants, volunteers, and staff, that are 18 years of age or older must be fingerprint cleared and associated to this facility prior to being in the presence of children in care or an immediate civil penalty will be assessed from $100 to $3000 per person, per incident. Licensee was reminded of the responsibility as a mandated reporter. All forms can be downloaded at www.ccld.ca.gov



LPA discussed the safe sleep regulations with licensee Aracelly Choy 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 Aracelly Choy 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.

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

No deficiencies cited during today's inspection. Appeal rights provided and discussed. Exit interview conducted and report was reviewed with licensee Aracelly Choy.

SUPERVISOR'S NAME: Wynn NoronaTELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Briana PlumboyTELEPHONE: (510) 725-7005
LICENSING EVALUATOR SIGNATURE:

DATE: 08/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2022
LIC809 (FAS) - (06/04)
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