013422725-7-6-2023-52-CC-BPLY-CTGTFE-20230706144126

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013422725
Report Date: 07/06/2023
Date Signed: 07/06/2023 02:41:32 PM

Document Has Been Signed on 07/06/2023 02:41 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME:	CHOY, ARACELLY		FACILITY NUMBER:	013422725
ADMINISTRATOR:	CHOY, ARACELLY		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 400-9900
CITY:	UNION CITY	STATE: CA	ZIP CODE:	94587
CAPACITY:	14	CENSUS: 8	DATE:	07/06/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:40 PM
MET WITH:	Aracelly Choy- Licensee		TIME COMPLETED:	02:50 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	On 7/6/23 at 12:40pm, 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/ assistant Daniel Choy, 6 preschool age children, 1 school age child, and licensees 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 expired on 04/17/23 and she is enrolled in a class on 7/9/23. 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 which expired on 06/24/23 and licensee plans to take the training starting tonight. Daniel Choy's mandated reporter training expires on 7/15/24. The last disaster drill (earthquake) was conducted on 5/17/23. 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 Norona	TELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Briana Plumboy	TELEPHONE: (510) 725-7005
LICENSING EVALUATOR SIGNATURE:	DATE: 07/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2023

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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: CHOY, ARACELLY	FACILITY NUMBER: 013422725
	VISIT DATE: 07/06/2023

NARRATIVE

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Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02CCP. 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: https://www.ada.gov/resources/child-care-centers/.

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

Child Care Centers and Family Child Care Homes: Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms.

To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-carelicensing/subscribe and select the Child Care option to receive email communication.

Family Child Care Homes Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Centers and Family Child Care Homes Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

See 809-C for continuance

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Briana Plumboy	TELEPHONE: (510) 725-7005
LICENSING EVALUATOR SIGNATURE:	DATE: 07/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2023

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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: CHOY, ARACELLY	FACILITY NUMBER: 013422725
	VISIT DATE: 07/06/2023

NARRATIVE

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The licensee provided proof of control of property.

LPA discussed the safe sleep regulations with and discussed the Child Care Licensing Safe Sleep webpage at: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep, as an additional resource. LPA also informed licensee 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.

During the exit interview, the Licensee confirmed that there are no Registered Sex Offenders living in the facility.

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 Norona	TELEPHONE: (510) 421-1324
LICENSING EVALUATOR NAME: Briana Plumboy	TELEPHONE: (510) 725-7005
LICENSING EVALUATOR SIGNATURE:	DATE: 07/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2023

LIC809 (FAS) - (06/04)

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