013422752-11-18-2019-02-CC-CCON-BJ2RY4-20191118122543

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013422752
Report Date: 11/18/2019
Date Signed: 11/18/2019 12:25:48 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:	LIMA, JORGE & FERRANDO, RITA		FACILITY NUMBER:	013422752
ADMINISTRATOR:	LIMA, JORGE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(415) 378-5057
CITY:	ALAMEDA	STATE: CA	ZIP CODE:	94501
CAPACITY:	14	CENSUS: 11	DATE:	11/18/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:32 AM
MET WITH:	Jorge Lima and Rita Ferrando		TIME COMPLETED:	12:45 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	Licensing Program Analysts Caroline Colson and Arminder Singh met with Rita Ferrando and husband, Jorge Lima, Rafael Lima, adult son, assistant Mariaestel Hernandez and her visiting mother, Nadja White for an unannounced random annual inspection at 9:32 AM. There are 7 preschool children and 4 infants are present. Two (2) children's records were reviewed by the LPA and the licensee on 11/18/19 at 10:35 AM. C1 and C2 file are complete. Records were reviewed. The home was toured to conduct a health and safety inspection. The home is a two story home. The home consists of a living room, dinning room, kitchen, 4 bedrooms which only the master bedroom and room next to it used for infants for sleeping. The home has three bathrooms, fenced back yard, and unfenced front yard. The home has a converted garage used for play area. The home has a 3A40BC fire extinguisher, a working smoke and carbon monoxide detector. Licensee states there are no firearms in the home. The living room is the isolation room. She conducts fire/disaster drills every six months. Her infant CPR and First Aid certificates are current and expire on November 15, 2021. She has a first aid kit. There are no pets. This facility is not providing Incidental Medical Services - IMS at this time. LPA discussed IMS services and the requirement to create a plan of operation. Specifics on the plan can be found in the family child care home evaluator manual (FCCH EM) Policy 102417. Please LIC 809 C for additional information

SUPERVISOR'S NAME: Ann Robinson	TELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Caroline Colson	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 11/18/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2019

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: LIMA, JORGE & FERRANDO, RITA	FACILITY NUMBER: 013422752
	VISIT DATE: 11/18/2019

NARRATIVE

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REMINDERS/RESOURCES

· Criminal Background Clearance: All assistants, volunteers, frequent adult visitors (adults are individuals 18 years of age or older) must be fingerprint cleared and associated to the facility prior to be in the presence of children in care. Failure to comply, requires an immediate civil penalty of $100 to $3000 per person, per incident.

· CCLD Complaint Hotline, 1-844-LET-US-NO (1-844-538-8766) email: LetUsNo@dss.ca.gov

· NEW LAW: Safe Sleep Regulations: http://www.cdss.ca.gov/inforesources/Child-Care-Licensing/Public-Information-and-Resources/Safe-Sleep

· Licensees and all staff are Mandated Reporters and are required to report to CCLD any suspected child abuse.

CCLD website address for obtaining licensing forms, training videos and other provider resources can be obtained at www.ccld.ca.gov

· Licensees may register to receive child care updates: www.myccl.ca.gov

The mandated reporter training was discussed and needs to be completed every two years. Immunization records will be sent to our department within 30 days.

Analyst reviewed required documents for all children's records, beverage law requirements for children in care and diaper changing procedures were discussed.

Notice of site visit was posted at the time of the inspection and must be posted for 30 days. An exit interview was conducted. Appeal rights were given and discussed. This report must be available for public review for 3 years.

SUPERVISOR'S NAME: Ann Robinson	TELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Caroline Colson	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 11/18/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2019

LIC809 (FAS) - (06/04)

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