013422783-12-18-2019-02-CC-BNEN-BJYV3T-20191218150517

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013422783
Report Date: 12/18/2019
Date Signed: 12/18/2019 03:05:30 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:	WRIGHT, OLIVIA F. & DEIANA, FEDERICA		FACILITY NUMBER:	013422783
ADMINISTRATOR:	WRIGHT, OLIVIA F.		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(646) 417-1762
CITY:	BERKELEY	STATE: CA	ZIP CODE:	94703
CAPACITY:	14	CENSUS: 12	DATE:	12/18/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:55 PM
MET WITH:	Licensee Olivia Wright		TIME COMPLETED:	03:45 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 Analyst (LPA) Brittany Newton met with the Licensee Olivia Wright for an unannounced random inspection. Present for this inspection was two infants, ten preschoolers, Licensee Federica Deiana, and fingerprint cleared assistants L. Paredes, C. Hernandez. The home was toured to conduct a health and safety inspection. The home is a two story home, with heating and ventilation for safety and comfort. The entire downstairs level is on limits, and includes the play/activity area, two bedrooms, and bathroom. The off limit areas are inaccessible by gate, closed and/or locked doors and visual supervision. The isolation area is the middle room. The outdoor play area is fenced and free from defects and dangerous conditions, but currently not in use due to the weather. There are ample age appropriate toys that appear to be safe and in good condition. There are no pools, hot tubs or any other bodies of water. LPA did not observe any toxins or hazardous items accessible today. The home has a fully charged 3A40BC fire extinguisher, working combination smoke/carbon monoxide detector, telephone, and fully stocked First Aid Kit. The last fire drill was conducted on 07/06/2019. The licensee's CPR and First Aid certificate is current and expires 07/2021. There are no heaters or fireplaces accessible to children. Per licensee, there are no firearms in the home. Four children's files were reviewed. The facility roster was reviewed, and a copy obtained. The licensee is in ratio today. At 2:05pm, LPA Newton observed two children sleeping in strollers. 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.

SUPERVISOR'S NAME: Sherelle Johnson	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Brittany Newton	TELEPHONE: (510) 622-2594
LICENSING EVALUATOR SIGNATURE:	DATE: 12/18/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2019

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: WRIGHT, OLIVIA F. & DEIANA, FEDERICA	FACILITY NUMBER: 013422783
	VISIT DATE: 12/18/2019

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 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.

The Licensee was given a copy of A Child Care Provider's Guide to Safe Sleep pamphlet, and LPA discussed the importance of taking preventative measures.

A deficiency was cited at this visit. Please see LIC 809D for cited deficiency. This report shall remain on file for 3 years. A Notice of Site visit was given to Licensee, and Licensee was reminded that it is required to be posted for 30 days. Exit interview conducted and appeal rights provided.

SUPERVISOR'S NAME: Sherelle Johnson	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Brittany Newton	TELEPHONE: (510) 622-2594
LICENSING EVALUATOR SIGNATURE:	DATE: 12/18/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2019

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: WRIGHT, OLIVIA F. & DEIANA, FEDERICA	FACILITY NUMBER: 013422783
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 12/18/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 12/19/2019 Section Cited	1 2 3 4 5 6 7	Personal Rights (a) Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. (2) To receive safe, healthful, and comfortable accomodations,
	8 9 10 11 12 13 14	furnishings, and equipment. This requirement was not met as evidenced by: Based on LPA Newton observation at 2:05pm, two children were sleeping in a stroller that were not being transported anywhere which poses a immediate Health, Safety, or Personal Rights risk to children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7
	1 2 3 4 5 6 7

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: Sherelle Johnson	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Brittany Newton	TELEPHONE: (510) 622-2594
LICENSING EVALUATOR SIGNATURE:	DATE: 12/18/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2019

LIC809 (FAS) - (06/04)

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