013423365-7-18-2019-02-CC-PDYR-BE7MD8-20190718093044

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013423365
Report Date: 07/18/2019
Date Signed: 07/18/2019 09:30:49 AM

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:	ALVARADO, ZULEYKA & HUAMANI, MILTON		FACILITY NUMBER:	013423365
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 3	DATE:	07/18/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	07:15 AM
MET WITH:	Zuleyka Alvarado		TIME COMPLETED:	09:40 AM

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	An unannounced Annual/Random inspection was conducted by LPA Dyer. The licensees were present with 3 day care children (infants). Licensees were in compliance with the licensed capacity and facility ratios. Phone number is current. Hours: 7:30 am - 6:00 pm. The day care area of the home was inspected. Areas licensed for child care: living room/dining room and the bathroom. Licensees have also requested the backyard be licensed at this inspection. The backyard was inspected and is safe for child play. This request is granted. A facility sketch has been received. Off-limit areas will be made inaccessible to children by closed and/or locked doors; door knob covers; gates and visual supervision. All required forms are posted and visible for public review. There was a working smoke detector (tested); a fully charged 2-A:10-B:C fire extinguisher; a first aid kit, and a carbon monoxide detector. The home was clean and orderly, with heating and ventilation. There were safe, healthful and comfortable accommodations, furnishings and equipment available to children at the time of this inspection. There were a variety of books and toys for children's use. Fireplace was blocked. There are no hazardous materials, medicines, or cleaning solutions accessible to children during this inspection. Hazardous items are inaccessible to children. Licensees stated there were no firearms or bodies of water on the premises. No pets. Back yard area is securely fenced. Licensees have faux grass in the center, and a concrete area around the perimeter where children can ride bikes and other riding toys. There is a shaded area, a slide, balls and other toys for child play. The area is safe for children and is approved today. Last disaster drill date logged: 4/18/19. A sample of files for children present today (2) were reviewed. All have emergency information in file. Facility roster was obtained. (continued)

SUPERVISOR'S NAME: Ann Robinson	TELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Phyllis Dyer	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 07/18/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2019

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: ALVARADO, ZULEYKA & HUAMANI, MILTON	FACILITY NUMBER: 013423365
	VISIT DATE: 07/18/2019

NARRATIVE

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Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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.

All staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. Licensee's Pediatric First aid/CPR cards expire 8/19/18 and 6/2/20.

Licensees were aware of the New Regulations regarding Adult Immunizations and Mandated Reporter Training. Immunization records are in file. Licensee's Mandated Reporter Training expires 5/29/20 and 6/3/20.

Licensees were also reminded of the Department's Inspection authority, and the need to comply when notified that termination of an employee is necessary. The handout, "A Child Care Provider's Guide to Safe Sleep" was provided and discussed. Also discussed with the licensees: children in parked vehicles; substitutes; fingerprinting/association; advertisements; changes in on-limit areas; large family child care home; and smoking. Licensees were encouraged to frequently visit the licensing website at www.ccld.ca.gov for licensing regulations, forms and updates; and was shown how to access the website via the internet.

For CCL Updates, e-mail: childcareadvocatesprogram@dss.ca.gov.

NO DEFICIENCIES CITED TODAY.

Notice of site visit must be posted for 30 days. An exit interview was conducted. This report must be available for public review for 3 years.

SUPERVISOR'S NAME: Ann Robinson	TELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Phyllis Dyer	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 07/18/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2019

LIC809 (FAS) - (06/04)

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