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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423436
Report Date: 10/01/2021
Date Signed: 10/01/2021 04:11:44 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:QUINAREZ, TOMASA & SILVERIO, MILEDIFACILITY NUMBER:
013423436
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 6DATE:
10/01/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
01:50 PM
MET WITH:Tomasa Quinarez & Miledi SilverioTIME COMPLETED:
04:30 PM
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On 10/01/2021, Licensing Program Analyst (LPA), Diana Campos conducted an in-person case management/increase in capacity inspection. Present during today's inspection were the licensees, and licensee's minor son. The entire home was toured to conduct a health and safety inspection with licensee. Hours of operation for day care are (Monday through Friday, 6:00am to 6:00pm).
Community Care Licensing (CCL) has received an approved fire clearance.
This is a one story home which is neat and clean with heating and ventilation for safety and comfort.
The home consists of a living room, kitchen/dining area, 3 bedrooms, 2 bathroom, laundry room, backyard with a storage shed, and a detached garage.
The on limit areas are: the living room, kitchen/dining area, bathroom near the kitchen, bedroom on the right side of the hallway, the bathroom next to the laundry room, and the sink outside the bathroom near the laundry room. The laundry room will only be used as walkway to access the back yard.
The off limit areas are: the bedroom on the left side of the hallway, the bedroom next to the kitchen, the storage shed and the detached garage. The off limit areas will be made inaccessible by closed and/or locked doors and visual supervision. The isolation area will be a section of the living room, away from other children in care. The outdoor play area are the fully fenced front and back yards, which are free from defects or dangerous conditions. There are ample age appropriate toys that are safe and appear to be in good repair. LPA did not observe any bodies of water that are accessible to children in care today, LPA did not observe any hazardous materials or toxins accessible to children today.

See 809-C for continuance.
SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Diana CamposTELEPHONE: (510) 873-6322
LICENSING EVALUATOR SIGNATURE:

DATE: 10/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 3
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: QUINAREZ, TOMASA & SILVERIO, MILEDI
FACILITY NUMBER: 013423436
VISIT DATE: 10/01/2021
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The home has a fully charged 2-A-10-BC fire extinguisher. The home is equipped with working smoke detectors and carbon monoxide detector. There is a working telephone in the home. The applicant’s CPR and First Aid certificate is current and expires 02/2023. Licensee completed mandated reporter training. Licensee is in compliance with immunization requirements. There are no heaters or fireplace accessible to children. Per applicant, there are no firearms in the home. A copy of the purchase contract for the home shows control of property.
Safety precaution in regards to COVID-19 were discussed and posters were posted on front door.
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

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with licensee 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 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.

Continued on 809C-----------------------------------------------------------------------------------------

SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Diana CamposTELEPHONE: (510) 873-6322
LICENSING EVALUATOR SIGNATURE:

DATE: 10/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2021
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: QUINAREZ, TOMASA & SILVERIO, MILEDI
FACILITY NUMBER: 013423436
VISIT DATE: 10/01/2021
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No deficiencies observed at this visit. The licensee is now approved for a increase in capacity to operate as a large family day care home.

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

Exit interview conducted and report was reviewed with the licensees Tomasa Quinarez and Miledi Silverio.

SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Diana CamposTELEPHONE: (510) 873-6322
LICENSING EVALUATOR SIGNATURE:

DATE: 10/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2021
LIC809 (FAS) - (06/04)
Page: 3 of 3