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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 070203730
Report Date: 11/04/2019
Date Signed: 11/05/2019 08:03:15 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:BONNEL, SANDYFACILITY NUMBER:
070203730
ADMINISTRATOR:SANDY BONNELFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(925) 798-8873
CITY:PLEASANT HILLSTATE: CAZIP CODE:
94523
CAPACITY:12CENSUS: 0DATE:
11/04/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:20 PM
MET WITH:Bonnel, SandyTIME COMPLETED:
04:00 PM
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3 LPA, Hollie, met with the Licensee for the purpose of a Random Health and Safety Inspection.

Present at the start of this visit, is the licensee and her fingerprint cleared husband. There are no children in care in care today areday care children,. Also present are is the licensee's fingerprint cleared husband, A tour of the ON LIMITS Tdhe licensee understands that the OFF LIMITS portion of the home must remain inaccessible to children at all times. There are no bodies of water or fire arms on the premises, per the licensee. The Licensee is present in the home and ensures that children are supervised. The Licensee understands that children are not to be placed in locked cars.

The home is orderly with heating and ventilation for safety and comfort. Poisons, detergents, cleaning compounds, medications and other items which could pose a danger to children, are inaccessible during this visit. Fireplaces and open face heaters are screened to prevent access by children. There is a charged 2a10bc fire extinguisher and a working smoke detector as well as a carbon monoxide detector in the home.

PLEASE SEE NEXT PAGE FOR CONTINUED REPORT.

SUPERVISOR'S NAME: Anika EvansTELEPHONE: (510) 286-4350
LICENSING EVALUATOR NAME: Ronda HollieTELEPHONE: (510) 725-7004
LICENSING EVALUATOR SIGNATURE:

DATE: 11/04/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2019
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 4
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: BONNEL, SANDY
FACILITY NUMBER: 070203730
VISIT DATE: 11/04/2019
NARRATIVE
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There are in the home and there is a gate at the bottom of the stairs. The home has toys, play equipment and materials for children. The licensee is aware that when she is temporarily absent from the home, she must ensure that a fingerprint cleared adult is present with current CPR/First Aid and have verification of immunization that includes Measles, Pertussis and Influenza (optional) or provide medical exemption signed by their Physician. The facility is operating within her licensed capacity today. There are comfortable accommodations, furnishings and equipment for children. There is not a current roster of children in care. The licensee does not have current CPR/FA card available. Towards the end of the visit, there are 12 day care children and the licensee's grandson. The licensee and her husband are caring for the children today. The licensee understands that all person’s 18 years of age or older, who frequently visits, works or resides in the home, shall be fingerprint cleared/associated to the home and have immunization's, PRIOR to being in the presence of children. LPA reviewed a sampling of children’s records for documentation of Immunization and Notification of Parents Rights.The home conducts and documents fire drills as required. The licensee was informed that parents should shown the Disaster Plan and be informed of the Relocation Sites in case the Family Day Care home has to evacuate.

LPA provided Licensee with a printed copy of the A Child Care Provider’s Guide to Safe Sleep/Best Practices documentation and discussed the material related to children under the age of one. The licensee states she understands the concepts and is currently practicing safe sleep with day care children.

PLEASE SEE NEXT PAGE FOR CONTINUED REPORT

SUPERVISOR'S NAME: Anika EvansTELEPHONE: (510) 286-4350
LICENSING EVALUATOR NAME: Ronda HollieTELEPHONE: (510) 725-7004
LICENSING EVALUATOR SIGNATURE:

DATE: 11/04/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2019
LIC809 (FAS) - (06/04)
Page: 4 of 4
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: BONNEL, SANDY
FACILITY NUMBER: 070203730
VISIT DATE: 11/04/2019
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The licensee has the required immunization's on file. The back yard continues to be fenced. The back yard houses a pool. The backyard is located just outside the OFF LIMIT living room area. The facility was licensed with a gate just outside the sliding glass door adjacent to the living room. The house and the good neighbor fence is the pools fencing. There is a gate that swings away from the pool and self closes and self latches. The licensee states that the children play in the pool, and she and her adult helper, Andrea Draper, is present at all times children are in the pool.

LPA encouraged the Licensee to review our website at CCLD.CA.GOV to stay up to date and informed on Laws and Title 22 Regulations as it relates to her day care business. Licensee was informed that she can view CCLD’s website for Provider Information by the PINs.



LICENSEE WAS INFORMED THAT IF THE FACILITY IS ISSUED A DEFICIENCY NOTICE, THE PLAN OF CORRECTION MUST BE CORRECTED BY THE DATE PROVIDED OR A CIVIL PENALTY OF $100 PER DAY WILL BE ASSESSED TO THE FACILITY UNTIL THE DEFICIENCY IS CORRECTED. ADDITIONALLY, A REPEAT VIOLATION OF A DEFICIENCY WILL BE ASSESSED IN THE AMOUNT OF $250 AND $100 PER DAY UNTIL CORRECTED.

THE LICENSEE WAS PROVIDED A COPY OF THEIR APPEAL RIGHTS (LIC 9058 12/15) AND THEIR SIGNATURE ON THIS FORM ACKNOWLEDGES RECEIPT OF THESE RIGHTS. LPA POSTED THE REQUIRED POSTINGS FOR PUBLIC VIEWING THAT MUST REMAIN POSTED FOR 30 DAYS. http://www.madaterreporterca.com/

PLEASE SEE 809-D FOR TYPE B DEFICIENCIES

SUPERVISOR'S NAME: Anika EvansTELEPHONE: (510) 286-4350
LICENSING EVALUATOR NAME: Ronda HollieTELEPHONE: (510) 725-7004
LICENSING EVALUATOR SIGNATURE:

DATE: 11/04/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2019
LIC809 (FAS) - (06/04)
Page: 3 of 4
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: BONNEL, SANDY
FACILITY NUMBER: 070203730
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/04/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/25/2019
Section Cited

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OPERATION OF A FAMILY DAY CARE HOME 102417 (8) Each family child care home shall have a current roster of children as specified in Health and Safety Code Section 1596.841. THIS REQUIREMENT IS NOT BEING MET
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The home does not have a current roster of children in care.
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Type B
11/25/2019
Section Cited

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PERSONNEL REQUIREMENT 102416c The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866 THIS REQUIREMENT IS NOT BEING MET
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The licensee does not have current CPR/FA card during this visit.
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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: Anika EvansTELEPHONE: (510) 286-4350
LICENSING EVALUATOR NAME: Ronda HollieTELEPHONE: (510) 725-7004
LICENSING EVALUATOR SIGNATURE:
DATE: 11/04/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/04/2019
LIC809 (FAS) - (06/04)
Page: 2 of 4