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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 070203730
Report Date: 12/22/2022
Date Signed: 12/22/2022 04:00:24 PM


Document Has Been Signed on 12/22/2022 04:00 PM - It Cannot Be Edited

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) 357-7651
CITY:PLEASANT HILLSTATE: CAZIP CODE:
94523
CAPACITY:12CENSUS: 0DATE:
12/22/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Sandy BonnelTIME COMPLETED:
04:15 PM
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On 12/22/2022 at 10:30am, Licensing Program Analyst (LPA) Catherine Fernandes met with Licensee Sandy Bonnel for an Unannounced Required Annual Inspection. Present during the inspection were the licensee and her fingerprint cleared husband. There were no children in care during the inspection. Residing in the home is Licensee and husband. Licensee’s home was toured for a health and safety inspection. The facility operates 7:00am – 6:00pm, Monday - Friday.

The home is a two story house that consists of five bedrooms and two and half bathrooms. The entrance to the day is front door. The inside and outside of the home were observed to be neat, clean with age appropriate materials and toys for the children. All toxins, cleaning products, medications, and hazardous materials were observed to be in inaccessible areas. Licensee has stated that there are no firearms in the home and there is one dog that is not near or with the children in care.


ON LIMITS AREAs: The Bedroom next to the front door on the right side which has been converted to the main area of the day care, the bathroom on the first floor and the dining room.
OFF LIMITS AREA: The entire upstairs, the kitchen, the living room, the breakfast nook, the garage, the laundry room and the backyard which will be inaccessible by closed and/or locked doors or visual supervision.
ISOLATION AREA: the dining room

The home has a 3A40BC fire extinguisher located in the laundry room, a working smoke detector above the main room of the day care, a carbon monoxide detector in the dining room and a working telephone. Required forms were provided to the licensee and must be posted.
Report Continues on 809C
SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 873-6408
LICENSING EVALUATOR NAME: Catherine FernandesTELEPHONE: (510) 725-7002
LICENSING EVALUATOR SIGNATURE:
DATE: 12/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/22/2022
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: BONNEL, SANDY
FACILITY NUMBER: 070203730
VISIT DATE: 12/22/2022
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The licensee conducts and documents fire and disaster drills twice a year with the last one conducted on 6/20/2022, Licensee will conduct another drill this month. The Licensee was reminded of the responsibility as a mandated reporter and will provide proof of the required training. There is a above ground pool in the backyard, which is gated and off limits to the children in care. LPA reviewed five children’s files, and the licensee's file and obtained a copy of the facility roster.

Licensee was reminded that California Law requires Licensee to report unusual incidents or injuries to children in care, to child's parents, and to the Department of Social Services using the Unusual Incident/Injury form (LIC 624). Incidents must be reported within 24 hours by phone, fax, or email. LPA informed Licensee that all forms can be downloaded at www.ccld.ca.gov. Licensee was also informed that Mandated Reporter Training ("General" and "Child Care Providers") is required for all staff and is to be renewed every two (2) years by visiting http://www.mandatedreporterca.com. Licensee was reminded that EMSA approved Pediatric CPR & First Aid training must be completed every two (2) years. Children’s Roster must be properly maintained, and fire/disaster drill must be conducted every six (6) months and documented. The Licensee is reminded that any structural changes to the home or additions to the childcare facility must be reported to Community Care Licensing.

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 is not providing medication
Report continues on 809C
SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 873-6408
LICENSING EVALUATOR NAME: Catherine FernandesTELEPHONE: (510) 725-7002
LICENSING EVALUATOR SIGNATURE:

DATE: 12/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/22/2022
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: BONNEL, SANDY
FACILITY NUMBER: 070203730
VISIT DATE: 12/22/2022
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To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

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.


For licensing updates email childcareadvocatesprogram@dss.ca.gov and ask to be added to the email list.


The following forms are required for the facility file and must be turned in by 1/31/23
-updated Emergency plan (lic610A)
-Immunization for all adults
-Mandated Reporter training
-Correct CPR
-Criminal Record statement for all adults (lic508)

Exit interview conducted
A notice of site visit was given and must remain posted for 30 days.
Report and Appeal Rights provided
SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 873-6408
LICENSING EVALUATOR NAME: Catherine FernandesTELEPHONE: (510) 725-7002
LICENSING EVALUATOR SIGNATURE:

DATE: 12/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/22/2022
LIC809 (FAS) - (06/04)
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