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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073400887
Report Date: 07/07/2023
Date Signed: 07/07/2023 01:12:10 PM

Document Has Been Signed on 07/07/2023 01:12 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:BOYD, TONIFACILITY NUMBER:
073400887
ADMINISTRATOR:BOYD, TONIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 222-9219
CITY:RICHMONDSTATE: CAZIP CODE:
94806
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
07/07/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:36 AM
MET WITH:Toni BoydTIME COMPLETED:
01:18 PM
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On July 7, 2023 at 9:36am Licensing Program Analyst (LPA) Indira Loza arrived and met with the Licensee for the purpose of conducting an unannounced 1-year annual inspection. Present for today’s inspection were the Licensee, one infant, four preschool age children, one school-age child, and two fingerprint cleared assistants. The facility is in ratio today. Hours of operation are Monday - Sunday 24 hours per day.

The facility is a two story home, the upper level consists of a bedroom and a bathroom. The lower floor consists of four bedrooms; two bathrooms; living room; large family room; kitchen; large backyard; and side yard.

ON LIMIT AREAS: Bathroom next to the family room; family room; the lower bedroom next to the stairs, the entire backyard, and side yard on the right of the house.

OFF LIMIT AREAS: The bedroom and bathroom on the upper level, three bedrooms on the lower level, the bathroom connected to a bedroom, kitchen, and the living room. The off-limit areas will be inaccessible by child gates, closed and/or locked doors and adult supervision.


ISOLATION AREA is in the bedroom on the lower level next to the stairs.

The home has heating and ventilation for safety and comfort. The home has a fully charged 3A10BC fire extinguisher next to the family room. There was a working combined smoke detector/carbon monoxide detector, and a working telephone. Fire drills are conducted at least once every 6 months, the last drill was completed in March 23, 2023. Licensee has ample age-appropriate toys and learning materials inside and outside the home. Toxins, medicines, and hazardous items were inaccessible during today's inspection. The Licensee utilizes her backyard for outdoor play. LPA reviewed children's and staff files which were found to be complete. The facility roster was reviewed, and a copy obtained. The Licensee had a current Mandated Reporter certificate which expires January 31, 2025 and CPR expires January 30, 2025.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02. When any IMS **********************************Report Continues on LIC 809-C*******************************

SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Indira Loza
LICENSING EVALUATOR SIGNATURE: DATE: 07/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/07/2023
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: BOYD, TONI
FACILITY NUMBER: 073400887
VISIT DATE: 07/07/2023
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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.

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/inspection-process.

There were no deficiencies issued during today's visit.

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


Exit interview conducted and report was reviewed with the Licensee Toni Boyd.

Report and Appeal Rights were provided.

SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Indira Loza
LICENSING EVALUATOR SIGNATURE:

DATE: 07/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2023
LIC809 (FAS) - (06/04)
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