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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073402044
Report Date: 06/06/2019
Date Signed: 06/06/2019 02:00:04 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:BRODSLEY, AARONFACILITY NUMBER:
073402044
ADMINISTRATOR:BRODSLEY, AARONFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 527-3294
CITY:EL CERRITOSTATE: CAZIP CODE:
94530
CAPACITY:14CENSUS: 13DATE:
06/06/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
12:05 PM
MET WITH:Aom Brodsley/Aaron BrodsleyTIME COMPLETED:
02:05 PM
NARRATIVE
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Licensing Program Analyst (LPA) Paul Petersen conducted an unannounced random annual site inspection for this facility on 06/06/19 at 1205. At arrival LPA met licensee's wife, Aom Brodsley, and assistant, Andrea Abrams, who were present with 13 preschool age children in the outdoor patio area of the facility. The facility is out of ratio/capacity by one preschool age child. Licensee, Aaron Brodsley, arrived within approximately five minutes of LPA's arrival and assisted LPA with a tour of all areas of the facility on limits for children in care. The areas on limits for children in care are the main daycare room, dining area, the bathroom and one bedroom. The remainder of the residence is off limits to children and made inaccessible by closed doors or child safety gating. Per licensee, there are no firearms present or stored on the premises. There are no toxins or other hazardous items observed to be accessible to children in care. The facility is kept clean and organized with available heating and ventilation, including fans, for temperature management. Children are appropriately supervised. There are age appropriate furnishings, equipment and play items which are free of broken/sharp pieces. The facility has a fully charged fire extinguisher, working carbon monoxide detector and working smoke detectors. The fully fenced outdoor patio and play area are available to children in care. There are multiple climbing equipment structures, slides and swings which are all securely anchored. Licensee is reminded to frequently inspect and maintain all wooden structures to prevent splinters/injury to children in care. There are no pools, hot tubs or other accessible bodies of water. Licensee's wife and assistant have current CPR/First Aid which expires 10/19. LPA reviewed the Facility Personnel Report Summary with licensee and verified that all adults requiring background clearances are cleared and associated to this facility. A review of the facility, staff and children's records was conducted including children's emergency ID forms, parent's rights forms, and immunization records. Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual-Regulation Interpretations and Procedures for Family Child Care Homes Sections 102417. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information was provided:

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SUPERVISOR'S NAME: Wynn NoronaTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Paul PetersonTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 06/06/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2019
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 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: BRODSLEY, AARON
FACILITY NUMBER: 073402044
VISIT DATE: 06/06/2019
NARRATIVE
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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 Contact childcareadvocatesprogram@dss.ca.gov to sign up for quarterly updates. For licensing forms and updates visit www.ccld.ca.gov Also discussed during this inspection was safe sleep for infants and the handout Childcare Providers Guide to Safe Sleep was provided.

The attached Type B deficiency was cited during this inspection. A copy of the Childcare Providers Guide to Safe Sleep was provided. The appeal rights was provided and the notice of site visit was issued and is to be posted at this facility for a period of 30 days from today's date. A copy of this report is to be available in the facility file for three years from today's date..
SUPERVISOR'S NAME: Wynn NoronaTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Paul PetersonTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 06/06/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2019
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: BRODSLEY, AARON
FACILITY NUMBER: 073402044
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/06/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/07/2019
Section Cited
CCR
102416.5(d)(2)(A)
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102416.5(d)(2) A large family day care home may provide care for more than 12 children and up to and including 14 children, if all of the following conditions are met: (a) At least one child is enrolled in and attending kindergarten or elementary school and a second child is at least six years of age. This facility was not
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Licensee agrees to ensure that the facility will adhere to the ratio and capacity requirements going forward at all times including the requirements for the 13th and 14th child in care which specifies that one child will be currently enrolled in kindergarten and one child will be at least six years old. Failure to correct will result
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in compliance with this requirement as evidenced by the presence of 13 preschool age children, none of which were currently enrolled in kindergarten or at least six years of age, posing a potential risk to the safety of children.
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in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.
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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: Wynn NoronaTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Paul PetersonTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 06/06/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2019
LIC809 (FAS) - (06/04)
Page: 3 of 3