073403811-3-17-2023-02-CC-DCAS-CQ224W-20230317170438

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 073403811
Report Date: 03/17/2023
Date Signed: 03/17/2023 05:04:58 PM

Document Has Been Signed on 03/17/2023 05:04 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:	LEE-OLORTEGUI, SILVIA		FACILITY NUMBER:	073403811
ADMINISTRATOR:	LEE-OLORTEGUI, SILVIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(925) 288-1956
CITY:	CONCORD	STATE: CA	ZIP CODE:	94519
CAPACITY:	14	CENSUS: 4	DATE:	03/17/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	03:00 PM
MET WITH:	Silvia Lee-Olortegui		TIME COMPLETED:	05:15 PM

NARRATIVE

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On 03/17/2023 at 03:00 PM Licensing Program Analysts (LPA's) Christina Watts and Diana Campos conducted an unannounced Annual Required inspection at Silvia Lee-Olortegui's Family Childcare Home. LPA's met with licensee and explained the purpose of today's inspection. LPA's were granted the inspection authority to enter the Home. The family childcare home days and hours of operation are Monday to Friday 06:45 AM to 06:00 PM. Present in the home at time of inspection were licensee, her spouse, one assistant, 2 preschoolers and 2 infants in care.

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.

Indoor Space: At 3:15 PM health and safety tour of inside the home was done. LPA's toured the premises with licensee. The home is sanitized and orderly in compliance with Title 22 Regulations at this time. There is a 3A40BC fire extinguisher, smoke and carbon monoxide detector in the home. The home is a one story house consisting of 4 bedrooms, 2 bathrooms, living room, kitchen, dining area/activity room, garage, enclosed outdoor area, and backyard..

The OFF-LIMIT areas are the kitchen, master bedroom, bathroom inside master bedroom, bedroom to the left of hallway adjacent to the bathroom, two bedrooms to the right of hallway, the portion of back yard to the right of the enclosed outdoor play area, portion of back yard behind the enclosed play structure, small room/office behind enclosed play structure, the garage, and deck behind enclosed patio. These areas are inaccessible to children in care by closed locked doors and visual supervision.

SUPERVISOR'S NAME: Sherelle Johnson	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Diana Campos	TELEPHONE: (510) 873-6322
LICENSING EVALUATOR SIGNATURE:	DATE: 03/17/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2023

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: LEE-OLORTEGUI, SILVIA	FACILITY NUMBER: 073403811
	VISIT DATE: 03/17/2023

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THE IN-USE areas are the living room, activity area, hallway bathroom, bedroom at the end of hallway to the left and enclosed patio adjacent to activity area is used as the primary areas for day-care.
Medicines, cleaning products, sharp objects are stored inaccessible to children during today's inspection. LPA reminded licensee that smoking, baby walkers, bouncers, jumpers and similar items are not allowed in family childcare homes. There is one bunny and 3 hamsters. Licensee stated there are no arms and ammunition stored in the home. The fireplace is screened, there is a fully stocked first aid kit and the home maintains a working telephone.

Outdoor Space: AT 3:30pm LPA's toured the outdoor area (backyard) and observed it was fenced. LPA's observed there are no pools, hot tubs or other bodies of water. Licensee states the enclosed play structure is currently not in use due to extreme weather conditions..

Children files and Facility files were reviewed. Facility contained Children's Roster and a copy was obtained. Licensee's pediatric CPR and first aid is current and expires 6/2024.

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

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.

SUPERVISOR'S NAME: Sherelle Johnson	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Diana Campos	TELEPHONE: (510) 873-6322
LICENSING EVALUATOR SIGNATURE:	DATE: 03/17/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2023

LIC809 (FAS) - (06/04)

Page: 2 of 6

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: LEE-OLORTEGUI, SILVIA	FACILITY NUMBER: 073403811
	VISIT DATE: 03/17/2023

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32	No deficiencies cited today. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the licensee Silvia Lee-Olortegui.

SUPERVISOR'S NAME: Sherelle Johnson	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Diana Campos	TELEPHONE: (510) 873-6322
LICENSING EVALUATOR SIGNATURE:	DATE: 03/17/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2023

LIC809 (FAS) - (06/04)

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