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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073403878
Report Date: 01/14/2020
Date Signed: 01/14/2020 11:58:57 AM

COMPREHENSIVE INSPECTION
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:JUSTO, GISELLFACILITY NUMBER:
073403878
ADMINISTRATOR:JUSTO, GISELLFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 860-8543
CITY:EL CERRITOSTATE: CAZIP CODE:
94530
CAPACITY:14CENSUS: 13DATE:
01/14/2020
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:25 AM
MET WITH:Gisell JustoTIME COMPLETED:
12:25 PM
NARRATIVE
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On 01/14/2020, Licensing Program Analyst (LPA), Melissa Guirit, met with licensee Gisell Justo for an UNANNOUNCED RANDOM INSPECTION. Present for this inspection were licensee, fingerprint cleared assistant Karen Santos, 4 infants, and 9 preschoolers. The home was toured to conduct a Health and Safety Inspection. The facility's operating hours are from 8:00AM to 6:00PM.

The home is a two story. The home is neat and clean with heating and ventilation for safety and comfort. The ON LIMIT AREAS are the living room, kitchen, bathroom, and bedroom (nap room), and side yard. Per licensee, the kitchen area is only used for an eating area. The OFF LIMIT AREAS are the rest of the home which will be inaccessible by closed and/or locked doors, safety gates, and visual supervision. The ISOLATION AREA will be in the kitchen area. The outdoor play area is free from defects or dangerous conditions and is completely fenced with 100% supervision. Per licensee, the outdoor play area is a place where they eat, as well. There are ample age appropriate toys that appear to be safe and in good condition. There are no pools, hot tubs or any other bodies of water. All hazardous materials and toxins are kept out of the reach of children and it was observed that there are no toxins or hazardous items accessible today.

The home has a fully charged 3A40BC fire extinguisher, working smoke detector, working carbon monoxide detector, working telephone, and fully stock First Aid Kit. The licensee's and assistant's CPR and First Aid certificate is current and expires 12/2021 and 04/2020. Licensee and assistant completed the Mandated Reporter Training which expires on 01/2021. Licensee is in compliance with the new immunization law. Per licensee, there are no firearms in the home. The licensee conducts and documents fire and disaster drills twice a year.

See 809-C for continuance.
SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Melissa GuiritTELEPHONE: (510) 622-2624
LICENSING EVALUATOR SIGNATURE:

DATE: 01/14/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2020
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: JUSTO, GISELL
FACILITY NUMBER: 073403878
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/14/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/15/2020
Section Cited

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1597.465(a)(b)A large family day care home may provide care for more than 12 children and up to 14 children, if all the following conditions are met: At least one child is enrolled in and attending kindergarten or elementary school and a second child is at least six years of age. No more than three infants are cared for during any time
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when more than 12 children are being cared for.
This was not met as evidenced by: LPA conducting 13 children file reviews, resulting in licensee taking care of 9 preschoolers and 4 infants. This poses an immediate risk to the Health & Safety of children in care.
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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: Sherelle JohnsonTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Melissa GuiritTELEPHONE: (510) 622-2624
LICENSING EVALUATOR SIGNATURE:
DATE: 01/14/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/14/2020
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: JUSTO, GISELL
FACILITY NUMBER: 073403878
VISIT DATE: 01/14/2020
NARRATIVE
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At 11:00 AM, (13) Children files were reviewed, facility roster reviewed and copy obtained. The licensee is out ratio during today's inspection. All REQUIRED forms are posted and visible for public review.

Licensee is reminded that ALL assistants, volunteers, frequent visitors, or adults living in the home, that are 18 years of age or older must be fingerprint cleared and associated to this facility prior to being in the presence of children in care or an immediate civil penalty will be assessed from $100 to $3000 per person, per incident. Licensee was reminded of the responsibility as a mandated reporter. All forms can be downloaded at www.ccld.ca.gov .http://www.myccl.gov/

Incidental Medical Services (IMS) policy was discussed.

See 809-D for Type A deficiency. This report shall remain on file for 3 years. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and appeal rights provided.

SUPERVISOR'S NAME: Sherelle JohnsonTELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Melissa GuiritTELEPHONE: (510) 622-2624
LICENSING EVALUATOR SIGNATURE:

DATE: 01/14/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2020
LIC809 (FAS) - (06/04)
Page: 3 of 3