073404029-6-25-2020-02-CC-CFES-BQWUL9-20200625154023

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 073404029
Report Date: 06/25/2020
Date Signed: 06/25/2020 03:40:40 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:	DEL PRADO-EVANS, SHANNON		FACILITY NUMBER:	073404029
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 5	DATE:	06/25/2020
TYPE OF VISIT:	Case Management - Other	ANNOUNCED	TIME BEGAN:	02:21 PM
MET WITH:	Shannon Del Prado-Evans		TIME COMPLETED:	03:45 PM

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	On June 25, 2020 at 2:21PM Licensing Program Analyst (LPA) Catherine Fernandes conducted an announced Case Management Inspection with Licensee Shannon Del Prado-Evans regarding an increase in capacity via FaceTime. Residing in the home is the licensee, her finger print cleared husband and adult daughter. Present during the inspection was one infant and four preschoolers as well as her finger print cleared daughter. The home was virtually toured with the licensee to conduct a health and safety inspection. Due to COVID-19 LPA focused mainly on the physical plant of the home and an annual was conducted on January 22, 2020. Operating hours will be 5:00am to 6:00pm, Monday through Friday. The home is a two story house that consists of four bedrooms and three bathrooms. The OFF LIMIT AREAS are the entire second floor of the home, the small bedroom downstairs next to the restroom, the laundry and the garage which will be inaccessible by gate, closed and/or locked doors and visual supervision. The ON LIMIT AREAS are the living room which is the main area of the day care, the kitchen, dining room and the fenced in backyard. The ISOLATION AREA will be in the dinning room near the front entrance of the home. LPA did not observe any hazardous materials or toxins accessible to children today. The home has a fully charged 2A10BC fire extinguisher and pull down fire alarm on the wall in the kitchen, a working smoke detector/carbon monoxide detector right outside the main day care area, a working telephone, and First Aid Kit. The Licensee's CPR and First Aid certificate is current and expires on March 2022. There is a fire place in the living room that is covered to prevent access by children. Per applicant, there are no firearms in the home. The Licensee was reminded of the responsibility as a mandated reporter and has provided proof of the required mandated reporter training for child care providers, which has been completed on 12/21/19. On 06/23/20, a fire clearance was granted to facility #073404029 by Contra Costa County Fire Department. All documents have been reviewed for the increase of capacity application. The Licensee was reminded that an assistant is needed with a large family child care home license, and whenever an assistant is not present, the licensee will comply with the capacity requirements for a small family child care home. Report continues on LIC809C.

SUPERVISOR'S NAME: Mayla Mendoza	TELEPHONE: (510) 873-6408
LICENSING EVALUATOR NAME: Catherine Fernandes	TELEPHONE: (510) 725-7002
LICENSING EVALUATOR SIGNATURE:	DATE: 06/25/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2020

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: DEL PRADO-EVANS, SHANNON	FACILITY NUMBER: 073404029
	VISIT DATE: 06/25/2020

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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 .

The following items need to be submitted to CCLD by 6/30/20:
-Updated LIC 999 facility sketch
-General Mandated Reporter training
- Documents for an Assistant

There are no deficiencies cited today.
The report will remain on file for three years.
An exit interview was conducted with Licensee. Report mailed and emailed.

SUPERVISOR'S NAME: Mayla Mendoza	TELEPHONE: (510) 873-6408
LICENSING EVALUATOR NAME: Catherine Fernandes	TELEPHONE: (510) 725-7002
LICENSING EVALUATOR SIGNATURE:	DATE: 06/25/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2020

LIC809 (FAS) - (06/04)

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