073406441-8-1-2019-02-CC-GRED-BEMPX2-20190801114136

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 073406441
Report Date: 08/01/2019
Date Signed: 08/01/2019 11:42:34 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:	SOLIS, MARGARITA		FACILITY NUMBER:	073406441
ADMINISTRATOR:	SOLIS, MARGARITA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(925) 672-4686
CITY:	CONCORD	STATE: CA	ZIP CODE:	94521
CAPACITY:	14	CENSUS: 11	DATE:	08/01/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	SOLIS, MARGARITA, LICENSEE		TIME COMPLETED:	12:00 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	Licensing Program Analyst (LPA) Redmond, arrived at the facility on 08/01/19 at 10:30 AM to conduct a health and safety inspection. The purpose of the inspection is to ensure the Licensee is compliant with Title 22, CCR and Health and Safety Code Statutes. During the inspection, LPA met with Margarita, Solis Licensee. LPA inspected all areas of the facility which are accessible to children. LPA made the following observations during the inspection: Capacity/Staffing: The facility operates as a Family Day Care (large), with a capacity of fourteen (14) children. On this date, there are eleven (11) children in care of which, two (2) are infants. There are three (3) staff persons present including the Licensee. The facility is in compliance with capacity limitations, child ratios and staffing levels. The areas of the facility designated as accessible (On Limit) to children include: Infant play area – there are ample age appropriate toys, books and other materials for children Preschool play area - there are ample age appropriate toys, books and other materials for children Bedroom (sleep only) – there are appropriate infant sleep devices that meet safe sleep requirements Back yard – there are safe toys. No chemicals, tools or other hazardous items. There is a pool, which is gated. There are no other bodies of water present. Bathroom – working toilet and sink. No accessible cleaning solutions or other toxins The areas of the facility designated as inaccessible (Off Limit) to children include: Garage, private bedrooms, upstairs which is barricaded by gate.

SUPERVISOR'S NAME: Antranette Robinson	TELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Geneen Redmond	TELEPHONE: (510) 873-6410
LICENSING EVALUATOR SIGNATURE:	DATE: 08/01/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2019

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: SOLIS, MARGARITA	FACILITY NUMBER: 073406441
	VISIT DATE: 08/01/2019

NARRATIVE

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Physical Plant: Overall, the facility is clean, orderly and in good repair. The temperature is comfortable and there is adequate heating and ventilation. There are safe, healthful and comfortable accommodations, furnishings and equipment. There are no cleaning solutions, medications, toxins or other hazardous items accessible to children.

Emergency Preparedness/Safety: Smoke and carbon monoxide detectors were available, tested and found to be operable. There is a fully charged fire extinguisher, with an approved classification of (2-A:10-B:C). First aid supplies available. Emergency Disaster Plan is dated, 11/14/18 and is current, per Licensee. Disaster drills were last conducted on 03/05/19 and meet six (6) month requirement. The facility utilizes a land line and cellular telephone. Per the Licensee, there are no firearms present. The Licensee is not currently providing *Incidental Medical Services (IMS) for children in care and is aware of IMS requirements.

Training/Record Review: Licensee, and staff and adults residing in the home have criminal background clearances and are associated to the facility. Licensee’s CPR and First aid training is current and expires 10/06/2020. Licensee and staff have completed. Mandated Reporter training. Licensee’s training is dated 01/21/2018. Licensee provides care for infants. LPA discussed new Safe Sleep requirements with Licensee.

Posted: Facility License, Emergency Disaster Plan, Notification of Parent's Rights, Earthquake Preparedness Checklist. If You See Something, Say Something.

Exit interview conducted. This Facility Evaluation Report discussed with the Licensee and signature obtained below. Notice of site visit was issued and shall be posted remain posted for 30 days. Failure to keep this notice posted for the 30 consecutive days will result in an immediate $100 civil penalty. A copy of this report shall be maintained for 3 years and available for public review upon request. Additional reminders and resources provided on next page.

FACILITY IN SUBSTANTIAL COMPLIANCE. NO DEFICIENCIES CITED ON THIS DATE.

SUPERVISOR'S NAME: Antranette Robinson	TELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Geneen Redmond	TELEPHONE: (510) 873-6410
LICENSING EVALUATOR SIGNATURE:	DATE: 08/01/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2019

LIC809 (FAS) - (06/04)

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