073406441-1-30-2020-02-CC-GRED-BLBUQ7-20200130144641

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 073406441
Report Date: 01/30/2020
Date Signed: 01/30/2020 02:46:52 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:	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: 10	DATE:	01/30/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:35 PM
MET WITH:	SOLIS, MARGARITA		TIME COMPLETED:	03:00 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 01/30/20 at 1:35 PM to conduct a health and safety inspection. The purpose of the inspection is to ensure the Family Day Care home is in compliance with Title 22, CCR and Health and Safety Code regulations and statutes. During the inspection, LPA met with SOLIS, MARGARITA, Licensee. The Family Day Care home (large) is licensed for a capacity of up to 14 children. On this date, LPA observed ten (10) children present and two staff, including the Licensee. The home is in compliance with capacity and children to personnel ratio requirements. There is one (1) infant in care. The Licensee has designated areas in the home where children will be permitted and restricted access to. Those areas are considered “on limit” and “off limit”, respectively and as described below. An updated facility sketch was obtained during visit. On Limit areas where children are permitted include: Main Level ONLY: · Class room: Furniture and equipment is age appropriate and in good repair. There are no baby walkers or other prohibited equipment. There are pack and play type, sleeping apparatuses which meet upcoming Safe Sleep requirements · Family room · Living room CONTINUED

SUPERVISOR'S NAME: Antranette Robinson	TELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Geneen Redmond	TELEPHONE: (510) 873-6410
LICENSING EVALUATOR SIGNATURE:	DATE: 01/30/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2020

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: SOLIS, MARGARITA	FACILITY NUMBER: 073406441
	VISIT DATE: 01/30/2020

NARRATIVE

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· Restroom: are clean, have working toilets and sinks, toilet paper and paper towel. There are no cleaning solutions or other toxins accessible to children.

· Play yard: There are no observable health or safety hazards. There are age appropriate toys and equipment. There is a pool, however, it is gated.

· Emergency Preparedness/Safety: There are carbon and smoke detectors, which were not tested during the visit because the children were sleeping. LPA advised Licensee to check the detectors regularly. There is a fire extinguisher which, is charged and has a classification of 2 A 10 BC, which, meets fire marshal requirements. There are first aid supplies available.
Emergency Disaster Plan is posted and is current, per Licensee. Fire and earthquake drills were last conducted on 12/21/19 and meet six (6) month requirement. The facility utilizes a land line. The facility is not currently providing *Incidental Medical Services (IMS) for any children in care.

On Limit: areas where children are permitted Entry level ONLY:

· Class room: furniture and equipment is age appropriate and in good repair. There are no baby walkers or other prohibited equipment. There are pack and play type, sleeping apparatuses which meet upcoming Safe Sleep requirements
· Family room
· Living room
· Restroom: are clean, have working toilets and sinks, toilet paper and paper towel. There are cleaning solutions or other toxins accessible to children.
· Play yard: There are no observable health or safety hazards. There are age appropriate toys and equipment. There is a pool, however, it is gated.

Off Limit: areas where children are not permitted include:

· Upstairs, stairs are barricaded by gate.
· Laundry room
· Pool area, 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: 01/30/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2020

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: 01/30/2020

NARRATIVE

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Training/Record Review:
Licensee, all staff and adults present at the home, have criminal background clearances and are associated to the facility. Licensee and staff have current CPR/First Aid training, which, expires on 10/06/20. Licensee and staff persons, have completed Mandated Reporter training and there are certification of completion on file. Licensee provides care for infants. LPA discussed the new, upcoming, Safe Sleep requirements.

Posted: Facility License, Emergency Disaster Plan Not Posted: Notification of Parent's Rights, Earthquake Preparedness Checklist. If You See Something, Say Something.

Overall, the home 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.

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: 01/30/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2020

LIC809 (FAS) - (06/04)

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