073407084-1-30-2023-52-CC-JPLA-CNKTMW-20230130135150

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 073407084
Report Date: 01/30/2023
Date Signed: 01/30/2023 01:51:59 PM

Document Has Been Signed on 01/30/2023 01:51 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 STE 1102
OAKLAND, CA 94612

FACILITY NAME:	BRUERE, BERTHA		FACILITY NUMBER:	073407084
ADMINISTRATOR:	BRUERE, BERTHA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(925) 327-0316
CITY:	SAN RAMON	STATE: CA	ZIP CODE:	94583
CAPACITY:	14	CENSUS: 9	DATE:	01/30/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:20 PM
MET WITH:	Ana Esquivel Romero		TIME COMPLETED:	02:05 PM

NARRATIVE

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On January 30, 2023 at 12:20pm, Licensing Program Analyst (LPA) Julia Placencia arrived at the facility unannounced to conduct a Required-1 Year Inspection. Licensee Bertha Bruere was at a doctor's appointment today so LPA met with her two assistants Silvia Cruz Mendez and Ana Esquivel Romero. The facility is a one story house. Hours of operation for child care are Monday through Friday, 8:00am to 5:00pm. The following was observed during today’s inspection:

Capacity/Staffing: The facility operates as a Family Child Care Home (large), which may have a maximum capacity of twelve (12) to fourteen (14) children. At time of inspection, there were nine children (three infants and six preschoolers), and her two helpers Silvia and Ana. The facility is in compliance with ratio and capacity limitations.

ON Limit areas (accessible to children in care): Family Room, Living Room, Two Bedrooms at the back of the house, Hallway Bathroom, Backyard. LPA observed the facility to be clean and in good repair, with heating and ventilation for safety and comfort. There are ample age appropriate toys that are observed to be safe and in good condition. The backyard has a fence surrounding the perimeter of the yard. LPA did not observed any dangerous conditions. There are no pools, hot tubs or other bodies of water. LPA did not observe any hazardous or toxic items accessible to children in the ON Limit areas of the facility today.

OFF Limit areas (not accessible to children in care): Kitchen, Master bedroom/bath, Garage. OFF Limit areas are inaccessible by closed and/or locked doors and visual supervision. Licensee is advised to contact Licensing so that an inspection can be completed prior to changing an OFF Limit area to ON Limit.

Emergency Preparedness/Safety: Facility has a fully charged 3A40BC fire extinguisher. A fire/disaster drill was last conducted on 1/5/23 and meets the six month requirement. Facility has phone service. Emergency Disaster Plan posted has not changed from last inspection (8/16/2010).

***Continued on LIC 809C...

SUPERVISOR'S NAME: Jason Jang	TELEPHONE: (510) 622-2631
LICENSING EVALUATOR NAME: Julia Placencia	TELEPHONE: (510) 725-5998
LICENSING EVALUATOR SIGNATURE:	DATE: 01/30/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2023

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 STE 1102
OAKLAND, CA 94612

FACILITY NAME: BRUERE, BERTHA	FACILITY NUMBER: 073407084
	VISIT DATE: 01/30/2023

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Staff Records Review: Licensee and all adults living and/or working in the home have proper criminal background clearances. Licensee’s mandated reporter training expires 3/11/23. Licensee and staff are in compliance with immunization law. LPA was unable to verify licensee's first aid/cpr training as staff did not have access to files.

Children’s Records Review: LPA was unable to review children's files today as staff did not have access to files.

Licensing Posting: Facility license, Notification of Parents’ Rights, Earthquake Preparedness, Emergency Disaster Plan.

There are no deficiencies cited during today's inspection.

LPA will return on another day to review children and staff files, and complete inspection.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was provided to helper Ana Esquivel Romero.

SUPERVISOR'S NAME: Jason Jang	TELEPHONE: (510) 622-2631
LICENSING EVALUATOR NAME: Julia Placencia	TELEPHONE: (510) 725-5998
LICENSING EVALUATOR SIGNATURE:	DATE: 01/30/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2023

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 STE 1102
OAKLAND, CA 94612

FACILITY NAME: BRUERE, BERTHA	FACILITY NUMBER: 073407084
	VISIT DATE: 01/30/2023

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Licensee was encouraged to frequently visit our website at www.ccld.ca.gov for licensing regulations and updates, and to also email childcareadvocatesprogram@dss.ca.gov to be included in the Child Care Quarterly Updates distribution list.

There are no deficiencies cited during today's inspection. Please see LIC 9102 Advisory Notes.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee Bertha Bruere.

SUPERVISOR'S NAME: Jason Jang	TELEPHONE: (510) 622-2631
LICENSING EVALUATOR NAME: Julia Placencia	TELEPHONE: (510) 725-5998
LICENSING EVALUATOR SIGNATURE:	DATE: 01/30/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2023

LIC809 (FAS) - (06/04)

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