073407727-4-25-2019-02-CC-PPEN-BBKUKS-20190425153936

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 073407727
Report Date: 04/25/2019
Date Signed: 04/25/2019 03:40:24 PM

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:	QUINTANA, REBECA		FACILITY NUMBER:	073407727
ADMINISTRATOR:	QUINTANA, REBECA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 962-1787
CITY:	EL CERRITO	STATE: CA	ZIP CODE:	94530
CAPACITY:	14	CENSUS: 26	DATE:	04/25/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:05 PM
MET WITH:	Rebecca Quintana		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	Licensing Program Analyst (LPA) Paul Petersen conducted an unannounced random annual site inspection for this facility on 04/25/19 at 1305. LPA was met at entry by licensee, Rebeca Quintana. Upon entry LPA observed 11 napping children in the living room area, 3 napping children in the dining room area, eight napping children in the upper bedroom and four awake children in the back yard area for a total of 26 children present at this facility. The facility is over capacity. There are no infants present, one school age chid present and 25 preschool age children present. Also present at the time of LPA's arrival was assistant Maricruz Bissooblitasdee and assistant Maria Adame. Maria Adame is not background cleared and associated to this facility. LPA continued with the health and safety inspection of this facility. The on limits areas for children are the living room, dining room area, the rear bathroom, the upper bedroom and the lower paint/art room. The remainder of the home is off limits to children in care. Per licensee there are no firearms on the premises. There is one fireplace which is screened to prevent access. There is a wall heater which is also screened to prevent access. At approximately 1320, assistant Maria Adame left the facility accompanying six children. Licensee removed the item per LPA request. At approximately 1345, assistants Maria Mandujano and Patricia Munar arrived and assisted with child care. The outdoor area is fully fenced and available to children in care with adult supervision present at all times. There are no pools, hot tubs, or other accessible bodies of water. There are two pet dogs. There is working smoke detector, working carbon monoxide detector and fully charged fire extinguishers. Between 1340 and 1430 staff accompanied several other children off site for taekwando and other activities. As of 1500 there were a total of 10 preschool age children in care. Per licensee the most recent fire department inspection was in June 2018. There is a working smoke detector, working carbon monoxide detector and fully charged fire extinguishers. Assistants have current CPR/First Aid which expires in 2021. All required postings are present. Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual-Regulation Interpretations and Procedures for Family Child Care Homes Sections 102417. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm California Code of Regulations, Tittle 22, is being cited on the attached LIC 9099D for a Type A violation. Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled in the facility during the next 12 months. All parents/guardians must sign an acknowledgement form of proof of receiving this report (LIC 9224). The LIC 9224 must be placed in the child’s file to be reviewed by licensing. A copy of the appeal rights was provided licensee and an exit interview conducted. A notice of site visit was provided and is to be posted for a period of 30 days. A copy of this report is to be available in the facility records for a period of three years.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Paul Peterson	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 04/25/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2019

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 2

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: QUINTANA, REBECA	FACILITY NUMBER: 073407727
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/25/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 04/26/2019 Section Cited CCR 102416.5(d)(2)	1 2 3 4 5 6 7	102416.5(d)(2)For a Large Family Child Care Home, the maximum number of children for whom care may be provided at any one time when there is an assistant provider in the home, including children under age 10 who reside at the licensee's home and the assistant provider's children under age 10, shall be either:	1 2 3 4 5 6 7	Licensee agrees to ensure adherance to the capacity/maximum number of children in care as specified on the facility license going forward. In addition licensse agrees to submit to CCL a written understanting of the staffing ratio and capacity requirements for this facility by 05/10/19. Failure to correct will result in a $100 per day civil
	8 9 10 11 12 13 14	More than twelve and up to fourteen children only if the criteria in Section 1597.465 of the Health and Safety Code are met. This facility was not in compliance with this regulation as evidenced by LPA's observation of 26 children present in care at the time of LPA's arrival at this facility posing an immediate risk to the health and safety of children in care.	8 9 10 11 12 13 14	penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.
Type A 04/26/2019 Section Cited CCR 102370(d)(1)	1 2 3 4 5 6 7	102370(d)(1) Criminal Record Clearance. All individuals subject to a criminal record review as specified in Section 1596.871 prior to working, residing or volunteering in a licensed home, shall obtain a California clearance or a criminal record exemption as required by the department. This facility was not in	1 2 3 4 5 6 7	Licensee agrees to ensure that all adults 18 and older who are subject to criminal background clearance are cleared and associated to this facility prior to being in the presence of children in care going forward. Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation
	8 9 10 11 12 13 14	compliance with this with this requirement as evidenced by the presence of uncleared adult, Maria Adame, at this facility in the presence of chidlren in care.	8 9 10 11 12 13 14	and $100 per day until corrected.

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: Wynn Norona	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Paul Peterson	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 04/25/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2019

LIC809 (FAS) - (06/04)

Page: 2 of 2