073407850-5-10-2019-02-CC-CCHS-BC2R8B-20190510124741

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 073407850
Report Date: 05/10/2019
Date Signed: 05/10/2019 12:47:48 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:	BADER, LILIANE		FACILITY NUMBER:	073407850
ADMINISTRATOR:	BADER, LILIANE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(650) 787-7349
CITY:	BRENTWOOD	STATE: CA	ZIP CODE:	94513
CAPACITY:	14	CENSUS: 9	DATE:	05/10/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	10:39 AM
MET WITH:	Liliane Bader		TIME COMPLETED:	01:00 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	May10th 2019, at 10:39 am Licensing Program Analysts Chandra Charles and Diana Campos met with licensee Liliane Bader for an UNANNOUNCED RANDOM INSPECTION. Present for this visit were licensee's fingerprint cleared daughters Yvette Bader (who is also her assistant) and Elaine Bader, (4) infants, and (5) preschool age children. LPA's and the Licensee toured the home to conduct a Health and Safety Inspection. The home is neat and clean with heating and ventilation for safety and comfort. The ON LIMIT AREAS inspected were the living room, family room, kitchen/dining room areas, 1st floor bedroom and 1st floor bathroom. The OFF LIMIT AREAS remain the same: the entire 2nd level of the home, the garage, and pool area in the backyard. These areas are inaccessible by a barrier gate at the bottom of the staircase, and closed and/or locked doors as well as visual supervision. The ISOLATION AREA is in the family room. The outdoor play area is free from defects or dangerous conditions and is completely fenced. There are ample age appropriate toys that are safe and in good condition. Per licensee there are no firearms in the home. The licensee conducts and documents fire and disaster drills twice a year with the last one dated 12/17/18. This home is equipped with a working smoke and carbon monoxide detectors, fully charged 2A10BC, fire extinguisher, pull down fire alarm device and first aid supplies. All hazardous materials and toxins are kept out of the reach of children and it was observed that there are no toxins or hazardous items accessible today. The fireplace is screened to prevent access by children. The backyard area is large and divided into two sections.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Chandra Charles	TELEPHONE: (510) 725-7529
LICENSING EVALUATOR SIGNATURE:	DATE: 05/10/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/10/2019

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: BADER, LILIANE	FACILITY NUMBER: 073407850
	VISIT DATE: 05/10/2019

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The licensee and her assistant's CPR and First Aid certificates are current and will expire in (02/2021). Both licensee and her assistant have completed the required mandated reporter training, and are in full compliance with immunization laws as it pertains to all day care providers. Backyard On the right side there is an in ground swimming pool which is completely closed off to children in care by a 5 foot fence that you can see through and has a self latching gate that opens outwards. On the left side there is a landscaped and concrete area for children to play outdoor activities.
(2) Children files were reviewed, facility roster reviewed and copy obtained. The licensee is in ratio today. All REQUIRED forms are posted and visible for public review.
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 .

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA 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

There are no deficiencies cited. This report shall remain on file for 3 years. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and appeal rights provided.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Chandra Charles	TELEPHONE: (510) 725-7529
LICENSING EVALUATOR SIGNATURE:	DATE: 05/10/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/10/2019

LIC809 (FAS) - (06/04)

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