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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073408794
Report Date: 05/25/2022
Date Signed: 05/25/2022 02:09:47 PM


Document Has Been Signed on 05/25/2022 02:09 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, SUITE 1102
OAKLAND, CA 94612



FACILITY NAME:GARRIDO, LARISSAFACILITY NUMBER:
073408794
ADMINISTRATOR:LARISSA GARRIDOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 771-2494
CITY:RICHMONDSTATE: CAZIP CODE:
94806
CAPACITY:14CENSUS: 10DATE:
05/25/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Garriod, LarissaTIME COMPLETED:
02:30 PM
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On May 25, 2022 at 1:00 PM, Licensing Program Analyst (LPA) Nyeesha Blount and Melissa Domantay met with Licensee Larissa her Husband Rafaael Garrido, and Assistant Jayne Mordes- Cordozo for an unannounced random annual inspection. There are (3) Infants and (7) preschool children present. The facility's operating hours are Monday - Friday from 8:00 AM to 5:00 PM LPA toured all on limit of the facility for a health and safety inspection.

Indoor Space: The home is a two story home. The home consists of one kitchen with eating area, living room, four (4) bedrooms, 3 bathrooms, fenced back yard, fenced front yard and garage. The one (1) front bedroom, living room, dining room, and bathroom down the hall are used for the day care. The home has central heating and ventilation for safety and comfort. There is an ample amount of toys available. Licensee states that there are no weapons in the home. All hazardous materials and toxins are stored away from children. The home is equipped with a 2A40BC fire extinguisher, working smoke detector and working carbon monoxide detector. All required documents are posted. Pediatric CPR and First Aid are current and expire on March 23, 2024.



Outdoor Space: The fenced back yard is the outdoor play space. The entire area was inspected to ensure the health and safety of the area. all play structures are properly secured. There are no pools, hot tubs or any other bodies of water on the premises.

Off Limit Areas: Second Story, three bedrooms, two bathrooms garage are the off limit areas.

Isolation Area : will be the dining room area, parents will be notified immediately for pick up.

Please See LIC 809 C for additional information.
SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 292-9724
LICENSING EVALUATOR NAME: Nyeesha BlountTELEPHONE: (510) 566-2319
LICENSING EVALUATOR SIGNATURE:
DATE: 05/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/25/2022
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: GARRIDO, LARISSA
FACILITY NUMBER: 073408794
VISIT DATE: 05/25/2022
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LPA'S reviewed the facility, staff and children's records including parents' rights forms, emergency ID forms and consent for emergency medical treatment forms. Licensee CPR/First Aid, Mandated Reporter Certificate for Licensee is all up to date.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment. there are no firearms stored or present in the home.

Per 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

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Licensee was reminded about importance to stay in compliance with mandated reporter training and maintenance of sleep logs for all infants in care. In the areas that were evaluated, no regulatory violations were observed.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS. Exit interview conducted and report was reviewed with the licensee Larissa Garrido .
SUPERVISOR'S NAME: Mayla MendozaTELEPHONE: (510) 292-9724
LICENSING EVALUATOR NAME: Nyeesha BlountTELEPHONE: (510) 566-2319
LICENSING EVALUATOR SIGNATURE:

DATE: 05/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2022
LIC809 (FAS) - (06/04)
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