073408821-3-4-2020-02-CC-CCON-BMDQGW-20200304111013

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 073408821
Report Date: 03/04/2020
Date Signed: 03/04/2020 11:10:22 AM

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:	HUDSON, CHAWMEIN		FACILITY NUMBER:	073408821
ADMINISTRATOR:	HUDSON, CHAWMEIN		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(415) 756-4125
CITY:	RICHMOND	STATE: CA	ZIP CODE:	94801
CAPACITY:	14	CENSUS: 6	DATE:	03/04/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:24 AM
MET WITH:	Chawmein Hudson		TIME COMPLETED:	11:24 AM

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) Caroline Colson met with Chawmein Hudson for an unannounced random required inspection at 9:24 AM. Assistant Jalecia Ingram arrived during the inspection at 9:40 AM. Assistant Johnia Saucer arrived during the inspection. There are 5 preschool children and 1 infant present. One child's record was reviewed by the LPA and the licensee on 3/4/2020 at 10:00 AM. C1 has immunization records available in the file. Licensee has complete facility records. The home was toured to conduct a health and safety inspection. The home is a two story home. The home consists of a living room, dinning room, kitchen with eating area, 4 upstairs bedrooms, 2 upstairs bathrooms, 1 downstairs bedroom, 1 downstairs bathroom, a play room which is adjacent to a sun room, unfenced front yard and fenced back yard. The off limit areas are the entire upstairs area which is barricaded by a gate. Ms. Hudson will use her fenced back yard for outdoor play. The home has a 2A10BC fire extinguisher, a working smoke detector and a working carbon monoxide detector. There are ceiling vents for heat and the furnace is behind a locked door. Ms. Hudson states there are no firearms in the home. The living room is the isolation room. She conducts fire/disaster drills every six months. Her infant CPR and First Aid certificates are current and expire on April 13, 2021. She has a first aid kit. There are no pets. This facility is not providing Individual Medical Services - IMS at this time. LPA discussed IMS services and the requirement to create a plan of operation. Specifics on the plan can be found in the family child care home evaluator manual (FCCH EM) Policy 102417. Please LIC 809 C for additional information

SUPERVISOR'S NAME: Ann Robinson	TELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Caroline Colson	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 03/04/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2020

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: HUDSON, CHAWMEIN	FACILITY NUMBER: 073408821
	VISIT DATE: 03/04/2020

NARRATIVE

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REMINDERS/RESOURCES

· Criminal Background Clearance: All assistants, volunteers, frequent adult visitors (adults are individuals 18 years of age or older) must be fingerprint cleared and associated to the facility prior to be in the presence of children in care. Failure to comply, requires an immediate civil penalty of $100 to $3000 per person, per incident.

· CCLD Complaint Hotline, 1-844-LET-US-NO (1-844-538-8766) email: LetUsNo@dss.ca.gov

· NEW LAW: Safe Sleep Regulations: http://www.cdss.ca.gov/inforesources/Child-Care-Licensing/Public-Information-and-Resources/Safe-Sleep

· Licensees and all staff are Mandated Reporters and are required to report to CCLD any suspected child abuse.

CCLD website address for obtaining licensing forms, training videos and other provider resources can be obtained at www.ccld.ca.gov

· Licensees may register to receive child care updates: www.myccl.ca.gov

LPA explained to licensee that the license number needs to be on all advertisements.

There were no deficiencies cited during this inspection.

Notice of site visit was posted at the time of the inspection and must be posted for 30 days. An exit interview was conducted. Appeal rights were given and discussed. This report must be available for public review for 3 years.

SUPERVISOR'S NAME: Ann Robinson	TELEPHONE: (510) 622-2591
LICENSING EVALUATOR NAME: Caroline Colson	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 03/04/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2020

LIC809 (FAS) - (06/04)

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