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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073409033
Report Date: 11/18/2021
Date Signed: 11/18/2021 04:15:56 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:FRANCO, ANAFACILITY NUMBER:
073409033
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 4DATE:
11/18/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:55 AM
MET WITH:FRANCO, ANATIME COMPLETED:
04:30 PM
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On 11/18/2021 at 11:15 AM Licensing Program Analysts (LPA) L. Chew arrived at facility. LPA conducted an Unannounced Case Management Inspection. LPA met with Licensee, FRANCO, ANA.

LPA explained the purpose of today's inspection. Licensee has requested a CAPACITY INCREASE from Small to a Large family childcare home (FCCH). The Licensee has recently obtained an approved inspection fire clearance from the Contra Costa County fire protection department.

Present in the home was Licensee, fingerprint cleared and associated two (2) adult children and four (4) preschool age children in care. LPA observed facility to be in compliance and within ratio, during today’s inspection. Facility Days and hours of operation are Monday - Friday from 7:00 AM to 6:00 PM. Licensee states adults that reside in the home are Licensee, spouse, and 2 adult children.

All adults have fingerprint clearances and associated to facility. Licensee certification for Pediatric CPR / First Aid is current and expires on 4/24/2023. Mandated Reporter Training competed expires on 2/11/2023 Preventative Health and Safety Prevention completed on 4/19/2021. Lead Poisoning Training competed on 7/19/2021. Orientation completed on 7/23/2019.

LPA reviewed a current Child Care Facility Roster and Fire/Disaster drill log during today's inspection. Last fire/disaster drill was completed on 10/2021.
All required postings were observed and complete. Licensee and spouse own the property. Control of property proven by Grant of Deed.
SUPERVISOR'S NAME: Loretta DysonTELEPHONE: (510) -69-0243
LICENSING EVALUATOR NAME: Lakeisha ChewTELEPHONE: (510) 566-5850
LICENSING EVALUATOR SIGNATURE:

DATE: 11/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2021
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: FRANCO, ANA
FACILITY NUMBER: 073409033
VISIT DATE: 11/18/2021
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During today's inspection, LPA toured the indoor and outdoor areas of the home The home is two- story. The on-limit area: first floor consists of Kitchen, Dining room, Family room, Living room (classroom) bathroom, and hallway. The off-limit area: second floor consists of 4 bedrooms, two bathrooms and unfenced front yard is off-limits.

The fully fenced back yard is divided into two subdivisions. The children's play area is in the first subdivision. The second subdivision is fenced and inaccessible to children in care. The Licensee has a working telephone in the home. LPA observed sufficient materials, toys, and play equipment for the day care children. Furniture and equipment, such as cots, chairs, and tables were age appropriate and in good condition. Fireplace is located in the family room is screened and inaccessible to children in care. Stairs inside the home are barricaded with child proof gates. The outdoor space and play equipment were observed to have been maintained in safe condition and free of hazards. LPA observed a fully charged 3A40BC fire extinguisher, working smoke / carbon monoxide detectors, and no bodies of water on premises The Licensee states that she does not have any weapons. There are 2 dogs, 1 cat, 1 turtle in the home. Licensee states dogs stay in the off-limit area of backyard during hours of operation. All detergents, cleaning compounds, medications, and other similar items are inaccessible to children. Licensee states she does not transport children.

LPA has granted the increase of capacity from 8 to 14. LPA reminded the licensee she is required to have an assistant when operating a large day care facility. Licensee states she is not providing Individual Medical Services (IMS) at this time. IMS policy was discussed. The licensee was reminded that when any changes to the IMS plan is made, an updated 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. Effective September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles.

No deficiency cited during today’s visit. An exit interview was conducted with the licensee. The licensee was provided a copy of her appeal rights and the signature on this form acknowledges receipt of these rights. A Notice of Site visit was posted at the time of inspection and must remain posted for 30 days.
SUPERVISOR'S NAME: Loretta DysonTELEPHONE: (510) -69-0243
LICENSING EVALUATOR NAME: Lakeisha ChewTELEPHONE: (510) 566-5850
LICENSING EVALUATOR SIGNATURE:

DATE: 11/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2021
LIC809 (FAS) - (06/04)
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