073409034-3-12-2020-02-CC-MGUT-BMMLX7-20200312090815

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 073409034
Report Date: 03/12/2020
Date Signed: 03/12/2020 09:08:20 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:	BELL, SHTERNA		FACILITY NUMBER:	073409034
ADMINISTRATOR:	BELL, SHTERNA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 214-3120
CITY:	EL CERRITO	STATE: CA	ZIP CODE:	94530
CAPACITY:	14	CENSUS: 1	DATE:	03/12/2020
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	08:20 AM
MET WITH:	Shterna Bell		TIME COMPLETED:	09:30 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	On 03/12/2020 at 8:20 AM, Licensing Program Analyst (LPA), Melissa Guirit , met with applicant Shterna Bell for an ANNOUNCED RE-LOCATION PRELICENSING AND CHANGE OF CAPACITY INSPECTION. Present for this inspection were applicant and applicant's minor child. At 8:25 AM, applicant took LPA to tour the entire facility to conduct a Health and Safety Inspection. The facility's operating hours are 8:00 AM to 5:00 PM. The home is two story. The home consists of 4 bedrooms, 3 bathrooms, living room, kitchen/dining area, downstairs basement, garage, and backyard. The home is neat and clean with heating and ventilation for safety and comfort. The OFF LIMIT AREAS are the entire main level of the home which will be inaccessible by closed and/or locked doors, safety gates, and visual supervision. The ON LIMIT AREAS are a portion of the downstairs basement, downstairs bathroom, and back yard. The downstairs area for child care has been sectioned of by wall separations that distinguishes the day care area from the off limit areas. The downstairs bathroom will be used for the children and assistance to take the child to the bathroom will be required. The entrance for the day care area will not be through the home's main entrance. Instead it will be through the side of the home. The ISOLATION AREA will be in a portion of the day care area. Outdoor play area will be in the back yard which is completely fenced with 100% supervision. The outdoor play area is free from defects or dangerous conditions. There is a locked shed in the back that is locked to ensure inaccessibility to children in care. There is an ample supply of toys and activities available for children, and they are in good condition and age appropriate. There are no pools, hot tubs or any other bodies of water on the premises during today's inspection. 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. See 809-C for continuance.

SUPERVISOR'S NAME: Sherelle Johnson	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Melissa Guirit	TELEPHONE: (510) 622-2624
LICENSING EVALUATOR SIGNATURE:	DATE: 03/12/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2020

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: BELL, SHTERNA	FACILITY NUMBER: 073409034
	VISIT DATE: 03/12/2020

NARRATIVE

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The home has a fully charged 3A40BC fire extinguisher, pull down fire alarm, working smoke detector, working carbon monoxide detector, working telephone, and fully stock First Aid Kit. The applicant’s Health and Safety training is completed and CPR and First Aid certificate is current and expires 05/2020. Applicant completed the Mandated Reporter Training which expires on 06/2020. The applicant is in compliance with new immunization law which pertains to day care providers. The heaters and fireplaces are screened to prevent access by children and are in the off limits area. Per applicant, there are no firearms in the home. Per applicant, a copy of the lease agreement is available electronically and will be sent to the LPA via email. A packet of forms pertaining to the children’s files and facility files were reviewed and discussed.

Applicant 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 .http://www.myccl.gov/

Individual Medical Services (IMS) policy was discussed. 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

This home is recommended for licensing today, 03/12/2020. This report shall remain on file for 3 years. Exit interview conducted with applicant, Shterna Bell.

SUPERVISOR'S NAME: Sherelle Johnson	TELEPHONE: (510) 622-2592
LICENSING EVALUATOR NAME: Melissa Guirit	TELEPHONE: (510) 622-2624
LICENSING EVALUATOR SIGNATURE:	DATE: 03/12/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2020

LIC809 (FAS) - (06/04)

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