073409044-2-27-2020-02-CC-MMAR-BM7Q6H-20200227105336

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 073409044
Report Date: 02/27/2020
Date Signed: 02/27/2020 10:53:42 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:	RAMOS, STEPHANIE		FACILITY NUMBER:	073409044
ADMINISTRATOR:	RAMOS, STEPHANIE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(925) 383-1989
CITY:	CONCORD	STATE: CA	ZIP CODE:	94518
CAPACITY:	14	CENSUS: 0	DATE:	02/27/2020
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Stephanie Ramos/Nahakulei Lee		TIME COMPLETED:	11:00 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 02/27/20 at 9:15 AM Licensing Program Analysts (LPAs), Monica Mathur and Arminder Singh conducted an announced Pre-licensing Inspection at this home and met with the Applicants, Stephanie Ramos and Nahakulei Lee. Applicants applied for a CHANGE OF LOCATION from previously licensed address at 4100 Chaucer Dr., Concord, CA 94521 to New Address: 1462 Kimball Ct., Concord, CA 94518. Adults residing in the home are both Applicants and a 15 year old child. Applicants applied for a Large Family Child Care Home with capacity for 14 children. Days and hours of operation will be Monday through Friday from 5:30 AM - 6:30 PM. Applicants are also foster care providers licensed by CCLD. Applicants has completed the 16-hour Health & Safety Training which includes Pediatric cardiopulmonary resuscitation (CPR) and First Aid (expires 02/23/2022) and one hour of Child Care Nutrition. Applicants have documentation maintained for Measles, Pertussis Immunizations, and Influenza vaccination for the current flu season. Applicants has documentation for Tuberculosis (TB) clearance. Applicant rents this property and LPA reviewed and obtained a copy of the Rental Agreement during today's inspection. LPA reminded Applicants that when care for more than 12 and up to 14 is provided, Applicant must notify parents. Applicants has Liability Insurance for day care. Applicants has a working telephone in the home. At 9:20 AM: LPAs toured the indoor space of the home with the Applicants. The home is a single story house with Living room, Kitchen, Dining area, seven (7) bedrooms, three (3) Bathrooms, Garage, Backyard, Front yard. IN USE AREAS: Living room, Kitchen, Dining area, Bedroom #7, Bathroom adjacent to the Living room, Front yard for outdoor activity. OFF LIMIT AREAS: Bedrooms #1-6, Garage, 2 Bathrooms inside the hallway, entire Backyard including Porch/Ramp/Deck, locked Storage Shed on right side yard,and left side yard. CONTINUED ON NEXT PAGE

SUPERVISOR'S NAME: Sherelle Johnson	TELEPHONE: (510) 725-5998
LICENSING EVALUATOR NAME: Monica Mathur	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 02/27/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2020

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: RAMOS, STEPHANIE	FACILITY NUMBER: 073409044
	VISIT DATE: 02/27/2020

NARRATIVE

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The home is sanitary, safe and orderly, with central heating and ventilation for safety and comfort. LPAs observed required Postings on the wall in the Living room. There is a non-functional fireplace in the Dining area. LPA observed: fully charged 2A10BC fire extinguisher in the kitchen, working smoke and carbon monoxide detectors all over the home. Medicines, cleaning products, sharp objects are stored inaccessible to children in cabinets. All door access to the off limit areas have child proof door knobs. LPAs reminded Applicants that smoking, baby walkers, bouncers, jumpers and similar items are not allowed in family child care homes. Applicants state there is a pet cat in the home. Applicants state there are no firearms and ammunition stored in the home.

At 9:30 AM Outdoor Space: FRONT YARD is fenced on one side, however is not fenced along the street and entrance driveway side. Applicants state they will be using the front yard for outdoor activity. LPAs reminded that 100% visual supervision is required when children are playing outside. Applicants stated they are not going to use the BACKYARD AND SIDE YARDS (Off Limit). LPAs observed an air conditioning unit in the front yard that did not have a barricade. Applicant will barricade the air conditioning unit and send a picture as proof of correction.

Discipline policy was discussed, and Applicants stated they will talk/re-direct the children as form of discipline and give time out. Applicants understand that children's personal rights should not be violated and no corporal punishment. Isolation of sick children, supervision of children, capacity options, transportation of children, requirements for reporting suspected child abuse, unusual incidents/injuries and requirements for assistant/substitute were also discussed. Fire drills must be practiced once every six months and documented.

Supervision of children was discussed with the Applicants, they understand that they must be present in the home during 80% of the operating hours of the day care and ensure that the children are supervised at all times. The Applicants understand their capacity options and that they cannot have more than 14 children in the home at any time.

LPA discussed Individual Medical Services (IMS) policy. Applicant does not plan on providing IMS at this time. 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.

CONTINUED ON NEXT PAGE

SUPERVISOR'S NAME: Sherelle Johnson	TELEPHONE: (510) 725-5998
LICENSING EVALUATOR NAME: Monica Mathur	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 02/27/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2020

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: RAMOS, STEPHANIE	FACILITY NUMBER: 073409044
	VISIT DATE: 02/27/2020

NARRATIVE

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LPAs reminded Applicants of the applicable $100 civil penalty per person per day, a minimum of $100.00 to a maximum of $3000.00 per person for those adults who have not received fingerprint clearances, are not associated to the license and who come in contact with or provide care and supervision to the children.

LPA discussed Assembly Bill (AB) 1207 (Mandated Child Abuse Reporting Training) which is required training that began on January 1, 2018 and requires renewal every two years, AB 633 was discussed with Applicants. Licensing forms, Title 22 regulations, can be obtained through the internet at www.ccld.ca.gov. Mandated Reported Training can be accessed at www.mandatedreporterca.com.

LPAs provided Safe Sleep Regulation Pamphlet and Lead Poisoning Flyer.

At 10:35 AM Exit interview was conducted with Applicants and LPAs informed that a License to operate a Large Family Child Care Home at this address will be approved after Applicant has submitted the following:
1. Applicant will barricade the air conditioning unit and send a picture as proof of correction.

Applicants signed the report acknowledging receipts of documents.

END OF REPORT

SUPERVISOR'S NAME: Sherelle Johnson	TELEPHONE: (510) 725-5998
LICENSING EVALUATOR NAME: Monica Mathur	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 02/27/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2020

LIC809 (FAS) - (06/04)

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