075700215-5-1-2020-52-CC-JPLA-BP7QCG-20200501120307

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 075700215
Report Date: 05/01/2020
Date Signed: 05/01/2020 12:03:22 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 STE 1102
OAKLAND, CA 94612

FACILITY NAME:	KRANZ, ESMERALDA		FACILITY NUMBER:	075700215
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 0	DATE:	05/01/2020
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Esmeralda Kranz		TIME COMPLETED:	12:00 PM

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 May 1, 2020, Licensing Program Analyst (LPA) Julia Placencia conducted a Prelicensing Inspection. Due to the COVID-19 shelter in place order issued by the Governor of California, this prelicensing inspection was completed via Televisit using FaceTime. LPA met with applicant Esmeralda Kranz. Also, residing in the home is the applicant’s spouse, Ryan Kranz, adult son Michael Kranz, sister Cindy Garcia and a 16 year old son. All adults have proper fingerprint clearances. The home was toured with the applicant to conduct a health and safety inspection. Applicant states the hours of operation for daycare will be Monday through Friday, 7:00am to 5:30pm. The home is three floors. The first floor consists of a living room, bedroom, bathroom, laundry room and garage. The second floor consists of a kitchen, dining room and formal living room. The third floor consists of three bedrooms and two bathrooms. There is also a backyard, which has a play area, swimming pool and a barbecue/gazebo area. The home is neat and clean with heating and ventilation for safety and comfort. ON LIMITS: First floor living room (main daycare area), bedroom, bathroom, and backyard play area. The isolation area will be the first floor bedroom. OFF LIMITS: Entire second and third floors, swimming pool and barbecue/gazebo area in backyard. All off limit areas will be inaccessible by closed and/or locked doors and visual supervision. The applicant was advised to contact Licensing, so that an inspection can be completed prior to changing an OFF LIMITS to ON LIMITS. ***Continued on LIC 809C...

SUPERVISOR'S NAME: Jason Jang	TELEPHONE: (510) 622-2631
LICENSING EVALUATOR NAME: Julia Placencia	TELEPHONE: (510) 725-5998
LICENSING EVALUATOR SIGNATURE:	DATE: 05/01/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2020

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 STE 1102
OAKLAND, CA 94612

FACILITY NAME: KRANZ, ESMERALDA	FACILITY NUMBER: 075700215
	VISIT DATE: 05/01/2020

NARRATIVE

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There is a fence surrounding the perimeter of the backyard, and a 5 foot high fence separates the OFF LIMIT swimming pool area from the children’s play area. The backyard was observed to be free from defects and/or dangerous conditions. There are ample age appropriate toys, inside and outside, which were observed to be safe, clean and in good repair. LPA did not observe any hazardous materials or toxins accessible to children today. The home has a fully charged 2A10BC fire extinguisher which is located in the second floor closet near the stairs. There are carbon monoxide and smoke detectors throughout the home, and the unit in the hall ceiling on the first floor was tested and observed to be working. Applicant also has a telephone and fully stocked First Aid Kit. There was a child safety gate secured to the bottom of the stairs in the daycare room. The fireplace is screened and located in the OFF LIMIT second floor living room. Heater vents are located on the ceiling. Per applicant, there are no firearms in the home.

The applicant’s health and safety training has been completed, and First Aid/CPR certificate is current, expiring on 10/20/2021. A copy of the lease agreement has been reviewed and shows control of property. The applicant has provided proof of the required immunizations, and the required mandated reporter training was completed on 11/21/2019. A packet of forms pertaining to the children’s files and facility files were emailed to applicant in advance and discussed today. Safe Sleep practices were discussed, and new car seat laws were provided. Applicant was reminded that children are never to be left in a parked vehicle.

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.

The applicant was 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. The applicant was reminded of the responsibility as a mandated reporter.

***Continued on LIC 809C...

SUPERVISOR'S NAME: Jason Jang	TELEPHONE: (510) 622-2631
LICENSING EVALUATOR NAME: Julia Placencia	TELEPHONE: (510) 725-5998
LICENSING EVALUATOR SIGNATURE:	DATE: 05/01/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2020

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 STE 1102
OAKLAND, CA 94612

FACILITY NAME: KRANZ, ESMERALDA	FACILITY NUMBER: 075700215
	VISIT DATE: 05/01/2020

NARRATIVE

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Applicant was encouraged to frequently visit our website at www.ccld.ca.gov for licensing regulations and updates, and to also email childcareadvocatesprogram@dss.ca.gov to be included in the Child Care Quarterly Updates distribution list.

This home is recommended for Provisional Licensure, effective today, 05/01/2020, and will expire on 08/31/2020. Applicant was advised that she may only care for children of essential workers during the shelter-in-place orders issued due to COVID-19. This report shall remain on file for 3 years.

Exit interview conducted with Esmeralda Kranz. A copy of this report was provided through email. Applicant agrees to sign the report and return to LPA.

SUPERVISOR'S NAME: Jason Jang	TELEPHONE: (510) 622-2631
LICENSING EVALUATOR NAME: Julia Placencia	TELEPHONE: (510) 725-5998
LICENSING EVALUATOR SIGNATURE:	DATE: 05/01/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2020

LIC809 (FAS) - (06/04)

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