214200039-1-13-2020-05-CC-FBTQ-BKSV6W-20200113151010

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 214200039
Report Date: 01/13/2020
Date Signed: 01/13/2020 03:10:20 PM

COMPREHENSIVE INSPECTION

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME:	CHAN-ROSADO, BEATRIZ		FACILITY NUMBER:	214200039
ADMINISTRATOR:	CHAN-ROSADO, BEATRIZ		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(415) 459-5845
CITY:	SAN RAFAEL	STATE: CA	ZIP CODE:	94901
CAPACITY:	14	CENSUS: 8	DATE:	01/13/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Beatriz Chan-Rosado		TIME COMPLETED:	03:40 PM

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Licensing Program Analyst (LPA) Farhan Bashir-Tariq arrived at the facility above unannounced to conduct an Annual Inspection on this day and met with the Licensee Beatriz Chan-Rosado. Purpose of the inspection was explained. Present there were 8 (2 infant and 6 pre-k) children in care with Licensee and Husband, Antonio Chimal-Hau. Licensee was operating in compliance to the required licensed capacity and ratio limits as of today. LPA verified the background check clearance of the adults working or living in the home.

This a two-bedroom and one-bathroom single family home. Licensee Lives with husband and son. The hours of operation are: M-F, 7M – 6PM. Licensee is affiliated with the food program and provides breakfast, lunch and two snacks. Day Care areas: Living/Play area, Bathroom and Bedroom #1 Off Limit areas: Kitchen, Garage, and Bedroom #2. LPA and Licensee inspected the entire day care area for Health and Safety hazards. LPA observed that off limit areas were properly barricaded and made inaccessible to the children in care. There were multiple Carbon monoxide detectors and Smoke detectors installed in the home. LPA performed the tests to check the functionality of the detectors. A Fire Extinguisher of size 2A10BC or bigger and a working telephone was also available in the home. First Aid kit is fully stocked and accessible. Per Licensee, there are no firearms or weapons in the home. Licensee states, there are no bodies of water and no pets in the home. LPA observed that the house is in good repair and free of hazards with proper temperature and ventilation. Bathroom cabinets and access to shower area has been blocked off. LPA observed that there is a variety of age appropriate toys, books, arts and other learning material available in the home for the children in care. Per Licensee, Discipline policy is communication. Time outs are not allowed in the home.

Licensee presented a copy of children’s roster for reviewing and collection. All posting requirements are met and posted near the main entrance and in the living area. Licensee and husband have current and valid CPR and First Aid cards expiring on 6/2021. LPA also reviewed Licensee and husband’s, immunization records and facility fire drill log. Per log, last drill was conducted on December 12, 2019. Licensee is aware of the requirement of conducting and logging fire drills once every six months. LPA reviewed facility records including all present children's and all present staff's files. LPA observed that files have records of immunization, names, addresses and telephone numbers of each child's authorized representative.

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SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Farhan Bashir-Tariq	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 01/13/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2020

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, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: CHAN-ROSADO, BEATRIZ	FACILITY NUMBER: 214200039
	VISIT DATE: 01/13/2020

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Incidental Medical Services (IMS) policy was discussed. None of the children currently enrolled required medication. 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.

LPA reminded Licensee that All adults, 18 years and older living in the home, helper, or assistant must have finger print clearance and must be associated to the facility by submitting an LIC 9182 with a copy of CDL or CA. ID prior to having any contact with children in care, failure to do so could result in an immediate civil penalty.

LPA reminded Licensee that as of September 1, 2016, a person may not be employed or volunteer at a child care facility unless he or she has been immunized against influenza, pertussis, and measles or qualifies for an exemption pursuant to Health and Safety code 1596.7995 and 1597.662.

LPA reminded Licensee that As of January 1, 2018, all staff is required to complete Mandated Child Abuse Reporter Training (AB1207) every two years. The training can be obtained online at www.mandatedreporterca.com. LPA encouraged the Licensee to frequently visit our website at www.ccld.ca.gov for licensing regulations and new updates. Facility can also email at childcareadvocatesprogram@dss.ca.gov and ask to be added to the email list for the updates. Safe Sleep Procedures and SIDS handouts were provided to the licensee.

>NO deficiencies were cited today under Title 22 Division 12 of the California Code of Regulations.

This report and rights to comment and appeal were discussed with Licensee. This report must be available in the facility for public review. Notice of site visit shall be posted for 30 days from today's visit. Licensee was advised for any additional questions to call Office, M-F, 8AM-5PM at 650-266-8800. For Rules and Regulations, visit the Website: www.cdss.ca.gov

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Farhan Bashir-Tariq	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 01/13/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2020

LIC809 (FAS) - (06/04)

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