274408600-8-22-2019-07-CC-FCJO-BFARU8-20190822131932

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 274408600
Report Date: 08/22/2019
Date Signed: 08/22/2019 01:19:37 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME:	CERVANTES, DAISY & ESTRADA, MARICELA		FACILITY NUMBER:	274408600
ADMINISTRATOR:	CERVANTES, DAISY		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(831) 272-3402
CITY:	SALINAS	STATE: CA	ZIP CODE:	93906
CAPACITY:	14	CENSUS: 5	DATE:	08/22/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	11:45 AM
MET WITH:	Maria Marcial		TIME COMPLETED:	01:30 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	Licensing Program Analyst (LPA) Fermin Campos-Jaramillo conducted an unannounced annual random inspection to the home today. LPA met with Maria Marcial, Licensee's helper, and explained the nature of today's inspection to her. Maria stated that Licensee Daisy was not home today. Days and hours of operation are Monday to Sunday from 4:00 AM to 11:00 PM. The Adults that reside in the home are the Licensee Daisy, and her husband Oscar. Also in the home reside Daisy's minor children ages 12 and 10 year old. LPA spoke to licensee Daisy over the phone. Daisy stated that her mother and co-licensee Marisela is not longer interested in the Family Child Care License. LPA provided Maria with a blank for LIC279 for Daisy to submit the updated information. There were five preschool children in care during today's inspection. Licensee Daisy and helper Maria's certifications for CPR and First Aid cards are current and will expire on 2/10/2020 and 10/29/2019 respectively. LPA toured the indoor and outdoor areas of the home during today's inspection. LPA obtained a copy of the Child Care Facility Roster during today's inspection. Licensee has documented a fire drill during the last six months. Last fire drill was documented on 8/01/2019. The Licensee has a working telephone in the home. LPA observed sufficient materials, toys, and play equipment for the day care children. Off limit areas inside are: Two bedrooms, one bathroom, kitchen, and the attached garage accessible from the kitchen. LPA observed there are not stairs in the home. The home has a fireplace and it is barricaded. Off limits areas outside: The left side yard and a portion of the back yard. LPA observed the back yard is fenced. Licensee uses the back yard as playground. LPA observed a fully charged 3A40BC fire extinguisher and working carbon monoxide/smoke detector. LPA observed there are not bodies of water or wall heaters. Maria stated that Licensee does not have any weapons in the home. All detergents, cleaning compounds, medications, and other similar items are stored inaccessible to children. LPA observed in file proof of immunization for measles, pertussis and influenza for Licensee Daisy and for her helper Maria. *************Report dated 08/22/2019 continues in page 2.

SUPERVISOR'S NAME: Mary Segura	TELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Fermin Campos-Jaramillo	TELEPHONE: 408-334-8557
LICENSING EVALUATOR SIGNATURE:	DATE: 08/22/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2019

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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: CERVANTES, DAISY & ESTRADA, MARICELA	FACILITY NUMBER: 274408600
	VISIT DATE: 08/22/2019

NARRATIVE

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Report dated 08/22/2019 continues from page 1.
A review of staff records on 08/15/2019 indicates that all Facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. LPA also reminded Licensee's helper of the applicable civil penalties 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. Penalty amounts: $100.00 per person per day, minimum of $100.00 to a maximum of $500.00 per person for an initial violation and a minimum of $100.00 to a maximum of $3000.00 per person for any subsequent violation within a 12 month period.
Supervision of children was discussed with Maria and she understands that she must be present in the home during day care hours and ensure that the children are supervised at all times. The Licensee's helper stated that Daisy does not transport children via vehicle and she understands that children cannot be left in parked vehicles unattended at any time. Licensee and her helper use redirection and communication with children as a form of discipline.
Department website: www.ccld.ca.gov provided to Licensee.
LPA discussed the requirements of AB 633. LPA also discussed "zero tolerance" related regulations with the Licensee's helper.
LPA observed that Daisy and Maria have completed the required "mandated reporter" training on 7/08/2019 and 8/5/2019 respectively. LPA referred the Licensee to the Department website: www.ccld.ca.gov for additional information on the online training. LPA advised licensee's helper of the pending Department regulation update re: Safe sleep for infant children. LPA provided Licensee with Department website: www.ccld.ca.gov for additional information.

No deficiencies were cited during today's inspection. Licensee rights was printed and given to Licensee. Exit interview was conducted with Maria in Spanish.

A NOTICE OF SITE VISIT WAS ISSUED, POSTED NEAR THE FRONT ENTRANCE TO THE HOME, AND MUST REMAIN POSTED FOR 30 CONSECUTIVE DAYS.

SUPERVISOR'S NAME: Mary Segura	TELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Fermin Campos-Jaramillo	TELEPHONE: 408-334-8557
LICENSING EVALUATOR SIGNATURE:	DATE: 08/22/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2019

LIC809 (FAS) - (06/04)

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