274409709-9-22-2021-07-CC-FCJO-C74SM5-20210922135922

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 274409709
Report Date: 09/22/2021
Date Signed: 09/22/2021 01:59:26 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:	HARO, ELIAZER		FACILITY NUMBER:	274409709
ADMINISTRATOR:	HARO, ELIAZER		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(831) 442-4106
CITY:	SALINAS	STATE: CA	ZIP CODE:	93905
CAPACITY:	14	CENSUS: 3	DATE:	09/22/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:00 PM
MET WITH:	Eliazer Haro		TIME COMPLETED:	02:10 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 Analysts (LPA) Fermin Campos-Jaramillo conducted an unannounced annual required inspection to the home today. LPAs met with Eliazer Haro, Licensee, and explained the nature of today's inspection to her. Days and hours of operation are Monday to Saturday from 5:00 AM to 5:00 PM. Licensee stated she is the only adult residing in the home. Licensee 17 years old minor nephew was present today. LPA observed there were three children in care today, included two preschool age and one infant. Licensee's certifications for pediatric CPR and First Aid are current and expiring on 3/03/2022. .LPA toured the indoor and outdoor areas of the home during today's inspection. LPA obtained a copy of the children's roster. LPA observed that a fire drill was documented on 7/05/21. LPA reviewed three children's files and are complete including a Parent's Rights form and the immunization records form. 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: Only the licensee's bedroom. Off limits areas outside: None, the home is located in a department complex and licensee stated she uses the common areas as playground for the children in care. LPA advised licensee to supervise the children all the time they are outdoors. The home is located in a gated community and it is fenced. LPAs observed a fully charged 3A40BC fire extinguishers that were last serviced on 8/27/21 and at least one working smoke detector. LPAs observed the home has a working carbon monoxide detector. LPA observed there are no bodies of water in the home. The Licensee states that she does not have any weapons in the home. All detergents, cleaning compounds, medications, and other similar items are stored inaccessible to children. LPA observed the home does not have a laundry area. Licensee stated the laundry is a common space out of the apartments and located in a different building within the premises of the complex. LPA observed a barricaded wall heater in the home. Licensee has in file proof of having immunization for pertussis, influenza, and measles for herself, according with the SB792. **********************************Report dated 09/22/21 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: 09/22/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 2

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: HARO, ELIAZER	FACILITY NUMBER: 274409709
	VISIT DATE: 09/22/2021

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
26
27
28
29
30
31
32

*************************Report dated 09/22/2021 continues from page 1.

A review of staff records on 09/20/21 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 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 the Licensee 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 understands her capacity options and she understands that she cannot have more than 14 children in the home at any time and a helper must be present. Licensee understands in absence of a helper the capacity of her license is reduced in capacity and ratio to a small Family Child Care Home license, maximum 8, and ratio must be observed. Licensee states that she transports children via vehicle and that she understands that children cannot be left in parked vehicles unattended at any time. Licensee uses 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 whenever a Type A deficiency is cited. LPA also discussed "zero tolerance" related regulations with the Licensee. Licensee has renewed the Mandated Reporter training on 8/31/21. LPA provided licensee with the website: www.mandatedreporterca.com for additional information on the online training.
LPA advised licensee of the new regulations on Safe sleep for infant children, and provided licensee with form LIC9227. LPA referred the Licensee to the Department website: www.ccld.ca.gov for additional information.

There were not deficiencies cited during today's inspection. Licensee rights form was printed and handed to Licensee. Exit interview was conducted with licensee 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: 09/22/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2021

LIC809 (FAS) - (06/04)

Page: 2 of 2