274410147-11-7-2019-07-CC-FCJO-BHPR4K-20191107114139

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 274410147
Report Date: 11/07/2019
Date Signed: 11/07/2019 11:41:43 AM

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:	PLUMMER, LUCINDA		FACILITY NUMBER:	274410147
ADMINISTRATOR:	PLUMMER, LUCINDA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(831) 455-9144
CITY:	SPRECKLES	STATE: CA	ZIP CODE:	93962
CAPACITY:	14	CENSUS: 7	DATE:	11/07/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	10:20 AM
MET WITH:	Lucinda Plummer		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	Licensing Program Analyst (LPA) Fermin Campos-Jaramillo conducted an unannounced annual random inspection to the home today. LPA met with Lucinda Plummer, Licensee, and explained the nature of today's visit to her. LPA observed seven children in care in today's inspection, included two infant children and five pre school age children. Days and hours of operation are Monday to Friday from 6:00 AM to 4:30 PM. The adults that reside in the home are the Licensee, her spouse Dennis, and her son Devin. Licensee's husband and helper was also present. Licensee's and licensee's helper's certifications for CPR and First Aid are current and will expire on 01/13/2020. LPA toured the indoor and outdoor areas of the home during today's visit. LPA obtained a copy of the children's roster. The children's roster is complete. LPA reviewed five children's files and observed they are complete, including the Immunization records form PM286 and the Notification of Parent's rights form LIC995A. LPA reviewed the Fire/Disaster drill log during today's visit. Last disaster drill was documented on 11/14/2019. The Licensee has a working telephone in the home. LPA observed sufficient materials, toys, and play equipment for the day care children. Licensee stated there are not indoor off limits areas. The home is very clean, orderly, and safe for the day care children. LPA did not observe any wall heaters inside the home. LPA observed a barricaded fireplace in the home. There are no stairs in the home. Off limit areas outside the home: The detached garage. LPA observed a fully charged 3A40BC fire extinguisher, working smoke and carbon monoxide detectors, and no bodies of water. The Licensee states that she has weapons in the home. Licensee showed the safe vault where she keeps the weapons and the locked box where she keeps the ammunition. All detergents, cleaning compounds, medications, and other similar items are stored inaccessible to children. Licensee has immunization records for pertussis, measles, and opt out statement for influenza as required by the SB792. *************************Report dated 11/07/2019 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: 11/07/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2019

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: PLUMMER, LUCINDA	FACILITY NUMBER: 274410147
	VISIT DATE: 11/07/2019

NARRATIVE

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Report dated 11/07/2019 continues from page 1.

A review of staff records on 11/06/2019 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 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 to 8 children and ratio (age of the children) must be observed. The Licensee states that she does not transport children via vehicle and she understands that children cannot be left in parked vehicles unattended at any time.

Department website: www.ccld.ca.gov provided to Licensee.
LPA discussed the requirements of AB 633 with the Licensee. LPA also discussed "zero tolerance" related regulations with the Licensee.
LPA observed that the Licensee and her spouse have completed the AB1207 mandated reporter training for child care workers in California on 11/20/2017, and Licensee is aware of renewing the training every two years. LPA referred the Licensee to the Department website: www.ccld.ca.gov for additional information on the online training. LPA advised licensee of the pending Department regulation update re: Safe sleep for infant children. LPA referred the Licensee to the Department website: www.ccld.ca.gov for additional information. LPA provided licensee with a Child Care Advocate email: rwillia1@dss.ca.gov
LPA conducted an exit interview with the Licensee.
There are not deficiencies cited with today's inspection.
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: 11/07/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2019

LIC809 (FAS) - (06/04)

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