274410147-8-2-2024-07-CC-FCJO-D7RSMM-20240802140010

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 274410147
Report Date: 08/02/2024
Date Signed: 08/02/2024 02:00:17 PM

Document Has Been Signed on 08/02/2024 02:00 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 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: 10	DATE:	08/02/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	12:33 PM
MET WITH:	Lucinda Plummer		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 Analyst (LPA) Fermin Campos-Jaramillo conducted an unannounced annual inspection to the home today. LPA met with Lucinda Plummer, licensee and her spouse and helper Dennis, and explained the nature of today's visit to them. LPA observed ten children in care in today's inspection, including four infants and six preschool age children. Days and hours of operation are Monday to Friday from 6:00 AM to 5:00 PM. The adults that reside in the home are the Licensee and her spouse Dennis. Licensee's and licensee's helper's certifications for CPR and First Aid are current and will expire on 3/09/26. LPA toured the indoor and outdoor areas of the home during today's visit. LPA took pictures of the children's roster, that will be printed and placed in Licensing Program file. 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. Licensee has documented a fire/disaster drill last on 5/07/24. The Licensee has a working telephone in the home. LPA observed sufficient materials, toys, and play equipment for the day care children. Licensee stated the only off limits are inside the house is the master bathroom . The home is 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 there are two pet dogs inside the home and licensee has proof of vaccination for them. 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's husband showed the safe vault where he keeps the weapons and the locked box where they 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 8/02/24 continues on page 2.

SUPERVISOR'S NAME: Susy Cervantes	TELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Fermin Campos-Jaramillo	TELEPHONE: 408-334-8557
LICENSING EVALUATOR SIGNATURE:	DATE: 08/02/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2024

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

FACILITY NAME: PLUMMER, LUCINDA	FACILITY NUMBER: 274410147
	VISIT DATE: 08/02/2024

NARRATIVE

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*********************************Report dated 8/02/24 continues from page 1.
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 observed that the Licensee and her spouse have renewed the AB1207 mandated reporter training for child care workers in California on 12/04/22 and 12/03/22 respectively. 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.
A review of staff records on 7/02/24 indicates that all Facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.
Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.
LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep web page at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource.

LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Report dated 8/02/24 continues on page 3

SUPERVISOR'S NAME: Susy Cervantes	TELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Fermin Campos-Jaramillo	TELEPHONE: 408-334-8557
LICENSING EVALUATOR SIGNATURE:	DATE: 08/02/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2024

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

FACILITY NAME: PLUMMER, LUCINDA	FACILITY NUMBER: 274410147
	VISIT DATE: 08/02/2024

NARRATIVE

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*****************Report dated 8/02/24 continues from page 2.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. 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: https://www.ada.gov/resources/child-care-centers/.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Exit interview conducted and report was reviewed with the licensee Lucinda Plummer.

No deficiencies were cited today.

A notice of site visit was given and must remain posted for 30 days

SUPERVISOR'S NAME: Susy Cervantes	TELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Fermin Campos-Jaramillo	TELEPHONE: 408-334-8557
LICENSING EVALUATOR SIGNATURE:	DATE: 08/02/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2024

LIC809 (FAS) - (06/04)

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