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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 274416679
Report Date: 08/06/2020
Date Signed: 08/06/2020 03:09:49 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:MEZA, LIZETTEFACILITY NUMBER:
274416679
ADMINISTRATOR:MEZA, LIZETTEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(831) 756-8225
CITY:SALINASSTATE: CAZIP CODE:
93905
CAPACITY:14CENSUS: 0DATE:
08/06/2020
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Lizette MezaTIME COMPLETED:
03:15 PM
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Licensing Program Analyst (LPA), Joe Macias conducted a virtual platform/ Zoom, announced Prelicensing Inspection. LPA met with the Applicant Lizette Meza. The Applicant, and her husband Francisco Valdez are the only adults who reside in the home. The Applicant has two children who also lives in the home, daughter 3 years of age, and son 2 years age. The Applicant rents the home, and has provided a rental agreement. A fire safety inspection approval was received from Salinas City Fire Department prior to today's inspection. Days and hours of operation are Monday thru Friday from 5:30am to 5:30pm. Applicant's certification for CPR and First Aid are current and expire June 20, 2021. Applicant has current health preventative training. Applicant may obtain liability insurance upon receiving her license.

LPA toured the indoor and outdoor areas via virtual platform/ Zoom during today's visit. Off limit areas are as follows: entire second floor, laundry room, and garage. LPA observed a fully charged 2A10BC fire extinguisher. LPA observed working smoke and carbon monoxide detectors. There are no bodies of water. The LPA observed a securely barricaded fireplace, as well as a securely gated staircase in the home. Applicant stated that there are no weapons or firearms in the home. Cleaning products, medications, sharp objects and other similar items are securely stored and inaccessible to children. LPA advised Applicant that poisons need to be locked at all times. LPA reminded Applicant that baby walkers, bouncers, jumpers and similar items are not allowed in family child care homes.

Applicant will be using effective communication (approach the child with kindness at their eye level), redirection, and positive reminders as forms of discipline. Applicant understands that children's personal rights should not be violated; including no corporal punishment. Discussed isolation of sick children, supervision of children, capacity options, transportation of children, requirements for reporting suspected child abuse, unusual incidents/injuries, heat related illnesses, and requirements for assistant/substitute. LPA informed Applicant that fire/disaster drills must be practiced at least once every 6 months and documented.

LPA advised the Applicant of the new immunization requirement (pertussis, measles, and flu vaccines) for all Licensees and staff that work directly with the children. LPA has received copies of the Applicant's immunization records.

Applicant has completed the Mandated Reporter Training.

SUPERVISOR'S NAME: Sandy KnightTELEPHONE: (408) 324-2151
LICENSING EVALUATOR NAME: Joseph MaciasTELEPHONE: (408) 334-8320
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2020
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: MEZA, LIZETTE
FACILITY NUMBER: 274416679
VISIT DATE: 08/06/2020
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LPA also went over safe sleep for infants:

· Always place infants on their backs for sleeping.


· Use a tight-fitting sheet on the crib or play yard mattress.
· Do not hang any items from the crib or above the crib.
· Keep all items out of the crib or play yard.
· Pacifiers may be used as long as they do not have items attached to them.
· Infants should not be swaddled or have any items covering them while sleeping.


A review of staff records on August 6, 2020 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 reminded Applicant 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. A $500 immediate civil penalty. An ongoing $100 per day per violation continues until the violation(s) is corrected.

Incidental Medical Services (IMS) policy was discussed. 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 discussed the requirements of AB 633 with the Applicant and provided her the AB 633 fact sheet and a copy of Acknowledgement of Receipt of Licensing Reports (LIC 9224) and Applicant understands the requirements. LPA also discussed AB 2231: Civil Penalty Updates effective July 1, 2017 with Applicant. A $500 immediate civil penalty and $100 per day violation until corrected is assessed for serious violations "zero tolerance" such as absence of supervision, accessible bodies of water, accessible firearms, refused entry of licensing staff, presence of an excluded person, and violations that result in illness or injury.

LPA conducted an exit interview with the Applicant via Zoom and advised that a large Family Child Care Home license will be issued pending management approval. The LPA has emailed the Applicant a copy of the report, as well as mailed.

SUPERVISOR'S NAME: Sandy KnightTELEPHONE: (408) 324-2151
LICENSING EVALUATOR NAME: Joseph MaciasTELEPHONE: (408) 334-8320
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2020
LIC809 (FAS) - (06/04)
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