274450278-3-11-2020-07-CC-FCJO-BMLPYB-20200311114340

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 274450278
Report Date: 03/11/2020
Date Signed: 03/11/2020 11:43:45 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:	ROSALES,MARIA & HILDA		FACILITY NUMBER:	274450278
ADMINISTRATOR:	ROSALES,MARIA & HILDA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(831) 424-5421
CITY:	SALINAS	STATE: CA	ZIP CODE:	93905
CAPACITY:	14	CENSUS: 7	DATE:	03/11/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:50 AM
MET WITH:	Maria and Hilda Rosales		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 required inspection to the home today. LPA met with Maria and Hilda Rosales, Licensees, and explained the nature of today's inspection to them. Days and hours of operation are Monday to Saturday from 4:00 AM to 3:00 AM. The adults that reside in the home are both Licensees, Maria's husband Jorge, and adults relatives Jose and Pablo. There were five preschool children and two school age children present today in the home. Licensee's certifications for CPR and First Aid card is current and will expire on 5/28/2020 for Maria and on 5/18/2020 for Hilda. LPA toured the indoor and outdoor areas of the home during today's inspection. LPA reviewed the Child Care Facility Roster during today's inspection and it is current. LPA reviewed 5 children's files and they are complete and current including the parent's rights form, and the immunization records form. Licensee has documented a fire drill during the last six months. Last fire drill was documented on 3/05/2020. 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 the home: All second floor, one bedroom in the first floor, and the attached garage. LPA observed there are barricaded stairs in the home. Off limits areas outside: Both side yards and a shed in the back yard. LPA observed the back yard is fenced. Licensee uses the left side yard as playground whenever the weather allows it. Licensee keeps 5 dogs in the left side yard and stated they are vaccinated. LPA observed a fully charged 3A40BC fire extinguisher last serviced on May 2019 and working smoke detectors. LPA observed the home has a working carbon monoxide detector and no bodies of water. LPA observed there are not wall heaters in the home. LPA observed there is a barricaded fireplace in the on limits living room. 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 discussed Incidental Medical Services (IMS) with the Licensee. Licensees have in file proof of immunization according with the SB792 for measles, pertussis and influenza. **********************************Report dated 03/11/2020 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: 03/11/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2020

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: ROSALES,MARIA & HILDA	FACILITY NUMBER: 274450278
	VISIT DATE: 03/11/2020

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 03/11/2020 continues from page 1.

A review of staff records on 03/09/2020 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 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 she cannot have more than 14 children in the home at any time and must observe ratio (age of the children). Licensee understands that a helper is required to assist in the home whenever the number of children is greater than 8. LPA reviewed with Licensee the age components "ratio" of a large FCCH license. Licensees states that they do not transport children via vehicle and they understand 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. LPA observed that both Licensees have completed on 3/13/2018 the required "mandated reporter" training that all Licensees and adults in contact with children will be required to complete starting January 1, 2018. Licensee understands that training must be renewed every two years. LPA referred the Licensee to the training website: www.mandatedreporterca.com 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 the Lead Poisoning Facts sheet.

No deficiencies were cited today. Appeal rights instructions were printed and provided to the licensee.
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: 03/11/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2020

LIC809 (FAS) - (06/04)

Page: 2 of 2