274450279-2-20-2020-07-CC-FCJO-BLYRDH-20200220115557

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 274450279
Report Date: 02/20/2020
Date Signed: 02/20/2020 11:56:02 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:	CAMARENA, CELSA		FACILITY NUMBER:	274450279
ADMINISTRATOR:	CAMARENA, CELSA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(831) 758-9534
CITY:	SALINAS	STATE: CA	ZIP CODE:	93905
CAPACITY:	14	CENSUS: 6	DATE:	02/20/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Celsa Camarena		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 Analysts (LPA) Fermin Campos-Jaramillo conducted an unannounced one year required inspection to the home today. LPA met with Celsa Camarena, Licensee, and explained the nature of today's visit to her. LPA observed six children in care included one infant and five preschool age children. Licensee's husband and helper arrived a few minutes later. Licensee's son Fernando was also present in the home. Days and hours of operation are Monday to Friday from 5:30 AM to 5:30 PM. The adults that reside in the home are the Licensee, her husband Fernando, her daughter Elizabeth, her son Fernando, her grandson Ivan, and her son in law Anselmo. Licensee's certifications for CPR and First Aid are current and will expire on 1/13/2021 and for her husband on 1/03/2021. LPA toured the indoor and outdoor areas of the home during today's visit. LPA obtained a copy of the children's roster and Licensee stated it is current. LPA reviewed the Fire/Disaster drill log during today's visit. The last fire drill was performed on 1/17/2020. LPA reviewed six children files and they are complete. Licensee has a working telephone in the home. LPA observed sufficient materials, toys, and play equipment for the day care children. The home is clean, orderly, and safe for the day care children. LPA did not observe any wall heaters inside the home. Off limit areas in the home: 4 bedrooms and one bathroom, and the attached garage. The home has a barricaded fireplace located in the on limits area. There are not stairs in the home. Off limit areas outside the home: 2 small sheds in the back yard and the right and left side yards. Licensee keeps an small dog in the left side yard and stated the dog has been vaccinated. LPA observed a fully charged 3A40BC fire extinguisher served on February 2019, working smoke and carbon monoxide detectors. 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 with the Licensee. Licensee and her helpers have proof of the immunization for measles, pertussis and influenza according with the SB792. *******************************Report dated 2/20/2020 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: 02/20/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2020

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: CAMARENA, CELSA	FACILITY NUMBER: 274450279
	VISIT DATE: 02/20/2020

NARRATIVE

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Report dated 2/20/2020 continues from page 1.

A review of staff records on 2/18/2020 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 Licensee and she understands that she or a qualified adult 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 qualified assistant must be present present. Licensee understands in absence of a helper her license capacity is reduced to 8 and ratio (age of the children) must be observed. Licensee stated her husband Fernando transports children via vehicle and he understands that children cannot be left in parked vehicles unattended at any time.
Department website: www.ccld.ca.gov provided to Licensees.
LPA discussed the requirements of AB 633 with the Licensee. LPA also discussed "zero tolerance" related regulations with the Licensee.
LPA observed that Licensee has completed the required "mandated reporter" training that all Licensees will be required to complete starting January 1, 2018. Licensee has completed the training on 2/7/2020. LPA informed licensee that all the adults in contact with children in her home are required to complete the training. 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.
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: 02/20/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2020

LIC809 (FAS) - (06/04)

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