334845960-3-24-2021-09-CC-KLEG-BZELHP-20210324084636

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 334845960
Report Date: 03/23/2021
Date Signed: 03/24/2021 08:46:45 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME:	SALDIVAR FAMILY CHILD CARE		FACILITY NUMBER:	334845960
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 8	DATE:	03/23/2021
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME BEGAN:	03:02 PM
MET WITH:	Christina Saldivar		TIME COMPLETED:	04:30 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	Due to COVID-19, a tele-inspection was conducted. On 3/23/2021 at 3:02pm, Licensing Program Analyst (LPA) Kim Leung met licensee Christina Saldivar via Google Duo conducting a case management inspection. The purpose of this visit was to provide technical assistance and ensure the facility is safe for the care and supervision of children in care. Licensee guided LPA on a virtual tour of the facility. This small family child care home, which recently obtained a waiver to provide care to up to 14 children at the same time with an assistant provider, is operated Monday through Friday from 7am to 6pm. If facility makes any changes to the operation, licensee shall notify the Riverside Child Care Regional Office ahead of time. Drop off and pick up will take place outside at the front door. Visitors and parents do not go inside of the facility. Health check including temperature taking using no touch thermometer and health screening questionnaire on children is conducted each day upon children’s arrival. The same health check procedure would apply to assistant provider in the future when an assistant is hired. If child(ren) become ill during the course of the day, their authorized representative will be contacted immediately for early pick up. The child(ren) will be placed in the dining room waiting for pick up and other children would be using other activity areas, including the backyard if weather allows. Department of Public Health will be contacted in regard to any possible exposure of COVID-19. Facility does not plan to administer medication at this time. The hall bathroom is used by children. As stated by licensee, the bathroom is cleaned and sanitized after every single use. LPA observed hand-washing poster above the sink in the bathroom. A fire clearance is on file for a capacity of 14. There are sufficient age appropriate furniture and supplies in place the children. Carbon-monoxide detector and smoke detector are present and were tested by licensee during this inspection. Both were found to be functioning at this time. Facility is advised to keep all

SUPERVISOR'S NAME: Aaron Ross	TELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Kim Leung	TELEPHONE: (951) 529-4713
LICENSING EVALUATOR SIGNATURE:	DATE: 03/23/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2021

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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: SALDIVAR FAMILY CHILD CARE	FACILITY NUMBER: 334845960
	VISIT DATE: 03/23/2021

NARRATIVE

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activity areas properly ventilated during hours of operation. Facility is in compliance with ratio requirements at time of the visit. Child Care Industry Guidance regarding facial covering and social distancing were reviewed with and explained to the licensee during visit. Licensee agreed to follow the guidance on group size, face coverings, social distancing, health screening, hand-washing, cleaning and sanitation. Identification & Emergency Form and Consent for Emergency Medical Treatment for the children present were reviewed at time of the inspection. Infant Sleeping Plans were also reviewed for the infants in care. Criminal record clearances for adult residents are on file. Licensee has completed current EMSA approved pediatric First Aid and CPR training which expires in October, 2022. Licensee agreed to ensure that at least one qualified adult who has completed current training on CPR and First Aid will be present with children during hours of operation.

The backyard is used for outdoor activities. Licensee agreed to provide appropriate supervision to the children indoor and outdoor. Facility will follow physical distancing guidance during outdoor activities. Facility provides lunch and snacks in individual trays. Drinking water is provided by use of individual water bottles labeled with names. As stated by licensee, all child care areas are cleaned and sanitized on a daily basis or more often when necessary following local public health department’s cleaning and sanitation guidelines. All supplies are sanitized throughout the day.

The terms and conditions of the Emergency Waiver were reviewed with licensee Christina Saldivar during visit. This report shall be posted along with the waiver letter.

To further ensure health and safety of the children in care, Community Care Licensing will provide on-going Technical Assistance (TA) to Saldivar Family Child Care.

Please feel free to contact the Riverside Child Care Regional Office at (951) 782-4200.

An exit interview was conducted with Ms. Saldivar. LPA provided the facility with a copy of this report along with a Notice of Site Visit via email this date on 3/23/2021. Ms. Saldivar agreed to acknowledge receipt of the email. An electronic “read receipt” was also attached. The electronic read receipt of the emailed report acknowledges receipt of this report.

SUPERVISOR'S NAME: Aaron Ross	TELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Kim Leung	TELEPHONE: (951) 529-4713
LICENSING EVALUATOR SIGNATURE:	DATE: 03/23/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/23/2021

LIC809 (FAS) - (06/04)

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