343621297-8-2-2021-03-CC-GSIH-C5HP23-20210802105517

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 343621297
Report Date: 08/02/2021
Date Signed: 08/02/2021 10:55:22 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME:	TORRES JR., JULIAN & SANDRA		FACILITY NUMBER:	343621297
ADMINISTRATOR:	TORRES JR., JULIAN		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(916) 476-5554
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95826
CAPACITY:	14	CENSUS: 6	DATE:	08/02/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:50 AM
MET WITH:	Sandra & Julian Torres		TIME COMPLETED:	11:00 AM

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) Gagandeep Singh met with licensees, Sandra & Julian Torres, for an annual inspection. The purpose of the inspection was explained. Licensees live in a single story house. Present, there are six children (1 infant, 2 pre school age, 3 school age) in care with both of the licensees. All adults living or working in the home have criminal background check on file. Licensee is operating within the capacity of this date. Licensee provides day care from Monday to Friday between 7 AM to 6 PM. LPA inspected the day care areas with the licensee. Day Care Areas: Living Room, Kitchen, Hallway, Bathroom in hallway and Backyard. Off limit areas: All bedrooms and Garage. There is no pool, spa or any other body of water in the house. As per licensee, there is no firearm or weapon in the house. All the cleaning supplies, poisons and other chemicals are stored in offlimit areas and are inaccessible to the children. Knives are stored in the top cabinets in the kitchen. Fireplace is barricaded with furniture. The house is in good repair and free of hazards with proper temperature and ventilation. There is carbon monoxide detector, smoke detector, fully charged fire extinguisher and working telephone available in the house. There is a variety of age appropriate toys in the house. All furniture is age appropriate and with round edges. The large furniture is secured with wall and is steady. All unused electrical outlets has child protective covers installed. LPA reviewed the facility records. LPA observed licensee has License and other required documents posted in the child care areas. LPA observed licensee has COVID-19 precaution posters posted. Both of licensees have record of training of preventive health and CPR card valid until December 2021. LPA remind the licensee to conduct the fire or emergency drills at least once every six months and drills must be logged. Licensee has a log in place and per log, last drill was conducted on July 06, 2021. LPA also reviewed the present children's record. LPA reviewed the identification and emergency information form for every child for proper names and numbers filled. Licensee has record of immunization of each child in care. LPA observed licensee has well maintained children roster on file. See next page for continuation ..............

SUPERVISOR'S NAME: Maria Mayorga	TELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Gagandeep Singh	TELEPHONE: (916) 216-7823
LICENSING EVALUATOR SIGNATURE:	DATE: 08/02/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2021

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, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833

FACILITY NAME: TORRES JR., JULIAN & SANDRA	FACILITY NUMBER: 343621297
	VISIT DATE: 08/02/2021

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

Continuation from previous page ................

Licensees are aware of safe sleep regulations and LPA observed the Infant's sleep plan in the file of the infant, that is present today. Licensees are aware that all staff is required to complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com. LPA observed both of the licensees have completion certificate on file and per certificate, the training was conducted in September 2019.

LPA reminded the licensee that as of September 1, 2016, a person may not be employed or volunteer at a child care facility unless he or she has been immunized against influenza, pertussis, and measles. LPA observed the record of licensee’s required immunization on file.

LPA reminded the licensee that all adults, 18 years and older living in the home, helper or assistant must have criminal record clearance and must be associated to the facility by submitting an LIC 9182 with copy of CA DL or CA ID prior to having any contact with children in care. Failure to do so could result in an immediate civil penalty of $100.00 each day. Licensee will have their child turn 18 at the end of this year. LPA reminded licensee to have the child obtain the criminal clearance after turning 18.

LPA encourage the licensee to frequently visit our website at www.ccld.ca.gov for licensing regulations and new updates. Licensee can also email at childcareadvocatesprogram@dss.ca.gov and ask to be added to the email list for the updates.

No deficiencies are cited today. The copy of this report is reviewed and provided to the licensee. Notice of site visit is posted and shall remain posted for next 30 days.

SUPERVISOR'S NAME: Maria Mayorga	TELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Gagandeep Singh	TELEPHONE: (916) 216-7823
LICENSING EVALUATOR SIGNATURE:	DATE: 08/02/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2021

LIC809 (FAS) - (06/04)

Page: 2 of 2