384002410-5-11-2022-05-CC-BVAN-CEBQWR-20220511123221

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 384002410
Report Date: 05/11/2022
Date Signed: 05/11/2022 12:33:16 PM

Document Has Been Signed on 05/11/2022 12:33 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME:	GATE, GELMA		FACILITY NUMBER:	384002410
ADMINISTRATOR:	GATE, GELMA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(415) 254-0639
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94116
CAPACITY:	14	CENSUS: 9	DATE:	05/11/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Gelma Gate		TIME COMPLETED:	12:40 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	On May 11, 2022, Licensing Program Analyst (LPA) Van conducted an annual 1-year mandated inspection, including inspecting the facility's interior and exterior and reviewing the required childcare paperwork with the Licensee. LPA met Gelma Gate and explained the purpose of the inspection. The Licensee, the Licensee's helper, and 9 enrolled preschool children are present at home. Every adult living or working in the house has a criminal record clearance. Daycare areas are on the main level, including the living room, dining room, kitchen, bathroom, and the front portion of the backyard. During the inspection, the Licensee wishes to make the Living room an off-limit area. The new Off-limit areas are the entire top level, the ground level, the back portion of the backyard, and the newly requested living room. All restricted daycare areas have been appropriately blocked off from the children. According to the Licensee, when a child displays indications of illness, the Licensee will separate and have the child wait in the front section of the play yard while contacting the parent to take them up. The days and hours of operation are Monday through Friday, 8:30 am to 4:30 pm. LPA toured and evaluated the indoor and outdoor play areas for health and safety hazards. The childcare space is clean and tidy, with age-appropriate activities, books, and play materials. Mats are for older children to use for napping, and the parents provide mats. LPA discussed with the Licensee the new Safe Sleep Regulation and informed the Licensee that no toys or pillows are allowed in the infants' crib or playpens, and all cribs/playpens should have mattresses that are the exact size and have fitted sheets. The home has sufficient heating, lighting, and ventilation, and it is free of defects or risks that harm children in care. There are a fully charged fire extinguisher, smoke and carbon monoxide detectors, as well as a functional phone. Fully stocked first aid supplies are available for children.

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon Van	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 05/11/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2022

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, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: GATE, GELMA	FACILITY NUMBER: 384002410
	VISIT DATE: 05/11/2022

NARRATIVE

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Poisons, detergents, and cleaning agents are kept in a secured cabinet beneath the kitchen sink, with child-proof installed. According to the Licensee, there are no firearms or weapons. The Licensee has a dog at home, and according to the Licensee, the dog has up-to-date vaccination. There are no pools, spas, or other bodies of water on the premises. LPA observed no baby walker, baby bouncer, or similar equipment in the daycare areas. Licensee acknowledges that smoking is prohibited in family childcare homes. According to the Licensee, the facility serves breakfast, lunch, and morning and afternoon snacks.
Per Licensee, she has not conducted any fire and earthquake drills since July 2021. The Licensee could not provide any documentation of any previous drills conducted.
The facility has records for children in care, including immunization records. Each child has a complete emergency information card with the child's full name, telephone number, and location of a parent or authorized representative to be contacted in an emergency. The name and telephone number of the child's physician and the parent's authorization for the Licensee to consent to emergency medical care are on their respective file. The facility has posted all the required forms, such as facility License, Notification of Parent's Rights, and Notification of Personal Rights. Licensee and helper kept a record of their immunizations. However, both Licensee Mandated Reporter Training AB1207 were expired. In addition, both Licensee and Helper Pediatric FirstAid CPR were expired, Technical Violation was issued. Licensee stated she and helper have already signed up for the CPR class, the class will take place next week.
LPA discussed the safe sleep regulations with the Licensees and discussed the Child Care Licensing Safe Sleep webpage https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed the Licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon Van	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 05/11/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2022

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, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: GATE, GELMA	FACILITY NUMBER: 384002410
	VISIT DATE: 05/11/2022

NARRATIVE

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Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.
The Licensee was reminded about the Provider Information Notices (PINs) on the CCLD website. Licensees were informed 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 or qualifies for an exemption pursuant to Health and Safety code 1596.7995 and 1597.662. LPA reviewed AB 1207 with the Licensees. As of January 1, 2018, all staff must complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com. Effective July 1, 2020, Licensees must have proof of completion of EMSA certified lead poison training if applying for a change of location or capacity change to an existing license.
LPA encouraged the Licensee to visit the Licensing website at www.ccld.ca.gov for licensing regulations and new updates. The Licensee can also email at childcareadvocatesprogram@dss.ca.gov and ask to be added to the email list for the updates.
To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.
See the attached deficiencies page for deficiencies issued today under Title 22 Division 12 of the Ca. Code of Regulations.
This report and rights to comment and appeal have been discussed with the Licensee. The report was reviewed and signed by Licensee Gelma Gate. Today's report, 5/11/2022, and site visit notice will be sent to Gelma Gate's email on 5/11/2022. Confirmation of receipt is required, and a site visit notice must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon Van	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 05/11/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2022

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 05/11/2022 12:33 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: GATE, GELMA	FACILITY NUMBER: 384002410
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/11/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102417(g)(9)(A)

Operation of A Family Child Care Home

(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (9) Each family child care home shall have a written disaster plan of action prepared on a form approved by the Department. All children, age and ability permitting, and the provider, the assistant provider, and other members of the household, shall be instructed in their duties under the disaster plan. As their age and ability permit, newly enrolled children shall be informed promptly of their duties as required in the plan. (A) Each family child care home shall conduct fire drills and disaster drills at least once every six months. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review and interview, the Licensee could not provide a record of the fire & earthquake drills. The Licensee stated the last drills were conducted sometime in July 2021 but could not provide documentation. Not conducting fire and earthquake drills poses/posed a potential health, safety, or personal rights risk to persons in care.
	POC Due Date: 05/20/2022
	Plan of Correction
1 2 3 4	Licensee must ensure that fire and earthquake drills are conducted at least once every six months and needed to document the drills. The Licensee states she will set a reminder not to miss it on her phone. A return visit is needed to check for completion.

Type B

Section Cited

HSC

1596.8662(b)(1)

Administration of Child Day Care Licensing

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on the interview and record review, the Licensee did not comply with the section cited above; both Licensee and helper did not have a valid Mandated Reporter training. The Licensee could not provide any record of completion available for review, which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 05/20/2022
	Plan of Correction
1 2 3 4	Licensee must ensure that the Mandated Reporter Training is completed bi-annually and available for review during the inspection. The Licensee states she and her helper will complete the training this week and provide them to LPA.

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon Van	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 05/11/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2022

LIC809 (FAS) - (06/04)

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