<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 393608363
Report Date: 02/24/2020
Date Signed: 02/24/2020 02:52:04 PM

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:ESPINOZA, MARIAFACILITY NUMBER:
393608363
ADMINISTRATOR:ESPINOZA, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 823-2215
CITY:MANTECASTATE: CAZIP CODE:
95336
CAPACITY:14CENSUS: 13DATE:
02/24/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Aurora RamirezTIME COMPLETED:
03:00 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
Maria Espinoza is Spanish speaking and Licensing Program Analyst (LPA) Marissa Soto spoke with Maria Espinoza in Spanish, and have translated the conversation to English below.

On February 24, 2020 at 1:00pm, Licensing Program Analyst (LPA), Marissa Soto met with Licensee's assistant, Aurora Ramirez for an unannounced Annual inspection. Present in the home were Licensee's assistant supervising 8 children. At 1:10 pm Licensee Maria Espinoza arrived with 5 more children, making todays census 13. (Ages: 3 months, 2 years old, 2 years old, 2 years old, 2 years old, 3 years old, 4 years old, 5 years old, 5 years old, 6 years old, 8 years old, 9 years old, and 9 years old). Licensee stated there are no new residents in the home since licensure, Home is 1 story, 3 bedrooms, 2.5 bathrooms. Day care hours of operation are Monday-Friday 6:30 AM to 5:30 PM year round with periodic breaks through the year. All adults living in the home have criminal background clearance.
A health and safety inspection was conducted in all areas accessible to children and the following was observed front yard, kitchen, living room, family room, dining room, bedroom #1 and bedroom #2, laundry room, and backyard; Off-limits areas are: front bedroom, and fenced area in the backyard/shed area. LPA observed hazardous items properly stored out of child reach on high shelves in kitchen/laundry room area. There were no hazardous items located in the bathroom. Medication are stored in a high cabinet in the laundry room made inaccessible to children. Fire extinguisher, smoke and carbon monoxide detectors are functional. Toys appear to be safe and age appropriate. Licensee has a pool surrounded by 6ft iron fence with self latching locked gate. Outdoor play area is free of hazardous and dangerous conditions and is fenced for supervision.

A sample of children’s files were reviewed and determined to be in compliance with licensing requirements. A current roster is being maintained and fire and disaster drills are conducted at least once every six months and are documented on a sheet. Current pediatric CPR and first aid certification was verified and expires on 06/23/2020.


Report continues on 809-C
SUPERVISOR'S NAME: Maria MayorgaTELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Marissa SotoTELEPHONE: (916) 926-9488
LICENSING EVALUATOR SIGNATURE:

DATE: 02/24/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2020
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, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
FACILITY NAME: ESPINOZA, MARIA
FACILITY NUMBER: 393608363
VISIT DATE: 02/24/2020
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
LPA discussed the California Child Care Worker: Mandated Reporter Training with the licensee. The licensee must complete the training every two years starting January 1, 2018 and retain proof of completion in the facility file. The training can be found at: mandatedreporterca.com.

LPA also discussed the Smoking ban, Licensee acknowledged that the home is smoke free. Incidental Medical Services (IMS) policies were also discussed with the licensee. LPA discussed immunization requirements with the licensee. This provider is currently not providing IMS services to children in care. IMS policy was discussed with Licensee. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department.

The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/(800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

Lead Poisoning Facts Information Flyer was provided and Licensee was advised that beginning January 1, 2019 a new law (AB 2370) requires licensed homes and centers to share information on the risks and effects of lead exposure with enrolling and re-enrolling families.

LPA advised the licensee on Safe Sleep Practices and SIDS; the licensee stated they are understood. She stated she uses play yards for sleeping infants and understand infants cannot sleep in car seats, swings or other items not intended for sleeping. LPA verified the annual fees are current. LPA provided the Child Care Advocates Program email address: childcareadvocatesprogram@dss.ca.gov, so the licensee can request to be added to the distribution list to receive Quarterly Updates.

This facility evaluation report was reviewed and discussed with the licensee. A Notice of Site Visit was provided and should remain posted for 30 days for parental review. Licensee was encouraged to visit the Department website at WWW.CDSS.CA.GOV for child care updates, current forms, legislation and regulation information. A copy of this report will remain on file for a period of three years for public review upon request. Appeal rights provided during today's visit.

SUPERVISOR'S NAME: Maria MayorgaTELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Marissa SotoTELEPHONE: (916) 926-9488
LICENSING EVALUATOR SIGNATURE:

DATE: 02/24/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2020
LIC809 (FAS) - (06/04)
Page: 2 of 2