393614905-12-13-2019-53-CC-CJAN-BJTPQS-20191213103136

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 393614905
Report Date: 12/13/2019
Date Signed: 12/13/2019 10:31:57 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:	LANDEROS, SYLVIA		FACILITY NUMBER:	393614905
ADMINISTRATOR:	LANDEROS, SYLVIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(209) 833-2219
CITY:	TRACY	STATE: CA	ZIP CODE:	95304
CAPACITY:	14	CENSUS: 6	DATE:	12/13/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:10 AM
MET WITH:	Sylvia Landeros		TIME COMPLETED:	10:35 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 Analysts (LPAs) Christopher Jackson and Gagandeep Singh met with licensee Sylvia Landeros for an unannounced random annual inspection and toured areas of the home accessible to children in care. Off-limit areas include Garage and Gated side yard containing shed. Licensee acknowledged that children may never enter these off-limit areas. The census included six children. Also present was licensee’s assistant. Licensee stated there are no new residents in the home since licensure. All Adult residents have criminal record clearances. LPAs observed current CPR/First Aid certificates which expire on 01/21. LPAs discussed licensing requirements, including the posting of licensing inspection notices and reports and Parent Notification Requirements. LPAs reviewed three children’s files. LPAs observed fire drills were conducted at least once every six months and documented. LPAs observed that there were no hazardous items accessible to children. LPAs observed Fireplace which was screened. LPAs observed that cleaning materials were inaccessible. Licensee stated there are no weapons in the home. Fire extinguisher, smoke detector and carbon monoxide detector meet regulation. Toys appear to be safe. The backyard is fenced and gated. There is an in ground pool on the property which is completely surrounded by a see through rod iron fence that is at least 5 feet high. LPAs observed the gate to self-close and self-latch. Licensee stated there are no windows or doors that provide direct access into the pool area. Report Continues on 809-C

SUPERVISOR'S NAME: Sharon Ogbodo	TELEPHONE: (916) 263-5721
LICENSING EVALUATOR NAME: Christopher Jackson	TELEPHONE: (916) 216-8837
LICENSING EVALUATOR SIGNATURE:	DATE: 12/13/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2019

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

FACILITY NAME: LANDEROS, SYLVIA	FACILITY NUMBER: 393614905
	VISIT DATE: 12/13/2019

NARRATIVE

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Incidental Medical Services (IMS) policy was discussed. 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.

LPAs discussed the following changes in licensing requirements. Senate Bill 277 (no longer accepting religious beliefs for immunization's) and SB 792 pertaining to immunization requirements for children and staff. Licensee provided proof of staff immunization's. LPAs provided the flyer for the proposed changes in sleep regulations for licensee to review. LPAs also provided the handout on Effects of Lead Exposure.

LPAs discussed the Mandated Reporter Training with licensee. LPAs reminded licensee that requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. The OCAP modules are free of cost and available at: http://www.mandatedreporterca.com/. The training is currently provided in English. LPAs observed the completion certificate during today's inspection.

LPAs checked facilities fees and confirmed that it is up to date.

LPAs provided the Community Care Licensing website www.ccld.ca.gov, so the licensee can obtain updated licensing information, new regulations and access forms. LPAs advised licensee of their responsibility to stay current in regards to new regulations. LPAs also included the email address for the children's advocacy program to stay current on new laws childcareadvocatesprogram@dss.ca.gov.

No Title 22 Deficiencies observed in the areas that were evaluated. LPAs reviewed report with the licensee and provided copies. An exist interview was conducted. LPAs observed the Notice of Site Visit posted and the licensee understands it must remain posted for 30 days.

SUPERVISOR'S NAME: Sharon Ogbodo	TELEPHONE: (916) 263-5721
LICENSING EVALUATOR NAME: Christopher Jackson	TELEPHONE: (916) 216-8837
LICENSING EVALUATOR SIGNATURE:	DATE: 12/13/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2019

LIC809 (FAS) - (06/04)

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