393620320-2-12-2020-53-CC-ASRN-BLR2NC-20200212163231

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 393620320
Report Date: 02/05/2020
Date Signed: 02/12/2020 04:32:41 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:	SOLIS, MARIELA		FACILITY NUMBER:	393620320
ADMINISTRATOR:	SOLIS, MARIELA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(209) 808-8877
CITY:	STOCKTON	STATE: CA	ZIP CODE:	95212
CAPACITY:	14	CENSUS: 2	DATE:	02/05/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	10:15 AM
MET WITH:	Mariela Solis		TIME COMPLETED:	01:45 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	Licensing Program Analyst (LPA) Aruna Sridharan met with licensee Mariela Solis for an unannounced annual inspection. The facility operations seven days a week/24 hours a day; licensee understands that she can not provide care for a children for more than 24 consecutive hours. Licensee understands she must be present 80% of operating hours and must submit a change of location application is she relocates. LPA toured all areas of the single storey home that are accessible to the children and observed care and supervision, a current roster of children, capacity and ratio. Today’s census was one preschooler and one infant. The children's files were reviewed and Also present in the home was the licensee's husband who has been fingerprint cleared. LPA confirmed that all adult residents residing or working in the home have criminal record clearances. LPA advised licensee if anyone over the age of 18 years old moves into the home they must have a criminal record clearance as well. LPA observed posting of the license, Parent's Rights and the current disaster plan. Off-limit areas include all four bedrooms, laundry room, garage and shed. Licensee acknowledged that children may never enter these off-limit areas. The backyard is fenced and licensee acknowledges that children may never be left unsupervised in an unfenced area of the yard. The licensee stated there are weapons at home and LPA observed that it meets regulation. LPA observed expired CPR and First Aid certificate (9/19) that is potential risk to the health and safety for the children in care. The licensee has taken a wrong mandated reporter class. LPA advised the licensee about AB1207 for child care providers on the website www.mandatedreporterca.com. The report continues on 809C...........

SUPERVISOR'S NAME: Sharon Ogbodo	TELEPHONE: (916) 263-5721
LICENSING EVALUATOR NAME: Aruna Sridharan	TELEPHONE: (916) 917-9273
LICENSING EVALUATOR SIGNATURE:	DATE: 02/05/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2020

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 4

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: SOLIS, MARIELA	FACILITY NUMBER: 393620320
	VISIT DATE: 02/05/2020

NARRATIVE

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LPA observed that poisons are locked and that fire extinguisher, smoke detector and carbon monoxide detector meets regulation. Fireplace is screened/inoperable, cleaning materials, hazardous items and medications are all inaccessible to children. LPA did not observe Fire Drill Log and licensee is required to conduct fire drills at least every six months. There is a working telephone, toys appear to be in a safe condition and the home appears to be clean and orderly.

LPA provided the Community Care Licensing’s website www.ccld.ca.gov, so the licensee can obtain updated licensing information, new regulations and access forms. LPA advised the licensee that it is her responsibility to stay up-to-date and informed in regards to new regulations.

LPA discussed the new Immunization Regulations SB 792; licensee did not have proof of vaccinations which is potentail risk to the health and safety of children in care. LPA advised the licensee on the new regulation AB 1207- California Child Care Worker: Mandated Reporter Training. 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.
The licensee has taken school personnel instead of AB1207 -Child Care Provider mandated reporter certification. The licensee will send the correct certificate by 02/06/2020

LPA also discussed the Incidental Medical Services (IMS) policies with the licensee. The facility is not currently providing IMS. If the licensee plans to provide IMS in the future she can refer to: 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: www.ada.gov/childqanda.htm
Report continues on 809C.......

SUPERVISOR'S NAME: Sharon Ogbodo	TELEPHONE: (916) 263-5721
LICENSING EVALUATOR NAME: Aruna Sridharan	TELEPHONE: (916) 917-9273
LICENSING EVALUATOR SIGNATURE:	DATE: 02/05/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2020

LIC809 (FAS) - (06/04)

Page: 2 of 4

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: SOLIS, MARIELA	FACILITY NUMBER: 393620320
	VISIT DATE: 02/05/2020

NARRATIVE

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LPA also discussed Unusual Incident Reports (UIRs) and reporting requirements. LPA informed the licensee that if any unusual incidents occur she must contact the Department within 24 hours and an UIR must be submitted with 7 day, describing the specifics to the incident.

LPA advised the licensee on Safe Sleep Practices and SIDS; the licensee stated they are understood and practiced. She stated she uses porta cribs for sleeping infants and understand infants cannot sleep in car seats, swings or other items not intended for sleeping.

Title 22 Deficiencies were observed in the areas that were evaluated and are listed in 809D. LPA read this report to the licensee; she stated that understands today’s inspection. 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: Aruna Sridharan	TELEPHONE: (916) 917-9273
LICENSING EVALUATOR SIGNATURE:	DATE: 02/05/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2020

LIC809 (FAS) - (06/04)

Page: 3 of 4

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: SOLIS, MARIELA	FACILITY NUMBER: 393620320
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 02/05/2020

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 02/12/2020 Section Cited	1 2 3 4 5 6 7	The family day care home shall maintain documentation of the required immunizations or exemptions from immunization, ... family day care home. This is not evidenced by;
	8 9 10 11 12 13 14	Licensee did not have documentation when LPA reviiewed the files.	8 9 10 11 12 13 14
Type B 02/12/2020 Section Cited	1 2 3 4 5 6 7	All homes shall conduct fire and disaster drills at least once every six months and document the date and time of each drill. This was not evidenced by; Licensee did not have documentation of drills.
Type B 03/04/2020 Section Cited	1 2 3 4 5 6 7	The Licensee ...shall complete training on preventive health practices including pediatric cardiopulmonary resuscitation and pediatric first aid,..1596.866. Licensee did not have current CPR/First Aid Certification.

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: Sharon Ogbodo	TELEPHONE: (916) 263-5721
LICENSING EVALUATOR NAME: Aruna Sridharan	TELEPHONE: (916) 917-9273
LICENSING EVALUATOR SIGNATURE:	DATE: 02/05/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2020

LIC809 (FAS) - (06/04)

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