414000523-1-25-2023-05-CC-MROZ-CNER8J-20230125114800

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414000523
Report Date: 01/25/2023
Date Signed: 01/25/2023 11:48:07 AM

Document Has Been Signed on 01/25/2023 11:48 AM - 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:	SHARP, LINDA		FACILITY NUMBER:	414000523
ADMINISTRATOR:	LINDA SHARP		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(650) 347-6420
CITY:	SAN MATEO	STATE: CA	ZIP CODE:	94401
CAPACITY:	14	CENSUS: 3	DATE:	01/25/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:58 AM
MET WITH:	Linda Sharp		TIME COMPLETED:	12:15 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) Marie Rodriguez conducted an unannounced annual Inspection. LPA met with Licensee Linda Sharp and explained purpose of inspection. Present in home were the Licensee and three children (one infant and two preschool aged). Home is operating within ratio and capacity requirements on this day. All adults living or working in the home have a criminal record clearance. Hours of operation are Monday to Friday from 8:00am to 5:00pm. Day Care Areas: Living Room, dining room, kitchen, bedroom #1 (nap room), bedroom #2 (nap room), bathroom, and backyard. Off Limit Areas: Garage. LPA inspected day care areas of home with Licensee. LPA observed the home to be clean and in good repair with proper temperature and ventilation. There are no bodies of water on the property. The fireplace is properly barricaded. There is a variety of age appropriate toys and equipment in the home. The backyard is clean and have age appropriate toys and outdoor equipment which are in good condition. The play structure in the backyard is in good condition and has cushioning underneath. All cleaning supplies, poisons, and other chemicals are stored inaccessible to children. There is a working smoke and carbon monoxide detector, a fully charged fire extinguisher, and a working telephone available. Three children records reviewed were complete. All children have a record of emergency identification information on file. Licensee has a current Pediatric First Aid/CPR certificate. Last emergency drill was conducted in January 2023. Emergency drills are conducted every six months and are properly logged. No deficiencies cited today under California Code of Regulations, Title 22, Division 12.

SUPERVISOR'S NAME: Daniel J Oquendo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Marie Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 01/25/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/25/2023

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: SHARP, LINDA	FACILITY NUMBER: 414000523
	VISIT DATE: 01/25/2023

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 (US DOJ) 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.

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.

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.

LPA discussed the safe sleep regulations with Licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed 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.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with Licensee Linda Sharp.

SUPERVISOR'S NAME: Daniel J Oquendo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Marie Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 01/25/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/25/2023

LIC809 (FAS) - (06/04)

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