414000923-12-13-2019-05-CC-CINO-BJTPTU-20191213103632

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414000923
Report Date: 12/13/2019
Date Signed: 12/13/2019 10:36:39 AM

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:	BARRERA, VERONICA		FACILITY NUMBER:	414000923
ADMINISTRATOR:	BARRERA, VERONICA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(650) 216-7500
CITY:	REDWOOD CITY	STATE: CA	ZIP CODE:	94063
CAPACITY:	14	CENSUS: 12	DATE:	12/13/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	08:25 AM
MET WITH:	Licensee, Veronica Barrera and Helper, Martina Vazquez		TIME COMPLETED:	10:40 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 Analyst (LPA), Cindy Interiano, met with Helper, Martina Vazquez. Licensee arrived during the inspection. Purpose of the inspection was explained and was for an Annual/Random inspection. Present in the facility was Helper and Licensee’s Adult Daughter caring for 12 children (3 infants and 9 PreK age). Licensee owns home and lives with Husband, 2 Adult Daughters, and 2 minor children. Home is a 4 bedroom, 3 bathroom, two level house. Licensee has 2 dogs who are up to date on their immunizations. Facility was inspected and the Daycare areas are: Living room, Bedroom #1, Bathroom #1, Master Bedroom #2, (converted) Garage/Daycare room, and portion of backyard. Dining area and Kitchen are pass by only. Off limit areas are: Front yard, Bathroom #2 (inside Bedroom #2), Entire upstairs (Bedroom #3 and #4, Bathroom #3), and portion of the back yard with Storage house. All off limit areas are properly barricaded. LPA observed the following: Daycare area is clean, orderly, and equipped with age appropriate toys and equipment for the children. Home has sufficient lighting and ventilation. Home has a working telephone, a working smoke and carbon monoxide detector, and a fully charged fire extinguisher. Home does not have a chimney or bodies of water. There are no poisons, detergents, or cleaning products accessible to daycare children. Licensee states there are no guns or weapons of any kind in the home. Licensee’s and Helper’s CPR expire in 08/2021. Licensee conducted last emergency drill on 12/06/19 and is properly logged. Licensee provides daily snacks and meals. Discipline policy is mainly redirection. All required postings are properly posted. Licensee and Helper have required proof of immunization on file. Licensee has Mandated Reporter Training certificate on file. Children’s roster was reviewed and it is complete and up-to-date. See Page 2. . .

SUPERVISOR'S NAME: Alma Malig	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Cindy Interiano	TELEPHONE: (650) 266-8800
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)

Page: 1 of 3

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: BARRERA, VERONICA	FACILITY NUMBER: 414000923
	VISIT DATE: 12/13/2019

NARRATIVE

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Page 2. . .

During inspection, LPA observed Licensee's Adult Daughter caring for the children. Per CCLD's records, Adult Daughter does not have criminal record clearance. Licensee states Adult Daughter is in college and was home for the Holiday break. LPA advised Licensee that Adult Daughter must get fingerprinted immediately.

Also during inspection, LPA observed a Baby Swing in the Living room and a Baby swing and a Baby bouncer in the daycare room. LPA advised Licensee that Baby swings and Bouncers are items not permitted in licensed Family Child Care Homes. LPA advised Licensee that she must maintain items in off limit areas during daycare hours.

Also during inspection,
*Incidental Medical Services (IMS) policy was discussed.
*Licensee was reminded about having all Staff and Volunteers provide proof of immunization against influenza, pertussis, and measles or qualifies for an exemption.
*Licensee was reminded about the Provider Information Notices (PINs) on CCLD website.
*Licensee was reminded about Mandated Reporter Training available on CCLD website
(www.ccld.ca.gov or www.mandatedreporterca.com). Licensee states her Helpers will wait until training is available in Spanish.
*Licensee was advised of the new Lead Bill (effective 01/01/19), requiring Facilities to distribute a two-page flyer to Guardians with information on lead poisoning facts.
*Licensee was given information regarding ‘Safe Sleep’ practices.

>See attached page for deficiencies issued today under Title 22 Division 12 of the Ca. Code of Regulations.

>This report and rights to comment and appeal were discussed with Licensee. This report must be available in the facility for public review. Notice of site visit was observed being posted.
Licensee was advised any additional questions to call Office, M-F, 8am-5pm, 650-266-8800 or 1-844-538-8766. Website: www.cdss.ca.gov

SUPERVISOR'S NAME: Alma Malig	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Cindy Interiano	TELEPHONE: (650) 266-8800
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)

Page: 2 of 3

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: BARRERA, VERONICA	FACILITY NUMBER: 414000923
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 12/13/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 12/18/2019 Section Cited	1 2 3 4 5 6 7	102370(d)(1) Criminal Record Clearance. All individuals subject to a criminal record review as specified in Section 1596.871 prior to working, residing or volunteering in a licensed home, shall obtain a California clearance or a criminal record exemption as required by the Department.
	8 9 10 11 12 13 14	This requirement was not met as evidenced by: Licensee’s Adult Daughter not having criminal record clearance. This is an immediate health and safety risk to children in care.	8 9 10 11 12 13 14
Type B 12/18/2019 Section Cited	1 2 3 4 5 6 7	102417(g)(10) Operation of a Family Child Care Home. A baby walker or similar items are not permitted on the premises of a family child care home in accordance with H&S Code Sections 1596.846(b)&(c).
	8 9 10 11 12 13 14	This requirement was not met as evidenced by: LPA’s observation of 2 ‘baby swings’ and a ‘baby bouncer’ in the daycare area. This poses a potential safety risk to children in care.	8 9 10 11 12 13 14

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: Alma Malig	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Cindy Interiano	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 12/13/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2019

LIC809 (FAS) - (06/04)

Page: 3 of 3