414002798-12-5-2022-05-CC-LGOZ-CLTN4F-20221205090753

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414002798
Report Date: 11/30/2022
Date Signed: 12/05/2022 09:08:07 AM

COMPREHENSIVE INSPECTION

Document Has Been Signed on 12/05/2022 09:08 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:	ORDONEZ, JANIRE		FACILITY NUMBER:	414002798
ADMINISTRATOR:	ORDONEZ, JANIRE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(650) 921-7253
CITY:	SAN MATEO	STATE: CA	ZIP CODE:	94402
CAPACITY:	14	CENSUS: 11	DATE:	11/30/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:15 PM
MET WITH:	Clara Morales, Janire Ordonez		TIME 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	On 11/30/2022 at 12:15PM., Licensing Program Analysts (LPA), Luis J. Gomez met with Helper, Clara Morales. Purpose of the inspection was explained and was for an unannounced; Annual Random inspection. Licensee arrived during inspection. Present in facility was the licensee and two helpers caring for 11 children (1 infant age, 8 preschool age and 2 school age). Adults have criminal record clearances on file. Licensee’s home is a three bedroom, two bathroom, one level house. Days and hours of operation are Monday- Friday, 8:00AM- 5:00PM. Daycare areas are: Living room (Playroom), Dining Area, Kitchen (Pass through only), and Backyard Area. Off Limit areas area: Bedroom #1, Bedroom #2, Bedroom #3 and Garage. LPA inspected home, inside and outside, with licensee for health and safety hazards. At 12:25PM., the following was observed: Facility was clean, orderly, with age appropriate playthings available for the children. Ground surfaces was clear of obstructions. Accessible furniture, blocks and books inspected were in good repair. Facility had child sized table and chairs for snack and activities. Playroom was equipped with cubbies for storage of children's belongings. For napping services, LPA observed several napping mats located in bedroom #1. Per licensee, play pen is available (with tight fitting sheet) for each infant in care. Bathroom#1 had adequate supplies for hand-washing. Fixtures tested were in operating condition. Facility was the proper temperature, with ventilation and lighting. Home had functioning telephone; smoke/ carbon monoxide combination detector; and fire extinguisher, 2A:10BC. At 12:45PM., LPA inspected the outdoor play area. Area is completely enclosed with tall fencing. Playthings inspected were in proper repair. Storage shed was reviewed during inspection. Outdoor play area does not any pools, fishponds, or bodies of water on the premises. (REFER TO 809C, FOR CONT)

SUPERVISOR'S NAME: Cindy Interiano	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 12/05/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2022

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: ORDONEZ, JANIRE	FACILITY NUMBER: 414002798
	VISIT DATE: 11/30/2022

NARRATIVE

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At 1:00PM, LPA reviewed facility and children’s records. Children files were reviewed and included the: Identification of Emergency Information; Health History; Immunization Records; and Consent for Medical Treatment.

Staff recorded were reviewed and included staff's proof of required immunization; Employee Rights form; Declaration to Report Suspected Abuse; and Updated Mandated Reporter Training Certification (AB1207).

Licensee maintaining napping log for each infant care.

Licensee’s (and helpers) Cardiopulmonary Resuscitation (CPR)/ First Aid certifications were current.
Licensee is conducting required emergency disaster drill every six months, with last drill completed and logged.

Required posting are posted in visible location. Posting include the Childcare License, Notification Parent’s Rights (PUB379), and Emergency Disaster Plan (LIC610A).

Per licensee, isolation of ill children is in playroom.

Per licensee, she provides all foods services for children in care. LPA reminded licensee to ensure all children’s meal containers brought by families is properly labeled. Per licensee, home does not have any firearms or weapons.

Licensee was reminded that all adults 18 years and over, living or working in the home, including employee and volunteers, must obtain criminal 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.

(REFER TO 809C, FOR CONT.)

SUPERVISOR'S NAME: Cindy Interiano	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 12/05/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2022

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: ORDONEZ, JANIRE	FACILITY NUMBER: 414002798
	VISIT DATE: 11/30/2022

NARRATIVE

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LPA discussed the safe sleep regulations with licensee and discussed Child Care Licensing Safe Sleep Web page at:https://www.cdss.ca.gov/inforesource/child-care-licesning/public-information-and-resources/safe-sleep as an additional resource. LPA informed licensee of the importance of checking for recalled infant devices on United States consumer Product Safety Commission (CPSC) website at http://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

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 tool, please send them 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/inforesource/community-care-licensing/inspection-process.

Based on today's inspection, no deficiencies were observed in areas evaluated according to California Title 22, Health and Safety Code of Regulations. Exit interview and report was discussed with Licensee, Janire Ordonez, and signature of this form acknowledges receipt of these documents.

Report was mailed to licensee. Sign copy of report will be stored in facility file.

Notice of Site Visit was provided and must be posted for 30 days.

This report must be available in the facility for public review. Licensee was advised any additional questions to call Office, M-F, 8am-5pm, 650-266-8800 or 1-844-538-8766

SUPERVISOR'S NAME: Cindy Interiano	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 12/05/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2022

LIC809 (FAS) - (06/04)

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