414004106-5-9-2019-05-CC-GASL-BBZT5R-20190509142558

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414004106
Report Date: 05/09/2019
Date Signed: 05/09/2019 02:26:05 PM

COMPREHENSIVE INSPECTION

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:	NIMTHEERAPAT, NATTA		FACILITY NUMBER:	414004106
ADMINISTRATOR:	NIMTHEERAPAT, NATTA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(650) 235-9406
CITY:	FOSTER CITY	STATE: CA	ZIP CODE:	94404
CAPACITY:	14	CENSUS: 7	DATE:	05/09/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Natta Nimtheerapat		TIME COMPLETED:	02:30 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) Glenn Schnell conducted an annual random inspection which included a toured the home and yard, and a review of the required day-care forms with the licensee today. Present in the home is Licensee, Natta and her husband Charnwisut. Capacity and ratio requirements of children was observed in compliance today. This type of home is a single family home. A review of records indicates that all adults working or living in the home who require background checks have received criminal record and child abuse index clearances or exemptions. Licensee rents the home. The day-care operates 7:30 am to 6:00 PM, Monday through Friday. Licensee has day-care insurance through DCI. LPA observed the following: Day-care area is clean, orderly, and equipped with age appropriate toys and equipment for the children. LPA observed 2 baby bouncers in the day care area during day-care hours. One of the children were observed asleep in one of the baby bouncers. Home has proper lighting and ventilation. Home has a working telephone, a working smoke and carbon monoxide detector, and a fully charged 2A10BC fire extinguisher. Licensee states there are no bodies of water on the property. There is a fireplace in the day-care area but it is barricaded. There are no detergents, or cleaning products accessible to day-care children. Poisons are locked. Licensee states there are no guns or weapons of any kind in the home. The yard is fenced. Licensee states there are not pets in the home. Licensee’s husbands CPR/First Aid is valid. Emergency drills are conducted and properly logged. Licensee provides provide daily snacks and meals. Discipline used is talking to the kids. Isolation of sick children reviewed/discussed. Children’s roster was reviewed and is complete and up-to-date. Children and staff/helper files were reviewed and are complete. Supervision and transportation of children was discussed. Capacity options were reviewed. Licensee understands that care cannot be provided for more than the capacity as stated on the license.

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Glenn A Schnell	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 05/09/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2019

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, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: NIMTHEERAPAT, NATTA	FACILITY NUMBER: 414004106
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/09/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 05/09/2019 Section Cited CCR 102417(g)(10)	1 2 3 4 5 6 7	Operation of a Family Child Care Home. (10)A baby walker shall not be allowed on the premises of a family child care home in accordance	1 2 3 4 5 6 7	The Licensee removed the bouncers during the inspection today and placed them in an off limits area. Licensee now understands that baby bouncers, baby walkers, Johnny Jumpers, exercausers are
	8 9 10 11 12 13 14	with Health and Safety Code Section 1596.846(b) and (c). This requirement is not met as evidenced by: LPA's observed Two baby bouncers in the the playroom area of the day-care home. A child was observed sleeping in one of the bouncers. The use of baby walkers and baby bouncers presents immediate health and safety risks to the children.	8 9 10 11 12 13 14	not allowed to be used during day-care hours and will comply with this requirement. The deficiency is considered corrected and cleared today. This Type A citation page shall be posted for 30 days along with the Notice of Site Visit. This page shall be provided to all parents of children currently enrolled and any future children being enrolled for the next 12 months per AB 633 requirements.
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Glenn A Schnell	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 05/09/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2019

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: NIMTHEERAPAT, NATTA	FACILITY NUMBER: 414004106
	VISIT DATE: 05/09/2019

NARRATIVE

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Requirements for reporting suspected child abuse was discussed, as well as reporting requirements for unusual incidences. All required postings are properly posted (License/Parent’s Rights poster/Emergency Disaster Plan and Earthquake Preparedness Checklist) Licensee has updated immunization's and Mandated Reporter Training on file. 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
Licensee was reminded that as of September 1, 2016, a person may not be employed or volunteer at a child care facility unless he or she has been immunized against influenza, pertussis, and measles or qualifies for an exemption pursuant to Health and Safety code 1596.7995 and 1597.662.
Licensee was informed 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 was advised of the upcoming changes to regulations regarding ‘Safe Sleep” and provided with handouts regarding “safe to sleep “ best practices.

CCR Title 22 Deficiency is issued today.

This report and appeal rights were discussed with Licensee. This report must be available in the facility for public review. Notice of Site Visit was posted. Notice to remain posted for 30 days.

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Glenn A Schnell	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 05/09/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2019

LIC809 (FAS) - (06/04)

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