414004625-10-25-2019-05-CC-FBRR-BHASEP-20191025134905

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414004625
Report Date: 10/25/2019
Date Signed: 10/25/2019 01:49:17 PM

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:	GALANAKIS, VICTORIA A.		FACILITY NUMBER:	414004625
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 0	DATE:	10/25/2019
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	12:00 PM
MET WITH:	Victoria Galanakis		TIME COMPLETED:	02:00 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	Licensing Program Analyst (LPA) Faye Bremer conducted an announced Prelicensing. inspection. LPA met with Applicant Victoria Galanakis and explained purpose of inspection. Applicant states her hours of operation will be Monday-Friday 8am-5:30pm, for infants up to 3 years old. Applicant rents this single-story home. LPA verified documents during the visit. The entire home is inspected for health and safety hazards. There are three bedrooms, 2 bathrooms, a living room, dining room, outdoor covered patio, deck, backyard, garage and kitchen in this home. Day care areas are: the dining room, bedroom #2, the covered outdoor patio and deck, and bathroom. Off limit areas are: the living room, master bedroom, master bathroom, bedroom #3, backyard, garage. The living room is used to walk through to get to the day care areas. The off limits areas are blocked off and made inaccessible. Fireplace is in the off-limits living room, and is barricaded. Per Applicant, no firearms or no weapons in the home. Isolation area will be the kitchen. The home has a working smoke detector, carbon monoxide detector, a working telephone, a fully charged 2A10BC fire extinguisher, first aid and emergency supplies. Applicant has 3 cats, and will be kept separate from the children during day care hours. There are sufficient, age appropriated toys, furniture and napping equipment in the day care areas. Bathroom is clean and no hazardous material is accessible to children. Applicant states that she will be providing all meals to children over 12 months old. Applicant states that infants under 12 months will have to bring their own food from home. CPR/First Aid, 16 hrs health and safety training has been completed and is current. Discipline policy was discussed with applicant. Per Applicant, she is planning on purchasing liability insurance. Posting of Parent's Right and the Emergency Disaster Plan was discussed with Applicant, and will be posted on the closet door in the living room. Licensee was advised to post the License when she receives it. Applicant was also advised to conduct fire/disaster drills at lease once every six months, and to log the date and time of the drill. Records to be maintained was discussed and reviewed with Applicant. Applicant was informed to obtain copy of regulations and current licensing forms thru the Department's website at www.ccld.ca.gov. Requirements regarding Unusual Incident Report were also discussed. Continued on following page.

SUPERVISOR'S NAME: Alma Malig	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Faye Bremer	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 10/25/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2019

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: GALANAKIS, VICTORIA A.	FACILITY NUMBER: 414004625
	VISIT DATE: 10/25/2019

NARRATIVE

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Continued from previous page.

During the visit LPA discussed IMS (Incidental Medical Service) policies with Applicant. For IMS information see Evaluator Manual - regulation 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

Safe sleep practices were discussed and reviewed. LPA reminded Applicant that per Safe Sleep Practices for the prevention of SIDS, doors need to remain open for sleeping infants to allow for visual observation, and to check on infants every 15 minutes. LPA provided Applicant with Safe Sleep handouts.

License will be recommended for approval when the following is updated and proof is received in office:
- Gate-off/install child-safety door lock on door leading to the garage
- Add netting to deck fence
- Add child safety locks on cabinet under kitchen sink
- Remove all bouncers, exersaucers, swings

LPA will return at a later date for follow up Prelicensing inspection.

This report was reviewed and discussed with Applicant Victoria Galanakis

SUPERVISOR'S NAME: Alma Malig	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Faye Bremer	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 10/25/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2019

LIC809 (FAS) - (06/04)

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