414004700-7-16-2020-05-CC-AROZ-BRKRPU-20200716131228

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414004700
Report Date: 07/14/2020
Date Signed: 07/16/2020 01:12:45 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:	BARRON, MARICELA		FACILITY NUMBER:	414004700
ADMINISTRATOR:	BARRON, MARICELA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(650) 871-4566
CITY:	SAN BRUNO	STATE: CA	ZIP CODE:	94066
CAPACITY:	14	CENSUS: 6	DATE:	07/14/2020
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	03:45 PM
MET WITH:	Maricela Barron		TIME COMPLETED:	05:45 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 Analysts (LPAs) Rodriguez and Caliboso conducted a tele-inpsection via Zoom meeting and met with applicant Maricela Barron for a pre-licensing inspection at the facility. Due to the Coronavirus outbreak and current shelter in place orders in the State of California and San Mateo County, this pre-licensing inspection was conducted via tele-inspection on July 14, 2020. Applicant lives in a split level home, four bedrooms and three bathrooms between the first and second floor. Applicant lives in the home with three other adults and one child under the age of 18. Hours of operation are Monday to Friday 7:00 AM to 6:00 PM. Capacity ratios were discussed with the applicant today. Child care will be provided in areas: the entire lower level which consists of a bathroom, living room, bedroom, small dinning room area and backyard. Off limit areas: the entire upstairs of the home which consists of a kitchen, three bedrooms, two bathrooms, living room and dinning room, garage, and a deck located in the backyard. The deck has a gate and is fenced in making it inaccessible to the children. All off limits areas are made inaccessible to children. Applicant Maricela Barron gave LPA Rodriguez and Caliboso a virtual tour of her home for health and safety hazards. During the virtual inspection LPA observed all toxic or dangerous materials are stored in the garage area or in cabinets which have been made inaccessible to the children. There is no fire place located in the daycare area. Facility has a working telephone, fully charged fire extinguisher, smoke detector, and carbon monoxide detector. Smoke and carbon monoxide detectors were checked recently when the San Bruno Fire Department conducted their inspection for capacity increase. Applicant has first aid supplies available. There are a variety of age appropriate toys available. Applicant states she will provide all meals to the children. As per the applicant, there are no firearms or weapons in the home. Per applicant, there are no pets in the house. Discipline policy will be to talk to the child and use positive reinforcement and redirection. Applicant was informed that time outs cannot be any longer than one minute per age of the child and cannot exceed five minutes. (Continued on Page 2)

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Adam Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 07/14/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2020

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: BARRON, MARICELA	FACILITY NUMBER: 414004700
	VISIT DATE: 07/14/2020

NARRATIVE

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(Continued from Page 1)

LPA informed the applicant that emergency drills will be conducted at least once every six months and drills must be logged. Applicant's First Aid/CPR certificate is current and in the file. Applicant has all required postings in the home. LPA discussed facility ratios and capacity's with the applicant. The applicant was reminded there are no walkers, exersaucers, jumpers, bouncers and any similar items to be used for children in care and shall be made inaccessible. Applicant is advised all adults, 18 years and older living in the home, helper, or assistant must have a criminal record clearance and must be associated to the facility by submitting an LIC 9182 form with a copy of CA Driver's License or CA ID prior to having any contact with children in care.

Applicant was informed 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. 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.

Applicant was informed about the Provider Information Notices (PINs) on CCLD website. A copy of A Child Care Provider's Guide to Safe Sleep was emailed to the Applicant. This report was discussed and explained to the Applicant. Records to be Maintained in the facility was explained and left with the Applicant to use for all children in care. Mandatory Posting Requirements: License, Emergency Disaster Plan, and Notification of Parents Rights Poster. Applicant has record of immunization for herself and adults in the home. Applicant has completed the www.mandatedreporter.ca.com training and a copy is in the file. LPA encouraged the applicant to frequently visit our website at www.ccld.ca.gov for licensing regulations and new updates. Applicant can also email at childcareadvocatesprogram@dss.ca.gov and ask to be added to the email list for the updates.

On 7/8/2020 the department received an a granted fire clearance for this license increase of capacity.

Based on today's inspection and the granted fire clearance received on 7/8/2020, LPA is granting this license for licensure as of 7/14/2020. A copy of this report and a copy of the granted license will be emailed to the applicant and a copy will be retained in the file.

This report will be kept in the facility file and will be made available for public review upon request. Desk duty is available Monday - Friday, 8:00am - 5:00pm. (650) 266-8800. Website for Forms and Regulations: www.cdss.ca.gov

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Adam Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 07/15/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2020

LIC809 (FAS) - (06/04)

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