430755777-3-11-2020-07-CC-MSMS-BMLUQ8-20200311154642

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 430755777
Report Date: 03/11/2020
Date Signed: 03/11/2020 03:46:49 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME:	KARAGAN, BARBARA		FACILITY NUMBER:	430755777
ADMINISTRATOR:	KARAGAN, BARBARA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(408) 828-3056
CITY:	SANTA CLARA	STATE: CA	ZIP CODE:	95051
CAPACITY:	14	CENSUS: 9	DATE:	03/11/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	02:20 PM
MET WITH:	Barbara Karagan		TIME COMPLETED:	04:00 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) Mel Matos arrived at the home today (2:20 PM) for an unannounced Required - 1 year inspection. LPA was greeted by Barbara Karagan, Licensee, and LPA was allowed access into the home. LPA also observed Licensee's adult sister (assistant) and nine day care children (2 infants, 4 preschool, and 3 school age) in the home during today's inspection. The Licensee was operating within the capacity specified on her license. The days and hours of operation are Monday to Friday from 6:00 AM to 6:00 PM. 2:50 PM: LPA reviewed a current Child Care Facility Roster during today's inspection. The Licensee conducts fire/disaster drills at least once every six months and documents the date and time of each drill. The Licensee documents immunization records and maintains and updates all records for children in care. The Licensee provides the child's parent or authorized representative with a copy of the Family Child Care Home Notification of Parents' Rights. The Licensee and her spouse's CPR/First Aid certifications are current. 3:15 PM: LPA toured the indoor and outdoor areas of the home with the Licensee during today's inspection. The Licensee has a working telephone in the home. The home has safe toys, play equipment, and materials for the children. The home is clean and orderly with heating/ventilation for safety & comfort. Off limit areas in the home: two bedrooms, living room, family room, two bathrooms, kitchen, dining room, and sun room. The converted garage and bathroom adjacent to the converted garage are used as the primary day care areas. The Licensee understands that the converted garage cannot be used for napping purposes. Room #1 (per facility sketch, is used for napping). REPORT CONTINUED ON THE FOLLOWING PAGE (PAGE #2 - REPORT DATED 03/11/2020):

SUPERVISOR'S NAME: Diana Stephenson	TELEPHONE: (408) 324-2158
LICENSING EVALUATOR NAME: Melvin S Matos	TELEPHONE: (408) 334-8554
LICENSING EVALUATOR SIGNATURE:	DATE: 03/11/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2020

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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: KARAGAN, BARBARA	FACILITY NUMBER: 430755777
	VISIT DATE: 03/11/2020

NARRATIVE

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CONTINUATION OF PREVIOUS PAGE (PAGE #1 - REPORT DATED 03/11/2020):

LPA did not observe any wall heaters inside the home. Licensee has a waiver on file for the fireplace unit, located in Room #1. Licensee understands that she cannot use the fireplace during day care hours and that it must be kept clean at all times. There are no stairs inside the home. Off limit areas outside the home: entire backyard.

The fire extinguisher and smoke & carbon monoxide detectors in the home meet State Fire Marshal standards. The home has a fenced backyard and no bodies of water. The Licensee states that she does not have any weapons in the home. All detergents, cleaning compounds, medications, and other similar items are inaccessible to children. All poisons are locked and inaccessible to children.

All individuals subject to a criminal record review have obtained a criminal record clearance or
exemption prior to working, residing, or volunteering in a licensed home. The adults that reside in the home are: Licensee, Licensee's spouse, and Licensee's adult son. The Licensee understands that if she is temporarily absent from the home during day care hours, she must arrange for a substitute qualified adult to care for and supervise children in her absence. LPA also reminded the Licensee that she must comply with the capacity & ratio requirements of the small Family Child Care Home whenever there is only one qualified adult present in the home.

No deficiencies issued during today's inspection.

LPA conducted an exit interview with the Licensee and advised her of the pending Department regulation update re: safe sleep for infant children. LPA referred the Licensee to the Department website: www.ccld.ca.gov for additional information.

A NOTICE OF SITE VISIT WAS ISSUED, POSTED NEAR THE FRONT ENTRANCE TO THE HOME, AND MUST REMAIN POSTED FOR 30 CONSECUTIVE DAYS.

SUPERVISOR'S NAME: Diana Stephenson	TELEPHONE: (408) 324-2158
LICENSING EVALUATOR NAME: Melvin S Matos	TELEPHONE: (408) 334-8554
LICENSING EVALUATOR SIGNATURE:	DATE: 03/11/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2020

LIC809 (FAS) - (06/04)

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