434405691-3-4-2020-07-CC-JTSE-BMDQWK-20200304113204

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434405691
Report Date: 03/04/2020
Date Signed: 03/04/2020 11:32:25 AM

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

FACILITY NAME:	LAMAS, CRISTINA		FACILITY NUMBER:	434405691
ADMINISTRATOR:	CRISTINA LAMAS		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(408) 937-4523
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95127
CAPACITY:	14	CENSUS: 10	DATE:	03/04/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Cristina Lamas		TIME COMPLETED:	11:35 AM

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	LPA Janet Tse met with licensee Cristina Lamas for an annual inspection. LPA explained the nature of today's visit to Licensee. At arrival, 9:00am, LPA observed eight children including two infants without school age children with Licensee alone in the home. Licensee's assistant (ML) arrived at the facility at 9:10am. At 9:20am, another child arrived, totalling nine children in the home today. At 10:30am, Licensee's grandchild arrived. LPA observed a total of 10 children including two infants in the home during the inspection today. Adults living in the home are Licensee, her husband, her daughter, and her brother. Days and hours of operation are Monday to Friday, 6:00am to 7:00pm. LPA toured the indoor and outdoor of the home. LPA observed an infant sleeping in a playpen on a loose blanket and covered with another blanket in bedroom 1. LPA also observed a bottle with formula in the playpen. Off limits: master bedroom, master bathroom, two bedrooms, and laundry room. The living room and one of the four bedrooms (bedroom 1 per facility sketch) will be used for infant napping only. . There are no bodies of water. Licensee stated there is no firearms/weapons in the home. Sharp objects, medicines, poisons and cleaning supplies were inaccessible to the children. Outdoor area is fenced. Off limits outdoor: left side yard. LPA observed the off limits side yard was not barricaded and an unlocked storage shed with heavy equipment in the side yard. LPA reminded Licensee that she can only have 14 children with at least one assistant according to her license. Licensee understands that when she is alone with the children, she shall comply with the capacity and ratio of a small family child care home. Fire extinguisher is size 2A10BC and filled. The smoke and carbon monoxide combo detector was operable. Home was clean and orderly with heating and ventilation for safety and comfort. LPA observed sufficient materials, toys, and play equipment for the day care children. Telephone is in working order. Children were supervised on the visit and LPA went over substitute options. LPA also discussed if Licensee transports children, they are never to be left in parked vehicles, and car seat laws are to be followed.. A listing of staff criminal record clearances associated to this facility in the CCL Licensing Information Facility Evaluation Report dated 03/04/2020 to be continued on next page: - Page 1 of 3 -

SUPERVISOR'S NAME: Mary Segura	TELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Janet Tse	TELEPHONE: (408) 334-8547
LICENSING EVALUATOR SIGNATURE:	DATE: 03/04/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2020

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: LAMAS, CRISTINA	FACILITY NUMBER: 434405691
	VISIT DATE: 03/04/2020

NARRATIVE

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Facility Evaluation Report dated 03/04/2020 to be continued from previous page:
System (LIS) on 03/03/2020 was reviewed; and it indicates that all Facility staff or other individuals who require caregiver background checks have received criminal clearances and child abuse index clearances or exemptions.

Licensee practiced the fire drill today while LPA was in the home. Licensee understands that the fire/disaster drill is to be done every 6 months. LPA observed the roster of the children was not current. LPA observed Licensee and her assistant (ML) have current Pediatric CPR/1^st Aid expiring 09/18/2020 and 05/06/2020 respectively.

Licensee was given a list of the current forms for childcare. Website to download forms and to review regulations: http://www.ccld.ca.gov.

LPA discussed the immediate civil penalties for Zero Tolerance of $500, and an ongoing $100 per day per violation continues until the violation(s) is corrected. LPA also discussed the Healthy Beverage Act. SB792 Immunization Requirements was discussed. LPA observed the required immunization records for Licensee and her assistant (ML) were in file. Both Licensee and her assistant (ML) opt out of the influenza vaccine and declarations were in file.

Effect of Lead Exposure handout dated 1/20/19 given during today’s inspection. Licensee understands that per Assembly Bill (AB 2370), written information regarding lead exposure needs to be given out to enrolling and re-enrolling parents or guardians. LPA reviewed infants safe sleep policies with Licensee and provided "A Child Care Provider's Guide to Safe Sleep.” More information can be found at https://cdss.ca.gov/inforesources/Child-Care-Licensing. Incidental Medical Services were discussed with the licensee. The licensee is not providing IMS (Incidental Medical Services) at this time. Licensee will submit an updated plan of operation if in the future they provide any IMS services to a child in care.

The Mandated Reporter AB1207 Compliant Child Care Training was also discussed. Website to complete training: https://mandatedreporterca.com. A link to the alternate trainers approved to provide mandated reporter training:
https://www.cdss.ca.gov/Portals/9/CCLD/CCP%20Documents/Approved%20Mandated%20Reporter%20Trainings.pdf. Licensee's and her assistant's (LM) primary language is Spanish and are currently exempt from
Facility Evaluation Report dated 03/04/2020 to be continued on next page: - Page 2 of 3 -

SUPERVISOR'S NAME: Mary Segura	TELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Janet Tse	TELEPHONE: (408) 334-8547
LICENSING EVALUATOR SIGNATURE:	DATE: 03/04/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2020

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: LAMAS, CRISTINA	FACILITY NUMBER: 434405691
	VISIT DATE: 03/04/2020

NARRATIVE

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Facility Evaluation Report dated 03/04/2020 to be continued from previous page:
the training. However, they completed the training in English on 12/12/2018 and 12/18/2018 respectively. Licensee stated that they completed the training in Spanish again on 02/29/2020 with a provider approved by Licensing. Licensee understands that the training is to be completed once every two years.

Website for provider resources: https://cdss.ca.gov/inforesources/Child-Care-Licensing. Periodic information releases accessible by signing up at: www.myccl.ca.gov.

LPA discussed the requirements of AB633 to Licensee and provided her the AB633 fact sheet and a copy of Acknowledgement of Receipt of Licensing Reports (LIC 9224) and Licensee understands the requirements. Upon receipt, Licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months.

Deficiencies were cited. A copy of the appeal rights was provided to Licensee. Notice of site visit was issued and must be posted with type A deficiencies cited for 30 days.

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SUPERVISOR'S NAME: Mary Segura	TELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Janet Tse	TELEPHONE: (408) 334-8547
LICENSING EVALUATOR SIGNATURE:	DATE: 03/04/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2020

LIC809 (FAS) - (06/04)

Page: 3 of 5

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: LAMAS, CRISTINA	FACILITY NUMBER: 434405691
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/04/2020

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 03/05/2020 Section Cited	1 2 3 4 5 6 7	Staffing Ratio and Capacity. ...If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in subsections (b) and (c). ... This requirement was not met as evidenced by:
	8 9 10 11 12 13 14	At arrival, 9:00am, LPA observed eight children including two infants without school age children with Licensee alone in the home. This poses an immediate risk to the Health, Safety, or Personal Rights of children in care.	8 9 10 11 12 13 14	AB633 Parent Notification is required. This page shall be provided to all parents of children currently enrolled and any future children being enrolled for the next 12 months per AB633 requirements.
Type A 03/05/2020 Section Cited	1 2 3 4 5 6 7	Personal Rights. Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following:...To receive safe, healthful, and comfortable accommodations,
	8 9 10 11 12 13 14	furnishings, and equipment. This requirement was not met as evidenced by: LPA observed an infant sleeping in a playpen on a loose blanket and covered with another blanket in bedroom 1. LPA also observed a bottle with formula in the playpen. This poses an immediate risk to the Health, Safety, or Personal Rights of children in care.	8 9 10 11 12 13 14	AB633 Parent Notification is required. This page shall be provided to all parents of children currently enrolled and any future children being enrolled for the next 12 months per AB633 requirements.

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: Mary Segura	TELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Janet Tse	TELEPHONE: (408) 334-8547
LICENSING EVALUATOR SIGNATURE:	DATE: 03/04/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2020

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: LAMAS, CRISTINA	FACILITY NUMBER: 434405691
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/04/2020

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 03/09/2020 Section Cited	1 2 3 4 5 6 7	Operation of a Family Child Care Home....The home shall be free from defects or conditions which might endanger a child. ... This requirement was not met as evidenced by: LPA observed the off limits side yard was not barricaded and an unlocked storage shed in the side yard.
	8 9 10 11 12 13 14	This poses a potential risk to the Health, Safety, or Personal Rights of children in care.	8 9 10 11 12 13 14
Type B 03/09/2020 Section Cited	1 2 3 4 5 6 7	Operation of a Family Child Care Home....Each family child care home shall have a current roster of children as specified in Health and Safety Code Section 1596.841.... This requirement was not met as evidenced by: LPA observed the roster of the children was not current.
	8 9 10 11 12 13 14	This poses a potential risk to the Health, Safety, or Personal Rights of children in care.	8 9 10 11 12 13 14

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: Mary Segura	TELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Janet Tse	TELEPHONE: (408) 334-8547
LICENSING EVALUATOR SIGNATURE:	DATE: 03/04/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2020

LIC809 (FAS) - (06/04)

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