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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434408542
Report Date: 06/22/2021
Date Signed: 06/22/2021 04:08:21 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:TAPIA, ARACELIFACILITY NUMBER:
434408542
ADMINISTRATOR:TAPIA, ARACELIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 770-9035
CITY:MILPITASSTATE: CAZIP CODE:
95035
CAPACITY:14CENSUS: 3DATE:
06/22/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:28 PM
MET WITH:Araceli TapiaTIME COMPLETED:
04:15 PM
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On Tuesday, June 22, 2021 at 2:28 PM, Licensing Program Analyst (LPA) Manel Estoesta conducted a Required 1 Year visit. LPA met with the Licensee Araceli Tapia. Present on this visit were fingerprint cleared licensee's daughter, Licensee's assistant Antonia and 3 preschool children. Facility operates from Monday and Friday 7 am to 5pm.

LPA toured the home and conducted a Health and Safety Inspection. On limits are are : the gated court front yard, family room, living room, kitchen and backyard. Off limit areas in the home are: all three bedrooms, the master bathroom, and the Garage. Licensee renovated the home in 2019 and Licensee provided a copy of the Facility Sketch to LPA.
The home was clean and orderly, with heating and ventilation for the safety and comfort of children in care. The observed children’s toys, play equipment and materials were safe and age appropriate. Furniture and equipment, such as tables, chairs, play pens, feeding chairs, and step stool were age appropriate and in good condition. There were no baby walkers observed.
The backyard is fenced and is used as outdoor activity space. Outdoor activity space and play equipment were observed to have been maintained in safe condition and free of hazards. Storage areas in the backyard were fenced off to prevent children from accessing. There were no bodies of water observed. Licensee stated that there were no weapons such as firearms stored on the premise.
Licensee is in compliance of the posting requirements.
Disinfectants, cleaning solutions, sharps, and other items that are dangerous to children in care were stored inaccessible, out of reach, of children. Facility appeared to be free of flies, other insects, and rodents during today’s inspection. A working fire extinguisher, and carbon monoxide and smoke detectors were observed. Fire Extinguisher was last serviced on 01/2021. Log shows that the last Fire and Earthquake Drill was conducted on 05/19/2021.

See 809 C.
SUPERVISOR'S NAME: Jason JangTELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Manel EstoestaTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 06/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/22/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: TAPIA, ARACELI
FACILITY NUMBER: 434408542
VISIT DATE: 06/22/2021
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The Licensee stated that she does not transport children at this time but understands that children cannot be left alone, unattended in parked vehicles at any time.

Facility's roster of children was reviewed and a copy was obtained. Children’s files were reviewed.

Licensee's AB1207, CPR and 1st Aid is current.

Licensee is reminded that ALL assistants, volunteers, frequent visitors, or adults living in the home, that are 18 years of age or older must be fingerprint cleared and associated to this facility prior to being in the presence of children in care or an immediate civil penalty will be assessed from $100 to $3000 per person

Effective August 1, 2003 California Law requires Family Child Care Home licensees to report unusual incidents or injuries to children in care to child's parents and to the Department of Social Services using the Unusual Incident/Injury form (LIC 624B). Incidents must be reported within 24 hours by phone, fax, or electronic mail. LPA informed the licensee that all forms can be downloaded at www.ccld.ca.gov and encouraged the licensee to email childcareadvocatesprogram@dss.ca.gov to be included in the Child Care Quarterly Updates distribution list. The licensee/director was also reminded that Mandated Reporter Training ("General" and "Child Care Providers") is required for all staff and is to be renewed every 2 years by visiting www.mandatedreporterca.com.

Individual Medical Services (IMS) policy was discussed. Per licensee, IMS is being provided at this time. The licensee was reminded that when any changes to the IMS plan is made, an updated 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.”

See 809 C.

SUPERVISOR'S NAME: Jason JangTELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Manel EstoestaTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 06/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/22/2021
LIC809 (FAS) - (06/04)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: TAPIA, ARACELI
FACILITY NUMBER: 434408542
VISIT DATE: 06/22/2021
NARRATIVE
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Continuation....

LPA provided the following;

1. Guardian FAQs.
2. FCCH Videos on CCLD.
3. R and R Santa Clara County.
4.Child Care Stipends.
5. Training Resources Agencies.
6. Lead Poisoning Facts.
7. AB 1207
8. FCCH Inspection Kit #1.

No deficiency cited today.

An exit interview was conducted with the licensee/director. The licensee was provided a copy of her/his appeal rights and the signature on this form acknowledges receipt of these rights. A Notice of Site visit was posted at the time of inspection and must remain posted for 30 days.
SUPERVISOR'S NAME: Jason JangTELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Manel EstoestaTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 06/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/22/2021
LIC809 (FAS) - (06/04)
Page: 3 of 3