<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434412300
Report Date: 03/10/2020
Date Signed: 03/10/2020 12:54:03 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:OCANA, MEL & GONZALEZ, MARLAFACILITY NUMBER:
434412300
ADMINISTRATOR:MEL & MARLAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 841-3131
CITY:SAN JOSESTATE: CAZIP CODE:
95111
CAPACITY:14CENSUS: 6DATE:
03/10/2020
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:40 AM
MET WITH:Ocana, Mel & Gonzalez, MarlaTIME COMPLETED:
12:15 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) Dung Mac met with Licensees Mel Ocana and Marla Gonzalez at 10:45am, for an unannounced annual inspection. LPA observed an Assistant Jessica Maldonado, Licensee's adult son, and six day care children, of whom were two infants and four preschoolers during today's inspection.

Days and hours of operation are: Monday-Friday 6:00am-6:00pm. LPA toured the home both inside and out at 10:50am. Off limit areas all 3 bedrooms and garage. LPA observed the home is clean, orderly, and safe for the day care children. LPA observed sufficient materials, toys, and play equipment for the day care children. Licensees stated that there are no weapons in the home.

LPA observed a fully charged 3A10BC fire extinguisher, working smoke detector, and functioning carbon monoxide. LPA observed cleaning products, toxic, medications were inaccessible to children. LPA observed fireplaces are covered to prevent access by children. Facility has 2 big-sized dogs, 1 small-sized dog, and 2 cats and are kept away during daycare hours. Licensees stated that backyard is off limit at this time for remodeling. LPA observed that there are no bodies of water.

Licensees stated that they are not transport children. The last fire/disaster drill was conducted on 3/5/2020. Facility has a current Child Care Facility Roster. LPA reviewed children files and all are complete. Licensees and Assistants' files were reviewed. Licensees and Assistants maintain records of immunization. Licensees and Assistant have current Pediatric CPR & First Aid certifications and Mandated Reporter Training.

Adults who reside in the home are Licensee, spouse, Licensee's daughter, and Licensee's son. They have Clearances for Tuberculosis, and Criminal Background and Child Abuse Index Checks. Licensees stated she does not have any children in care who requires administration of medication. The facility is not providing Incidental Medical Services at this time. IMS was discussed.
ADA information line (800) 514-0301 (voice) and Commonly Asked Questions:http://www.ada.gov/childquanda.htm. LPA provided a copy of the “Lead Poisoning Facts Information Flyer” Information to Licensee.

No deficiency was cited today. An exit interview was conducted. Notice of Site Visit was given to Licensee and must remain posted for 30 days.
SUPERVISOR'S NAME: Diana StephensonTELEPHONE: (408) 324-2158
LICENSING EVALUATOR NAME: Dung MacTELEPHONE: (408) 334-8550
LICENSING EVALUATOR SIGNATURE:

DATE: 03/10/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2020
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 1