434415257-2-27-2020-07-CC-JTSE-BM7SZN-20200227131926

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434415257
Report Date: 02/27/2020
Date Signed: 02/27/2020 01:19:34 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:	RECINOS, BLANCA & JOSE		FACILITY NUMBER:	434415257
ADMINISTRATOR:	BLANCA & JOSE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(408) 261-1033
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95117
CAPACITY:	14	CENSUS: 8	DATE:	02/27/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:55 AM
MET WITH:	Blanca Recinos		TIME COMPLETED:	01:30 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	LPA Janet Tse met with licensee Blanca Recinos for a Required-1 Year inspection. Present were eight children including two infants with Licensee Blanca and one assistant (AA). Licensee Jose Blancos was not present in the home. Adults living in the home are both Licensees and their adult son. Days and hours of operation are Monday to Sunday, 24 hours. Licensee understands that no day care children can stay in the home for more than 24 hours. LPA toured the indoor and outdoor of the home. Off limits indoor: master bedroom, master bathroom, two bedrooms, one bathroom, kitchen, and the laundry room. There were 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: detached garage, both side yards and the fenced off area. LPA reminded Licensee that she can only have 14 children according to her license. Fire extinguisher is size 2A10BC and filled. Smoke and carbon monoxide detectors were operable. Home was 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. A listing of staff criminal record clearances associated to this facility in the CCL Licensing Information System (LIS) on 02/26/2020 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. LPA observed fire drill log which is to be done every 6 months and obtained a copy of the current roster of the children. LPA observed that Licensees and their assistant have current Pediatric CPR/1^st Aid expiring 03/19/2021 and 12/27/2021 respectively. - Page 1 of 2 -

SUPERVISOR'S NAME: Mary Segura	TELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Janet Tse	TELEPHONE: (408) 334-8547
LICENSING EVALUATOR SIGNATURE:	DATE: 02/27/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2020

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: RECINOS, BLANCA & JOSE	FACILITY NUMBER: 434415257
	VISIT DATE: 02/27/2020

NARRATIVE

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Facility Evaluation Report dated 02/27/2020 to be continued from previous page:
Licensee was given a list of the current forms for childcare. Website to download forms and to review regulations: http://www.ccld.ca.gov. 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 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. 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. SB792 Immunization Requirements was discussed. LPA observed the required immunization records for Licensees and their assistant 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. Licensees' and their assistant's primary language is Spanish and is currently exempt from the training.

The updated LIC 279 Application for a Family Child Care Home License received by LPA on 02/21/2020 was not filled out correctly and information was not accurate. LPA instructed Licensee in detail on how to complete the LIC 279, and provided her a copy of the LIC 279 with accurate information for her to pass onto a new LIC 279. An advisory note for Licensees to resubmit the LIC 279 was issued.

No deficiency was cited. Notice of site visit was issued and must be posted 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: 02/27/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2020

LIC809 (FAS) - (06/04)

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