434415278-5-6-2022-07-CC-SYIP-CE6V5X-20220506160840

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434415278
Report Date: 05/06/2022
Date Signed: 05/06/2022 04:08:45 PM

Document Has Been Signed on 05/06/2022 04:08 PM - It Cannot Be Edited

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:	DAYRIT, LAURA ANN		FACILITY NUMBER:	434415278
ADMINISTRATOR:	DAYRIT, LAURA ANN		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(408) 421-2624
CITY:	MORGAN HILL	STATE: CA	ZIP CODE:	95037
CAPACITY:	14	CENSUS: 8	DATE:	05/06/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:49 AM
MET WITH:	Laura Ann "Lori" Dayrit		TIME COMPLETED:	12:55 PM

NARRATIVE

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Licensing Program Analyst (LPA) Samantha Yip conducted an unannounced Required- 1 Year inspection. LPA met with Licensee Laura Ann "Lori" Dayrit and explained the reason for the inspection. Present during today's inspection were Licensee, two assistant, and 8 children, whom one infants age. All adults present have cleared fingerprints.

License and notification of parent's rights were posted. The hours of operation of Monday through Friday 7:30AM to 4:30PM. Licensee has daycare insurance.

LPA toured in the inside and outside of the home. The off-limit areas of the home are the entire upstairs, garage, laundry room. Disinfectants, cleaning supplies, and other items that are dangerous to children were observed to be inaccessible to children. LPA reminded Licensee to ensure that is sharp, such as blender, needs to inaccessible to children. Toys and equipment were age appropriate. There is a fully charged fire extinguisher, smoke detector, and carbon monoxide detector. Licensee stated that there are no weapons, such as firearms, stored in the home. Licensee does have pets in the home.

The backyard is used and is fenced. The equipment were observed to be in a good condition. There were no bodies of water observed during today's inspection.

LPA reviewed sleep log. LPA discussed with Licensee that sleep log needs to have the child's name. LPA discussed the safe sleep regulations with Licensee and discussed the Child Care Licensing Safe Sleep webpage at

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SUPERVISOR'S NAME: Joel Segura	TELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Samantha Yip	TELEPHONE: (408) 529-8128
LICENSING EVALUATOR SIGNATURE:	DATE: 05/06/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2022

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: DAYRIT, LAURA ANN	FACILITY NUMBER: 434415278
	VISIT DATE: 05/06/2022

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-------------------------continuation of 809 dated 05/06/2022 page 1-----------------------------

https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Licensee does not have any children that required Incidental Medical Services (IMS). For IMS information, see PIN 22-02-CCP. 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

Licensee does not transport children, but understands that children cannot be left alone and unattended in parked vehicles.

A copy of the facility roster was obtained. Eight children's files were reviewed during today's inspection. The records reviewed include but not limited to parent's rights and immunization records.

Licensee and her assistants files were reviewed. Licensee and her assistant completed CPR/1st Aid online. Licensee's CPR/1st Aid expires on 02/09/2023. Licensee stated that she is going to be taking in-person CPR/1st Aid on 07/2022. Licensee stated that she will send CPR/1st Aid card to Licensing upon completion. Licensee and her assistant completed the Mandated Reporter training. Licensee and A-1 completed training on 10/29/2020 and A-2 completed it on 05/05/2022. Licensee and her assistants have immunization records for measles and pertussis and TB test on file.

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SUPERVISOR'S NAME: Joel Segura	TELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Samantha Yip	TELEPHONE: (408) 529-8128
LICENSING EVALUATOR SIGNATURE:	DATE: 05/06/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2022

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: DAYRIT, LAURA ANN	FACILITY NUMBER: 434415278
	VISIT DATE: 05/06/2022

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The adults 18 and over living in the home are Licensee, her spouse, and A-1. Licensee also has one minor child. All adults have cleared criminal record clearance, child abuse index, and TB clearance. Licensee was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

An updated LIC 279 and LIC 279B was obtained during today's inspection. LPA also obtained a copy of the TB test and LIC 508 for A-1.

As a result of this inspection, no deficiencies were issued. Exit interview conducted and report was reviewed with the licensee Lori Dayrit.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISOR'S NAME: Joel Segura	TELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Samantha Yip	TELEPHONE: (408) 529-8128
LICENSING EVALUATOR SIGNATURE:	DATE: 05/06/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2022

LIC809 (FAS) - (06/04)

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