434415415-6-16-2021-07-CC-PHEZ-C42Q84-20210616115606

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434415415
Report Date: 06/16/2021
Date Signed: 06/16/2021 11:56:17 AM

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:	RODRIGUEZ, APRIL		FACILITY NUMBER:	434415415
ADMINISTRATOR:	APRIL RODRIGUEZ		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(408) 648-9820
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95129
CAPACITY:	14	CENSUS:	DATE:	06/16/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	April Rodriguez		TIME COMPLETED:	12:04 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) Pete Hernandez conducted an unannounced Required 1 Year inspection. LPA met with April Rodriguez and her assistant Jacqueline Garcia. Licensee, and explained the nature of today's visit to her. LPA also observed 11 children in care (6 preschoolers, her school age son, and 4 infants) in the home during today's inspection. The adults that reside in the home are the Licensee, her spouse, with her minor son. Days and hours of operation are Monday - Friday from 7:00 AM to 7:00 PM. LPA toured the on limit indoor and outdoor areas during today's inspection, including the nap room, living/ play area, kitchen, activity room, both bathrooms, and the outside deck play area, and the backyard. LPA also inspected the off limit areas indoors and outdoors, which were locked and inaccessible to the children in care. Off- limit areas inside and outside the home per the San Jose Fire clearance are: the three bedrooms (2, 3. 4) and the detached garage converted into a living space where the brother in law resides. (Brother in law has been fingerprinted, cleared and associated to the license.) Licensee acknowledged that children may never enter these off-limit areas. All off limit areas have locked doors. LPA did not observe any bodies of water on the property. Licensee states that there are no weapons in the home. LPA Hernandez observed a fully operational 3A40BC fire extinguisher. LPA also observed operating carbon monoxide detector and smoke alarm with fire pull stations. Cleaning Products, toxic agents, medications, and sharp objects are inaccessible to children and kept in the locked laundry room. LPA reminded Licensee that smoking, baby walkers, bouncers, jumpers, and similar items are not allowed in Family Child Care Homes. REPORT CONTINUED ON THE FOLLOWING PAGE (PAGE #2 - REPORT DATED 06//09/2021

SUPERVISOR'S NAME: Sandy Knight	TELEPHONE: (408) 334-2151
LICENSING EVALUATOR NAME: Pietro Hernandez	TELEPHONE: (408) 598-9250
LICENSING EVALUATOR SIGNATURE:	DATE: 06/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2021

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: RODRIGUEZ, APRIL	FACILITY NUMBER: 434415415
	VISIT DATE: 06/16/2021

NARRATIVE

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CONTINUATION OF PREVIOUS PAGE (PAGE #1 - REPORT DATED 06/16/2021):

LPA reviewed the files of 7 enrolled children, all the files have all of the required documentation and immunizations.

Applicant will use time out and enforcement of manners as a forms of discipline. Applicant understands that children's personal rights should not be violated; including no corporal punishment. Isolation of sick children, supervision of children, capacity options, transportation of children, requirements for reporting suspected child abuse, unusual incidents/injuries, heat-related illnesses, and requirements for assistant/substitute were also discussed.

A review of facility records during today's inspection indicates that all adults or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. LPA also reminded Applicant of the applicable civil penalties for those adults who have not received fingerprint clearances, are not associated to the license and who come in contact with or provide care and supervision to the children. Penalty amounts: $100.00 per person per day, minimum of $100.00 to a maximum of $500.00 per person for an initial violation and a minimum of $100.00 to a maximum of $3000.00 per person for any subsequent violation within a 12-month period.

Licensing forms can be obtained at the Department website: www. ccld.ca.gov.
LPA discussed with Applicant the requirements of Assembly Bill 633, Senate Bill 792, car seat law, healthy beverages in child care, immunization's/shots needed before starting child care/preschool, and zero tolerance violations.
As well as the Mandated Reporter Training (AB1207) which is current. This must be updated every 2 years at completed at the website listed.
http://www.mandatedreporterca.com/

SUPERVISOR'S NAME: Sandy Knight	TELEPHONE: (408) 334-2151
LICENSING EVALUATOR NAME: Pietro Hernandez	TELEPHONE: (408) 598-9250
LICENSING EVALUATOR SIGNATURE:	DATE: 06/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2021

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: RODRIGUEZ, APRIL	FACILITY NUMBER: 434415415
	VISIT DATE: 06/16/2021

NARRATIVE

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CONTINUATION OF PREVIOUS PAGE (PAGE #2 - REPORT DATED 06/16/2021):

The Licensee states that she does not transport children and understands that children cannot be left in parked vehicles unattended at any time. Licensee understands that children's personal rights should not be violated; including no corporal punishment. Isolation of sick child, requirements for reporting suspected child abuse, unusual incidents/injuries, heat-related illnesses, and requirements for assistant/substitute were also discussed.
Supervision of children was discussed with the Licensee. Licensee understands that she must be present in the home at least 80 percent of the hours the day care is in operation and ensure that the children are supervised at all times. The Licensee understands her capacity options. The Licensee states that she does not transport children and understands that children cannot be left in parked vehicles unattended at any time. Licensee understands that children's personal rights should not be violated; including no corporal punishment. Isolation of sick child, requirements for reporting suspected child abuse, unusual incidents/injuries, heat-related illnesses, and requirements for assistant/substitute were also discussed.

Last fire drill was conducted on 5/27/2021. LPA informed Applicant that fire/disaster drills must be practiced at least once every six months and documented. Licensee is compliant.

License has a current CPR and First Aid that expires on 2/29/2022.

LPA Observed all required postings on the wall next to the front door.

SUPERVISOR'S NAME: Sandy Knight	TELEPHONE: (408) 334-2151
LICENSING EVALUATOR NAME: Pietro Hernandez	TELEPHONE: (408) 598-9250
LICENSING EVALUATOR SIGNATURE:	DATE: 06/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2021

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: RODRIGUEZ, APRIL	FACILITY NUMBER: 434415415
	VISIT DATE: 06/16/2021

NARRATIVE

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LPA also observed that the Licensee does practice Covid-19 protocol with hand sanitizer, temperature checks, face coverings and social distancing.

No deficiencies are being cited based on the LPAs observations, interviews conducted and records reviewed in accordance with the California Code of Regulations Title 22.

LPA conducted an exit interview with the Licensee .

A NOTICE OF SITE VISIT WAS ISSUED, AND TO BE POSTED NEAR THE ENTRANCE TO THE FACILITY, AND MUST REMAIN POSTED FOR 30 DAYS.

SUPERVISOR'S NAME: Sandy Knight	TELEPHONE: (408) 334-2151
LICENSING EVALUATOR NAME: Pietro Hernandez	TELEPHONE: (408) 598-9250
LICENSING EVALUATOR SIGNATURE:	DATE: 06/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2021

LIC809 (FAS) - (06/04)

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