444405736-3-1-2023-07-CC-CNEN-CPHVP9-20230301153623

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 444405736
Report Date: 03/01/2023
Date Signed: 03/01/2023 03:36:31 PM

Document Has Been Signed on 03/01/2023 03:36 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:	HURLEY, DEBBIE		FACILITY NUMBER:	444405736
ADMINISTRATOR:	DEBBIE HURLEY		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(831) 419-5126
CITY:	WATSONVILLE	STATE: CA	ZIP CODE:	95076
CAPACITY:	14	CENSUS: 9	DATE:	03/01/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:37 PM
MET WITH:	Debbie Hurley		TIME COMPLETED:	03:46 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 Analysts (LPAs), Cortney Nelson and Ashley Lopez, met with Licensee, Debbie Hurley, for an unannounced Required- 1 Year Inspection. LPA's were granted access to the home by the Licensee and toured both indoors and outdoors during the inspection. Upon arrival, there were nine (9) children (5 preschool-age/4 infants), the Licensee, and her Assistant (Leilani) present, which is compliant with the home license capacity and ratio requirements. LPA's observed all required postings near the entrance to the home and the hours of operation are Monday – Friday, 7:30AM-5:30PM. The Licensee states that there are no adults over the age of 18 residing in the home. The Licensee was reminded that all adults 18 and over living or working in the home, 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. LPA's reviewed facility roster (LIC9040) and fire/disaster drill log and observed the last drill was conducted on 9/15/2022, which is compliant with the six-month requirement for homes. LPA's observed a fully charged 3A40BC fire extinguisher, functioning smoke detector and carbon monoxide detector. The Licensee states that she does not currently have any children in care who require Incidental Medical Services and does not administer medication at this time. The Licensee states that there are no weapons or firearms in the home.

SUPERVISOR'S NAME: Joel Segura	TELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Cortney Nelson	TELEPHONE: (916) 956-5037
LICENSING EVALUATOR SIGNATURE:	DATE: 03/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/01/2023

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: HURLEY, DEBBIE	FACILITY NUMBER: 444405736
	VISIT DATE: 03/01/2023

NARRATIVE

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Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual- Regulation Interpretations and Procedures for Family Child Care Homes, Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice 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

Indoor areas of the home were inspected by the LPA's today and observed to be clean, orderly, and safe for the day care children. Off-limits areas inside the home include: side porch. The Licensee has a waiver for a wood burning stove that was observed to be cool to the touch during today's inspection. LPA's observed sufficient age-appropriate materials, toys, and play equipment in the home. The Licensee states that she serves breakfast, lunch, and AM/PM snack to the children in care and is not part of any food programs. The bathroom in the home is clean, sanitary, and operable. There is a working telephone in the home.

The backyard area of the home was inspected and observed to be fenced in. LPA's observed sufficient play-equipment and supplies for the children that are in good condition and age-appropriate. LPA's observed that bikes and other play equipment were stored in garage of rental unit due to rainy weather. LPA's advised that baby walkers are not allowed in FCCH and advised removing the toy from children's use. Off-limit areas outside of home include: detached garage (converted rental unit) and fenced area behind rental unit. No outdoor bodies of water were observed during todays inspection.

LPA's discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource.

Five (5) children’s files and two (2) staff files were reviewed during todays inspection and all required documents were present, including Individual Infant Sleep Plan (LIC9227) and sleep check documentation for all infants. The Licensee has current CPR/First-Aid that expires 12/30/2023 and Mandated Reporter Training that expires on 4/14/2024. LPA's reminded that training must be renewed every 2 years.

SUPERVISOR'S NAME: Joel Segura	TELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Cortney Nelson	TELEPHONE: (916) 956-5037
LICENSING EVALUATOR SIGNATURE:	DATE: 03/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/01/2023

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: HURLEY, DEBBIE	FACILITY NUMBER: 444405736
	VISIT DATE: 03/01/2023

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Supervision of children was discussed with the Licensee and she understands that she must be home during day care hours and ensure that children are supervised at all times. The Licensee states that she does transport day care children and LPA's confirmed that the Licensee's drivers license is current and vehicle used for transportation (Honda Pilot) has current registration and insurance. LPA's reminded the Licensee that children should not be left unattended in parked vehicles and that car seats shall only be used for transportation and shall not be used for sleeping.

Exit interview conducted and report was reviewed with the Licensee, Debbie Hurley.

As a result of todays inspection, no deficiencies were cited.

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.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

SUPERVISOR'S NAME: Joel Segura	TELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Cortney Nelson	TELEPHONE: (916) 956-5037
LICENSING EVALUATOR SIGNATURE:	DATE: 03/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/01/2023

LIC809 (FAS) - (06/04)

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