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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 444406001
Report Date: 09/18/2019
Date Signed: 09/18/2019 03:06:20 PM

COMPREHENSIVE INSPECTION
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:HUTSON, JENNYFACILITY NUMBER:
444406001
ADMINISTRATOR:HUTSON, JENNYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(831) 426-3861
CITY:SANTA CRUZSTATE: CAZIP CODE:
95060
CAPACITY:14CENSUS: 11DATE:
09/18/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
02:05 PM
MET WITH:Jenny Hutson TIME COMPLETED:
03:30 PM
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Licensing Program Analyst (LPA) Zaid Hakim conducted an Unannounced Annual / Random Inspection at the facility today. Upon arrival, LPA observed nine (9) preschool age children and two (2) infants engaging in daily activities, at least two (2) adults providing care and supervision, and met with Ms. Jenny Hutson, Licensee. The Licensee and her spouse are the only adults that reside in the home and both maintain valid background clearance. The days and hours of operation are Monday through Friday 7:30 to 5:00pm. LPA observed required postings; including but not limited to the License to Operate, Emergency Disaster Plan (LIC 610) and Notification of Parents Rights (PUB 393). The facility is licensed for a maximum capacity of 14 children and the Licensee understands capacity options with the combination of age groups. At the time of the inspection LPA observed that the Licensee is in compliance with capacity and ratio requirements.

LPA toured the facility inside and out and observed all indoor and outdoor activity areas. LPA observed doors and locks securing storage areas and off limit areas. Areas approved for day care use include the living room, one restroom, and the detached activity building. The Licensee stated that there are no weapons or firearms in the home and no fireplaces located in on-limit day care areas. There are two bodies of water on the premises. The hot tub, located near the rear entrance to the living room was equipped with a weight bearing hard cover that was observed to be securely fastened. The above the ground pool, located in the backyard, is enclosed with secure fencing that is transparent and equipped with a latch at least 5 feet in height. The gate to pool opens outward away from the pool and is padlocked during day care operating hours.

The facility is equipped with at least one functioning smoke detector, one carbon monoxide detector, first aid supplies, and at least one 2A10BC fire extinguisher. The Licensee understands that fire safety items and fire extinguishers should be maintained at least once every 12 months. The last fire safety inspection conducted by the local fire authority was in 01/2018 in which all fire safety items were maintained.

LPA advised that licensing forms and all other information can be found at: http://www.cdss.ca.gov/inforesources/Child-Care-Licensing

CONTINUATION ON FOLLOWING PAGE (PAGE #2 - REPORT DATED 09/18/2019):
SUPERVISOR'S NAME: Anthony StudebakerTELEPHONE: (408) 324-2155
LICENSING EVALUATOR NAME: Zaid HakimTELEPHONE: (408) 497-9236
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2019
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 3
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: HUTSON, JENNY
FACILITY NUMBER: 444406001
VISIT DATE: 09/18/2019
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CONTINUATION OF PREVIOUS PAGE (PAGE #2 - REPORT DATED 09/18/2019):

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 (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

The Licensee has been referred to the department website for Licensing resource and updates: http://www.cdss.ca.gov/inforesources/Child-Care-Licensing and has been advised to sign up for the CCL Quarterly Updates email list to stay current with changing legislation and new requirements.



LPA reminded the Licensee of the immunization requirement (pertussis, measles, and flu vaccines) for all staff that work directly with the childrenand the required "Mandated Reporter" training that all staff will be required to complete starting January 1, 2018.

https://mandatedreporterca.com/

LPA and the Licensee discussed recent changes to Mandated Reporter Requirements, Safe Sleep for Infants, Effects of Lead Exposure, Positive Forms of Discipline, and precautions regarding children's outdoor activity time such as extreme heat or air quality.

A Notice of Site Visit has been issued and must remain posted for 30 consecutive days.

No Deficiencies have been cited as a result of today's inspection.

Exit interview conducted with Ms. Jenny Hutson, Licensee.
SUPERVISOR'S NAME: Anthony StudebakerTELEPHONE: (408) 324-2155
LICENSING EVALUATOR NAME: Zaid HakimTELEPHONE: (408) 497-9236
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2019
LIC809 (FAS) - (06/04)
Page: 3 of 3
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: HUTSON, JENNY
FACILITY NUMBER: 444406001
VISIT DATE: 09/18/2019
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CONTINUATION OF PREVIOUS PAGE (PAGE #1 - REPORT DATED 09/18/2019):

Toxic cleaning supplies and other items that pose a danger to children are securely stored in inaccessible locations. The home has sufficient and safe toys, equipment, and supplies. The outdoor play area was observed to be safe and equipped with age appropriate toys and equipment. The outdoor play areas were observed to have secure perimeter fencing, age appropriate toys and supplies, and access to shade and drinking water when needed. There is an off-limit portion of the outdoor play area were children are not allowed. *LPA and the Licensee discussed regular inspections / maintenance of the fencing and locks that secure bodies of water.

The Licensee serves snacks to children and all foods served at the facility at any given time are communicated to parents and families beforehand. The Licensee stated that she is aware of all food allergies or dietary restrictions of the children. The Licensee stated that there are no bouncers / walkers in the home and understands that bouncers / walkers may not be used in family home day cares. The Licensee stated that she understands that children that arrive to the facility in car seats must be removed from car seats upon entry. LPA observed all furnishings used by children to be safe and in good condition. LPA observed mats, pillows, and blankets for napping. LPA and the Licensee discussed safe sleep practices for infants in detail.

The Licensee maintains an accurate roster of enrolled children. At least one staff maintains valid CPR / First Aid training, through an approved vendor, which expires in 07/2020. The Licensee understands that there must be at least one staff on site with Pediatric CPR / First Aid at all times. Emergency disaster drills are done as required, last of which was completed in 08/2019. LPA and the Licensee discussed emergency disaster procedures in the event of a natural or man-made disaster. LPA and the Licensee discussed emergency information regarding the children in care, safety in times of crisis, home surveillance systems in common areas, and emergency supplies maintained in the home, and payment of Licensing fees. The Licensee stated the facility does not take off site field trips and the Licensee does not provide transportation. The Licensee understands in the event of transporting children, vehicle safety and that traffic and seat belt laws must be obeyed at all times. The Licensee does not assist enrolled children with medications at this time and is aware an Incidental Medical Services (IMS) Plan is required prior to any IMS being provided.

A review of staff records during today's inspection indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. LPA also reminded The licensee 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.

CONTINUATION ON FOLLOWING PAGE (PAGE #3 - REPORT DATED 09/18/2019):
SUPERVISOR'S NAME: Anthony StudebakerTELEPHONE: (408) 324-2155
LICENSING EVALUATOR NAME: Zaid HakimTELEPHONE: (408) 497-9236
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2019
LIC809 (FAS) - (06/04)
Page: 2 of 3