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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 444406124
Report Date: 05/29/2019
Date Signed: 05/29/2019 04:23:51 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:NOVELO, BEATRICEFACILITY NUMBER:
444406124
ADMINISTRATOR:NOVELO, BEATRICEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(831) 722-6566
CITY:WATSONVILLESTATE: CAZIP CODE:
95076
CAPACITY:14CENSUS: 8DATE:
05/29/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
02:50 PM
MET WITH:Beatrice Novelo TIME COMPLETED:
04:30 PM
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Analyst Behbood met with licensee Beatrice Novelo. Present also were her helper and 8 day care children 2 of which infants. Living in the facility are licensee and her two sons, 17 and 18 years old. Days and hours of operation are Monday through-Friday, from 6 AM to 6 PM. All adults living in the home have criminal record clearance as well as child abuse index.
LPA and licensee toured both inside and outside of the home. There are no bodies of water present. Licensee states that there are no firearms/weapons in the home. Medicines, poisons and cleaning supplies are inaccessible to the children. There is a fully charged fire extinguisher, operational smoke and carbon monoxide detector. Home appears clean, has proper heating, lighting and ventilation for safety and comfort. LPA observed safe and sufficient toys, play equipment, materials and supplies for the day-care. Telephone is in working order. Licensee understands smoking is prohibited. Licensee identified the following off limit area inside the home: 3 bedrooms, laundry room and garage. Off limit area outside: the shed and the side yards. The playground is fenced with adequate play equipment and toys. .
Supervision of children was discussed with the licensee and she understands that she must be present in the home 80 percent of the time during day care hours and ensure that the children are supervised at all times.
Licensee has current CPR and First Aid that expires on 02/02/2021. Licensee and her staff have proof of the required immunization on file. Both her and her assistant have completed the required training on mandated child abuse reporter. Last fire drill was conducted in January of 2019 and earthquake drill one in 04/19. The lead poisoning poster was provided to licensee and she was advised to share the poster with her parents.
Children were supervised during the visit. Fire place is barricaded.
No deficiency noted.
SUPERVISOR'S NAME: Anthony StudebakerTELEPHONE: (408) 324-2155
LICENSING EVALUATOR NAME: Mahvash BehboodTELEPHONE: (408) 334-8552
LICENSING EVALUATOR SIGNATURE:

DATE: 05/29/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2019
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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