444407248-3-2-2023-07-CC-EBEN-CPJUVV-20230302145546

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 444407248
Report Date: 02/01/2023
Date Signed: 03/02/2023 02:56:11 PM

Document Has Been Signed on 03/02/2023 02:56 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:	FERNANDEZ, YOLANDA		FACILITY NUMBER:	444407248
ADMINISTRATOR:	YOLANDA FERNANDEZ		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(831) 722-4271
CITY:	WATSONVILLE	STATE: CA	ZIP CODE:	95076
CAPACITY:	14	CENSUS: 4	DATE:	02/01/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Yolanda Fernandez		TIME COMPLETED:	01:00 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 (LPA's) Elizabeth Berumen and Cynthia Tamayo, met with Licensee, Yolanda Fernandez, for an unannounced Required- 1 Year Inspection. LPAs were granted access to the home by the Licensee and toured both indoors and outdoors during the inspection. Upon arrival, there were 4 children (1 infant and 3 preschool) and two staff (Licensee and 1 adult assistant - Maura Lomeli) present, which is compliant with the facility license capacity and ratio requirements. LPAs observed all required postings. Hours of operation for the facility are Monday – Friday, 6:00 AM-6:00 PM. Licensee provided her cell phone number (831)254-5254. Licensee states that adults residing in the home are: herself, her spouse (Jose G Rocha), and her daughters (Lupita and Isabel Rocha). Licensee's minor daughter (Ruby Rocha) also resides in the home. 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. LPAs reviewed a current Child Care Facility Roster and fire/disaster drill log during today's inspection. The last fire/disaster drill was conducted on 12/19/22. LPAs observed a fully charged 3A40BC fire extinguisher. LPA Berumen tested the fire/carbon monoxide detector and proved to be functioning. 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. Licensee was reminded that poisons, detergents, cleaning compounds, medicines, and other items which could pose a danger if readily available to children should be stored inaccessible to children. Poisons are to be locked.

SUPERVISOR'S NAME: Mary Segura	TELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Elizabeth Berumen	TELEPHONE: (408) 318-1326
LICENSING EVALUATOR SIGNATURE:	DATE: 02/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2023

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: FERNANDEZ, YOLANDA	FACILITY NUMBER: 444407248
	VISIT DATE: 02/01/2023

NARRATIVE

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The indoor areas of the home were inspected by the LPAs today and observed to be clean, and orderly, for the day care children. Off-limits areas of the home (indoors) include: garage and entire second floor (4 bedrooms & 2 bathrooms). There are no open faced heaters in the home. Licensee has two electric/gas fireplace units in the home that are barricaded and safe for the children. Licensee understands that she cannot use the fireplace units during day care hours. LPAs observed sufficient age-appropriate materials, toys, and play equipment in the facility. Furniture, such as tables, chairs, and shelves, are in good condition and safe for children. Drinking water is readily available for children in the home via water dispensers and disposable cups. The bathroom in the home is clean, sanitary, and operable. The Licensee has a working telephone in the home. Stairs are barricaded appropriately to keep day care children safe.

The backyard area of the home was inspected and LPAs observed sufficient play equipment and supplies for the children that is in good condition and age-appropriate. Off-limits areas of the outdoor home include: left side yard. No outdoor bodies of water were observed during todays inspection. LPA notes there is a water fountain in the front yard.

LPAs 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. LPAs 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.

Four children's files were reviewed during todays inspection and all required documents were present, including Individual Infant Sleep Plan (LIC9227) for all infants. Two staff files (Licensee and Assistant) were reviewed. The Licensee and adult assistant has current CPR/First-Aid that expires 02/16/2023 The Licensee has current Mandated Reporter Training that expires on 05/13/2024 LPAs reminded Licensee that the Mandated Reporter Training must be renewed by all staff every 2 years.

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. Licensee states that she does not transport any day care children. LPAs reminded 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.

SUPERVISOR'S NAME: Mary Segura	TELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Elizabeth Berumen	TELEPHONE: (408) 318-1326
LICENSING EVALUATOR SIGNATURE:	DATE: 02/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2023

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: FERNANDEZ, YOLANDA	FACILITY NUMBER: 444407248
	VISIT DATE: 02/01/2023

NARRATIVE

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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/inspection-process.

Exit interview conducted and report was reviewed with the Licensee, Yolanda Fernandez. Todays report translated from English to Spanish by LPA Tamayo.

As a result of todays inspection, no deficiency cited.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS.

SUPERVISOR'S NAME: Mary Segura	TELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Elizabeth Berumen	TELEPHONE: (408) 318-1326
LICENSING EVALUATOR SIGNATURE:	DATE: 02/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2023

LIC809 (FAS) - (06/04)

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