444409823-8-16-2019-07-CC-EBEN-BF4ULN-20190816154102

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 444409823
Report Date: 08/16/2019
Date Signed: 08/16/2019 03:41:07 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:	CASTILLO, MARY		FACILITY NUMBER:	444409823
ADMINISTRATOR:	MARY CASTILLO		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(831) 763-7606
CITY:	WATSONVILLE	STATE: CA	ZIP CODE:	95076
CAPACITY:	14	CENSUS: 10	DATE:	08/16/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	02:20 PM
MET WITH:	Mary Castillo		TIME COMPLETED:	03:45 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's (LPA's) Elizabeth Berumen conducted an unannounced annual random inspection to the home today. LPA met with Licensee, Mary explained the nature of today's inspection. LPA observed 9 day care children (2 infant, preschoolers), Licensee's 4 year old daughter and her assistant, Maria Montanez. Days and hours of operation are Monday - Friday from 6:00 AM to 6:00 PM. Mary states that the adults that live in the home are: Licensee, her sister, Angelita Ortiz, her brother in-law Mario Rodriguez and husband, David Castillo. Licensee has a 15 year old and 9 year old who also live in the home. *All individuals subject to a criminal record review have obtained a criminal record clearance or exemption prior to working, residing, or volunteering in a licensed home.* LPA inspected parts of the facility in which family day care services are being provided and areas which children have access. The off limit areas of the home are two bedrooms and two hall closets. Off limits areas outside the home locked storage shed and drive way. No bodies of water were observed. Licensee states there are no firearms or other dangerous weapons in the home. Detergents, cleaning compounds, medication, and other items which could pose danger to children are stored where they are inaccessible to children. Licensee understands that poisons are to be locked. There is a wall heater; about 3 feet of the wall heater is covered. The fire extinguisher and smoke detector meet state fire marshal standards. The carbon monoxide detector and smoke detector were tested and proved to be functioning. LPA observed the home to be clean and orderly, with heating and ventilation for safety and comfort. There are no stairs inside the home. LPA observed safe toys, play equipment, and materials. The licensee understands that she is to be present in the home and endure that children in care are supervised at all times.

SUPERVISOR'S NAME: Mary Segura	TELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Elizabeth Berumen	TELEPHONE: (408) 318-1326
LICENSING EVALUATOR SIGNATURE:	DATE: 08/16/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2019

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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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: CASTILLO, MARY	FACILITY NUMBER: 444409823
	VISIT DATE: 08/16/2019

NARRATIVE

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Licensee states she does not transport children via vehicle. LPA reminded her that children are not to be left in parked vehicles. When temporarily absent from the home, the licensee arranges for a substitute adults to care for and supervise children in their absence. Smoking is prohibited on the premises of a family child care home

LPA reminded Licensee that each child shall be accorded safe, healthful and comfortable accommodations, furnishings, and equipment. LPA reviewed facility roster and obtained a copy. LPA reviewed fire disaster drill log; The home conducts fire and disaster drills at least once every six months, and documents the date and time of each drill. The last practiced drill was 08/06/19.
LPA reviewed staff file and 9 children files. Licensee documents immunization's and maintains and updates records for children in care. Family child care home notification of parents rights are in all children files reviewed today.

The licensee and other personnel as specified have completed training on preventive health practices including CPR and First Aid. Licensee's certifications for CPR and First Aid are current and expire on 04/16/2021. Maria Montanez has TB test,
Licensee and Assistant, Maria Montanez completed the Mandated Reporter Training on April 16, 2018. Maria Montanez and Licensee have immunization's against pertussis and measles.

LPA reminded licensee that any authorized employee of the Department may enter and inspect any place providing personal care and services at anytime, with or without advance notice. Incidental Medical Services were discussed with the licensee. This facility provides Incidental Medical Services (IMS). LPA reviewed storage of medication and equipment /supplies, and reviewed children’s, personnel and administrative records. Licensee has a a cabinet labeled "caja de medicametos" in which she stores medication.

Effective January 1, 2019, AB 2370, Chapter 676, Statutes of 2018, requires all child care providers, upon enrolling or re-enrolling any child, to provide the parent or guardian with written information including the following: Risks and effects of lead exposure. Blood lead testing recommendations and requirements. Options for obtaining blood lead testing, including any programs that offer free or discounted tests.

No deficiencies were cited during today's inspection. Exit interview was conducted with licensee in Spanish.

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

SUPERVISOR'S NAME: Mary Segura	TELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Elizabeth Berumen	TELEPHONE: (408) 318-1326
LICENSING EVALUATOR SIGNATURE:	DATE: 08/16/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2019

LIC809 (FAS) - (06/04)

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