444410545-9-18-2019-07-CC-ZHAM-BG5VNJ-20190918163514

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 444410545
Report Date: 09/18/2019
Date Signed: 09/18/2019 04:35:20 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:	MALONY, SHEA		FACILITY NUMBER:	444410545
ADMINISTRATOR:	MALONY, SHEA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(831) 588-7604
CITY:	SANTA CRUZ	STATE: CA	ZIP CODE:	95060
CAPACITY:	14	CENSUS: 4	DATE:	09/18/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	03:40 PM
MET WITH:			TIME COMPLETED:	05:00 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 Analyst (LPA) Zaid Hakim conducted an Unannounced Annual / Random Inspection at the facility today. Upon arrival, LPA observed (4) preschool age children and at least two (3) adults providing care and supervision, and met with Ms. Shea Malony, Licensee. The Licensee and two other adults 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 8:00 to 4:30pm. 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, the kitchen, and the outdoor play area. All other areas of the home are off limits. The Licensee stated that there are no weapons or firearms in the home and no fireplaces located in on-limit day care areas. 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 from the local fire authority was conducted in 04/2018 in which all fire safety items and extinguishers were maintained. 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 are off-limit buildings / sheds in the outdoor play area were children are not allowed. 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 Studebaker	TELEPHONE: (408) 324-2155
LICENSING EVALUATOR NAME: Zaid Hakim	TELEPHONE: (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)

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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: MALONY, SHEA	FACILITY NUMBER: 444410545
	VISIT DATE: 09/18/2019

NARRATIVE

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CONTINUATION OF PREVIOUS PAGE (PAGE #1 - REPORT DATED 09/18/2019):

The Licensee serves snacks and meals 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.

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.

Due to Time Constraints, LPA has determined this inspection will require completion at a later date. This Annual Random inspection is not completed as of 09/18/19.

Exit interview conducted with Ms. Shea Malony, Licensee.

SUPERVISOR'S NAME: Anthony Studebaker	TELEPHONE: (408) 324-2155
LICENSING EVALUATOR NAME: Zaid Hakim	TELEPHONE: (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)

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