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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 525407603
Report Date: 04/02/2020
Date Signed: 04/02/2020 02:17:08 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:CABRERA-ESTRADA, DANYA FAMILY CHILD CARE HOMEFACILITY NUMBER:
525407603
ADMINISTRATOR:CABRERA-ESTRADA, DANYAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 433-3297
CITY:CORNINGSTATE: CAZIP CODE:
96021
CAPACITY:14CENSUS: 4DATE:
04/02/2020
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Danya Cabrera-Estrada (applicant)TIME COMPLETED:
11:40 AM
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The facility inspection was conducted via tele-inspection due to the current state of emergency regarding the COVID-19 outbreak.

A pre-licensing inspection was conducted 04/02/2020 from 11-11:40am by Licensing Program Analyst (LPA) David Wilson. The applicant requested a license for a capacity of fourteen children. Services will normally be provided 7:00am - 6pm Monday thru Friday. The residence is a three bedroom/two bath home. Applicant was advised that all adults residing or working at the facility must have a criminal background clearance on file with Community Care Licensing Division. All minors residing in the home must be fingerprinted within 30 days of reaching their 18th birthday and obtain a TB clearance. The applicant is aware of the immediate monetary per day civil penalty for adults working or residing in the home without a criminal record clearance.

The home has three bedrooms and all three are off limits (including the master bedroom's bathroom). All three bedrooms are inaccessible via child-proof doorknob locks. A dis-attached garage is off limits and inaccessible via roll-up door and entry door locks. The home appeared to be clean and orderly at this time and will remain so during childcare hours. There was a working telephone in the home. The sharp knives, cleaning supplies, and medicines were stored out of the reach of children. Applicant stated poisons are locked in garage; none were observed accessible. The children in care will have access to age appropriate toys and equipment. The home was equipped with a working smoke detector, carbon monoxide detector, and charged fire extinguisher rated at least 2A:10B:C. Applicant stated only electing to use the home’s front yard as the outdoor play area. Both the front and back yards are not separated from one another by any fencing. The front and back yard is not completely fenced in. Since applicant elects to not use back yard then must supervise adequately preventing children into back yard. Applicant understands must ensure that when any children are participating in outdoor activity the applicant or a qualified staff must be present maintaining constant visual supervision. There was no pool, spa, pond, fountain, nor any other source of water accessible to the children, and none is to be added without prior notification and approval of the licensing agency. Continued next page...
SUPERVISOR'S NAME: Erin VirruetaTELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: David WilsonTELEPHONE: (530) 513-0993
LICENSING EVALUATOR SIGNATURE:

DATE: 04/02/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/02/2020
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 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME: CABRERA-ESTRADA, DANYA FAMILY CHILD CARE HOME
FACILITY NUMBER: 525407603
VISIT DATE: 04/02/2020
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Parents will be required to sign insurance affidavits if the provider does not plan to purchase additional childcare liability insurance. Proof of control of property or landlord notification/consent is on file. Licensee understands that prior to operation the required postings must be in a location where child day care client’s representatives can readily view (LPA has instructed applicant in writing on all required postings). Emergency drills must be conducted at least once every six months and the date must be documented. The facility childcare roster must always remain current . Unusual Incident Report procedures were explained, to include notification before close of next business day and follow-up with written report within seven days. The applicant will maintain current Pediatric CPR and First Aid. The applicant shall normally be present in the home and shall ensure that children in care are supervised by a fingerprinted adult with current Pediatric CPR and First Aid certification. The applicant understood that children may only be transported by adults with the appropriate criminal record clearance, are associated to the facility license, have all the Family Child Care Home staff requirements met and are never to be left unattended in a vehicle. The applicant understood the maximum number of children for whom care can be provided and the limitations on the number of infants (birth to age 2) that may be cared for and when two of the children in care must be school aged. Smoking is always prohibited in the home and in outdoor areas where children are present.

Incidental Medical Services (IMS) plan services was discussed. 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 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,www.ada.gov/childqanda.htm.

The applicant understood the responsibility to read and have knowledge of the laws and regulations for operation of a family childcare home. Forms and regulations must be obtained from the website (http://ccld.ca.gov/). Megan's Law web site was provided (http://www.meganslaw.ca.gov). The licensee understood that any authorized employee of the Department may enter and inspect the facility with or without advance notice. This report, as well as Provider Information Notices (PIN) 20-02-CCP, 20-04-CCLD and 20-05-CCLD, IMS plan information guide, and the American Academy of Pediatrics Guide to Safe Sleep, was reviewed and discussed with the applicant.

Any proposed changes to the physical plant, telephone number, or change of address shall be immediately reported to the Department. The home will be reviewed for final licensing processing.
SUPERVISOR'S NAME: Erin VirruetaTELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: David WilsonTELEPHONE: (530) 513-0993
LICENSING EVALUATOR SIGNATURE:

DATE: 04/02/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/02/2020
LIC809 (FAS) - (06/04)
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