573607614-7-22-2021-53-CC-CHUR-C56RL7-20210722130639

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 573607614
Report Date: 07/22/2021
Date Signed: 07/22/2021 01:06:46 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

FACILITY NAME:	VAZQUEZ, RAMONA		FACILITY NUMBER:	573607614
ADMINISTRATOR:	VAZQUEZ, RAMONA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(530) 662-1632
CITY:	WOODLAND	STATE: CA	ZIP CODE:	95776
CAPACITY:	14	CENSUS: 4	DATE:	07/22/2021
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	11:45 AM
MET WITH:	Licensee, Ramona Vazquez		TIME COMPLETED:	01:15 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	On July 22, 2021, Licensing Program Analyst (LPA) Chayntel Hunter met with Licensee, Ramona Vazquez for the purpose of an unannounced annual inspection. All individuals subject to criminal background review have obtained a criminal record clearance. There were four children present at the time of inspection. Licensee's operating hours are Monday through Friday from 6 AM to 6 PM. Licensee also provides overnight care on an as needed basis. A health and safety inspection was conducted in all areas accessible to children. Off-limits areas include laundry room and master bathroom. During the inspection Licensee requested to make backyard off limits while pool construction was taking place. Licensee also requested that the master bathroom be made on limits. LPA observed bathroom and verified toxic and hazardous items were inaccessible to children in care. As of today 7/22/21 the backyard will be off limits and the master bathroom will be made on limits. Off limit areas are being made inaccessible by closed locked doors and baby latches. LPA observed daycare area with age appropriate toys for children. LPA observed the required postings and a working phone. 3A10BC fire extinguisher meets regulations. LPA observed dual smoke and carbon monoxide detector, and verified it is functional. Licensee stated there are no weapons in the home. The backyard will have an above ground pool area that is being fenced per Title 22 regulations. Licensee's bedroom provides direct access into the pool area, but Licensee has alarm installed for door. In addition LPA discussed the infant sleep regulations with licensee. LPA discussed the requirement to check and log infant napping every 15 minutes for infants 24 months and under. LPA provided a copy of LIC 9227 Individual Sleeping Plan, for infants under 12 months, for licensee during today's inspection. Report continues on 809-C.

SUPERVISOR'S NAME: Sharon Ogbodo	TELEPHONE: (916) 263-5721
LICENSING EVALUATOR NAME: Chayntel Hunter	TELEPHONE: (916) 917-8620
LICENSING EVALUATOR SIGNATURE:	DATE: 07/22/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2021

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, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

FACILITY NAME: VAZQUEZ, RAMONA	FACILITY NUMBER: 573607614
	VISIT DATE: 07/22/2021

NARRATIVE

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Children's files were reviewed. Emergency information and required immunization records were on file. LPA observed a current roster and documentation that a fire drill is conducted at least once every six months. Licensee's immunization records for measles (MMR), pertussis (Tdap), and the flu are available in the facility file. Current in-person EMSA pediatric CPR and First Aid certification and Child Care Provider Mandated Reporter certification was discussed. Licensee was reminded to renew both courses every two years. AB1207 Mandated Reporter can be renewed at mandatedreporterca.com

LPA reviewed new COVID19 self-assessment guide and conducted a technical assistance tour of the facility to incorporate Department of Public Health safety protocols for operating during the pandemic. LPA discussed posting requirements and facility operations including sanitation and pick up/drop off procedures.

LPA verified the annual fees are current.

This provider is not currently providing IMS services to children in care. Incidental Medical Services (IMS) policy was discussed.

For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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 (USDOJ) 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, available at: http://www.ada.gov/childqanda.htm.

This facility evaluation report was reviewed and discussed with Licensee. A Notice of Site Visit was provided and should remain posted for 30 days for parental review. Licensee was encouraged to visit the Department website at WWW.CCLD.CA.GOV for childcare updates, current forms, legislation and regulation information. A copy of this report will remain on file for a period of three years for public review upon request. Licensee's signature on this form acknowledges receipt of this form. Appeal rights were printed and provided.

In the areas that were evaluated, no deficiencies were cited during today’s inspection.

SUPERVISOR'S NAME: Sharon Ogbodo	TELEPHONE: (916) 263-5721
LICENSING EVALUATOR NAME: Chayntel Hunter	TELEPHONE: (916) 917-8620
LICENSING EVALUATOR SIGNATURE:	DATE: 07/22/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2021

LIC809 (FAS) - (06/04)

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