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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 573616690
Report Date: 03/12/2020
Date Signed: 03/12/2020 01:09:22 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:VILLANUEVA, TINAFACILITY NUMBER:
573616690
ADMINISTRATOR:VILLANUEVA, TINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 374-0474
CITY:WEST SACRAMENTOSTATE: CAZIP CODE:
95691
CAPACITY:14CENSUS: 12DATE:
03/12/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Irene YnostrozaTIME COMPLETED:
01:20 PM
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On March 12, 2020 at 10:45 am, Licensing Program Analyst (LPA), Marissa Soto met with Licensee's assistants, Irene Ynostroza and Alannah O'brien for an unannounced Annual inspection. Present in the home were Licensee's two assistants supervising 12 children. (Ages: all 12 children were 4 years old). Licensee's assistant stated there are no new residents in the home since licensure, Home is 2 story, 4 bedrooms, 3 bathrooms. Day care hours of operation are Monday-Friday 8:30 AM to 5:00 PM year round with periodic breaks through the year. All adults living in the home have criminal background clearance.
A health and safety inspection was conducted in all areas accessible to children and the following was observed living room, family room, kitchen, and the bathroom the children utilize backyard; Off-limits areas are: entire upstairs, garage and laundry. LPA observed hazardous items properly stored out of child reach on high shelves in kitchen room area. There were no hazardous items located in the bathroom. Medication are stored upstairs in off limit area made inaccessible to children. Fire extinguisher, smoke and carbon monoxide detectors are functional. Toys appear to be safe and age appropriate. There were no bodies of water on the property. Outdoor play area is free of hazardous and dangerous conditions and is fenced for supervision.

A sample of children’s files were reviewed and determined to be in compliance with licensing requirements. A current roster is being maintained and fire and disaster drills are conducted at least once every six months and are documented on a sheet. Current pediatric CPR and first aid certification was verified and expires on 09/2020.


Report continues on 809-C
SUPERVISOR'S NAME: Maria MayorgaTELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Marissa SotoTELEPHONE: (916) 926-9488
LICENSING EVALUATOR SIGNATURE:

DATE: 03/12/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2020
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: VILLANUEVA, TINA
FACILITY NUMBER: 573616690
VISIT DATE: 03/12/2020
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At 11:35am all 12 children were dismissed and parents picked up children. At 11:45am, 3 children arrived. This changed todays census down to 3.(Ages: 6 years old, 6 years old, and 5 years old). Licensee's assistant Irene stated that " the first group of children's hours are from 8:30am - 11:30am, all 12 children are dismissed and then the second group arrives 11:50am - 5:00pm.

LPA discussed the California Child Care Worker: Mandated Reporter Training with the licensee's assistant. The licensee and her assistants must complete the training every two years starting January 1, 2018 and retain proof of completion in the facility file. The training can be found at: mandatedreporterca.com.

LPA also discussed the Smoking ban, Licensee's assistant acknowledged that the home is smoke free. Incidental Medical Services (IMS) policies were also discussed with the licensee's assistant. LPA discussed immunization requirements with the licensee's assistant. This provider is currently not providing IMS services to children in care. IMS policy was discussed with Licensee. 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.

Lead Poisoning Facts Information Flyer was provided and Licensee's assistant was advised that beginning January 1, 2019 a new law (AB 2370) requires licensed homes and centers to share information on the risks and effects of lead exposure with enrolling and re-enrolling families.

LPA advised the licensee's assistants on Safe Sleep Practices and SIDS; the licensee's assistant stated they are understood. Licensee's assistants understands infants cannot sleep in car seats, swings or other items not intended for sleeping. LPA provided the Child Care Advocates Program email address: childcareadvocatesprogram@dss.ca.gov, so the licensee can request to be added to the distribution list to receive Quarterly Updates.

This facility evaluation report was reviewed and discussed with the licensee's assistant. A Notice of Site Visit was provided and should remain posted for 30 days for parental review. Licensee's assistant was encouraged to visit the Department website at WWW.CDSS.CA.GOV for child care 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. Appeal rights provided during today's visit.

SUPERVISOR'S NAME: Maria MayorgaTELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Marissa SotoTELEPHONE: (916) 926-9488
LICENSING EVALUATOR SIGNATURE:

DATE: 03/12/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2020
LIC809 (FAS) - (06/04)
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