010211880-6-6-2024-02-CC-DCAS-CR4UVM-20230421155521

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 010211880
Report Date: 04/21/2023
Date Signed: 06/06/2024 12:11:11 PM

Document Has Been Signed on 06/06/2024 12:11 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME:	TERRELL, BARBARA		FACILITY NUMBER:	010211880
ADMINISTRATOR:	TERRELL, BARBARA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 436-6043
CITY:	OAKLAND	STATE: CA	ZIP CODE:	94601
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 12	CENSUS: 0	DATE:	04/21/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	02:27 PM
MET WITH:	Barbara Terrell		TIME COMPLETED:	04:10 PM

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On 4/21/2023 at 02:10 PM Licensing Program Analyst (LPA) Diana Campos conducted an unannounced Annual Required inspection at Barbara Terrell Family Childcare Home. LPA met with licensee and explained the purpose of today's inspection. LPA was granted the inspection authority to enter the Home. The family childcare home days and hours of operation are Monday to Friday 06:00 AM to 06:00 PM. No children were present during today's inspection.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Indoor Space: At 3:00 PM A health and safety tour of inside the home was done. LPA toured the premises with licensee. The home is a three story house consisting of 3 bedrooms, 2 bathrooms, living room, kitchen, and dining room. There is a 3A40BC fire extinguisher, smoke and carbon monoxide detector in the home.

The OFF-LIMIT areas are the entire first and second level of the home and on the basement level the two bedrooms, the kitchen and the small office area. These areas are inaccessible to children in care by closed locked doors and visual supervision.
IN-USE on the basement level of the home the day care/classroom, bathroom and backyard is used as the primary areas for day-care. Medicines, cleaning products, sharp objects are stored inaccessible to children during today's inspection. LPA reminded licensee that smoking, baby walkers, bouncers, jumpers and similar items are not allowed in family childcare homes.

SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Diana Campos
LICENSING EVALUATOR SIGNATURE:	DATE: 04/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/21/2023

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, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: TERRELL, BARBARA	FACILITY NUMBER: 010211880
	VISIT DATE: 04/21/2023

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********This is an amended report*********************************************************
Licensee states there is one dog in the home. Licensee states there are no fire arms or ammunition stored in the home. The home maintains a working telephone.
Outdoor Space: AT 3:40PM LPA toured the outdoor area (backyard) and observed it was fenced. LPA observed there are no pools, hot tubs or other bodies of water.

Children files and Facility files were reviewed. Facility contained Children's Roster, Licensee’s mandated reporter training expires 10/21/2023, pediatric CPR and first aid expires 5/5/2023.

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

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

No deficiencies cited during today's inspection.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the licensee Barbara Terrell.

SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Diana Campos
LICENSING EVALUATOR SIGNATURE:	DATE: 04/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/21/2023

LIC809 (FAS) - (06/04)

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