013422883-10-27-2021-52-CC-LDBX-C87SNC-20211027140118

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013422883
Report Date: 10/27/2021
Date Signed: 10/27/2021 02:01:43 PM

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 STE 1102
OAKLAND, CA 94612

FACILITY NAME:	REMY-BASS-FRANKLIN, MARY		FACILITY NUMBER:	013422883
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 0	DATE:	10/27/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:10 AM
MET WITH:	Mary Remy-Bass-Franklin		TIME COMPLETED:	12:45 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) Lorraine Dacanay Breaux and Christina Uribe met with Licensee Mary Remy-Bass-Franklin for an unannounced 1 year required visit. Present for this visit was licensee and three daughters. There were no other children in care. The home was toured to conduct a Health and Safety Inspection. Hours of operation are Monday – Thursday 9:00 AM – 5:00 PM. The home is two story. The off limits areas will be all bedrooms, including the the master bedroom and master bath, laundry room (only used for travel/passing into the kitchen area), and the master bedroom deck. Off limits areas are made inaccessible by closed doors and/or visual adult supervision at all times. The rear grassy area where the play structure and trampoline is located. The on limits areas will be the living room, kitchen,hall bathroom and lower level is primary child care area (basement). The isolation area will be with in the play room on the lower lever in a section. There is an outdoor yard/play area will be off limits to children until the play structure and trampoline is secure and reinspected. The facility has one pet dog and the dog run area will be off limits to children. There are no pools, hot tubs or any other bodies of water. The home is neat and clean with centralized heating/air and ventilation for safety and comfort. There are age appropriate toys and furnishings that are safe and appear to be in good condition. All hazardous materials and toxins are stored inaccessible to children. The home has a fully charged 2A10BC fire extinguisher, working smoke detector and carbon monoxide detector and working telephone. The licensee Health and Safety training is completed. CPR and First Aid certificate expired on 02/2019. Per licensee there are no fire arms in the home. Children’s files were reviewed. 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.

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Lorraine Dacanay-Breaux	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 10/27/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2021

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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: REMY-BASS-FRANKLIN, MARY	FACILITY NUMBER: 013422883
	VISIT DATE: 10/27/2021

NARRATIVE

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Licensee Mary Remy Bass Franklin 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.

LPA discussed the safe sleep regulations with licensee Mary Remy Bass Franklin 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 [facility representative] 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.

Licensee was encouraged to frequently visit our website at www.ccld.ca.gov for licensing regulations and updates, and to also email childcareadvocatesprogram@dss.ca.gov to be included in the Child Care Quarterly Updates distribution list.

Licensee is to complete the following items:

Sign up for CPR/First Aide by Monday, November 1, 2021, will contact LPA with date of class. CPR/First Aide Must be completed by November 12, 2021.

Mandated report training must be completed by November 5, 2021.
Update children's rooster and children files provide updated copy of rooster to LPA.

For the safety of the children in care Licensee will remove the exercise machine from the down stairs play area. (to send a picture)
Remove the swing when watching children in care.
Add a carbon monoxide detector in the child care room on lower level.
Licensee will NOT use the play structure and trampoline during child care hours and will contact LPA to reinspect once secured.
Licensee will add a safety door knob cover to the room with the water heater
Licensee will remove/replace the cover on the sandbox (damaged).

Licensee is reminded that when doing any alterations to the facility must contact Licensing.

This requirement was not met as evidenced by written statements of staff and report review. This poses a potential risk to the health and safety of children in care. TYPE B

A notice of site visit was given and appeal rights and must remain posted for 30 days. Exit interview conducted and report was reviewed with the licensee Mary Remy Bass Franklin.

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Lorraine Dacanay-Breaux	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 10/27/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2021

LIC809 (FAS) - (06/04)

Page: 2 of 7

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 STE 1102
OAKLAND, CA 94612

FACILITY NAME: REMY-BASS-FRANKLIN, MARY	FACILITY NUMBER: 013422883
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/27/2021

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102416.3(a)(6)

Alterations to Existing Building or Grounds

(a) Prior to making alterations or additions to a family child care home or grounds, the licensee shall notify the Department of the proposed changed, including, but not limited to, the following: (6) Any change from an area of the family child care home previously identified as "off limits" to an area where care and supervision will be provided to children in care. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date:
	Plan of Correction
1 2 3 4

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Lorraine Dacanay-Breaux	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 10/27/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2021

LIC809 (FAS) - (06/04)

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