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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423629
Report Date: 06/24/2022
Date Signed: 06/24/2022 01:10:11 PM

Document Has Been Signed on 06/24/2022 01:10 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:GARCIA, MARGARITAFACILITY NUMBER:
013423629
ADMINISTRATOR:GARCIA, MARGARITAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 355-7154
CITY:OAKLANDSTATE: CAZIP CODE:
94603
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 7DATE:
06/24/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Margarita GarciaTIME COMPLETED:
01:20 PM
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 An unannounced Required - 1 Year inspection was conducted by Licensing Program Analyst L. Dyer. LPA arrived at the facility at 9:20 a.m. The licensee was present with 7 day care children (3 infants and 4 preschool-age) and her fingerprint cleared husband. Facility is in compliance with licensed capacity and facility ratios. All adults meet criminal background clearance requirements. Phone number and e-mail address are current. Hours: 7:00 a.m. - 5:30 p.m.
At 9:40 a.m., the following was observed: the day care area of the home was inspected. Areas licensed for child care: bathroom, living room, bedroom. Off-limit areas will be made inaccessible to children by closed and/or locked doors; gates; and visual supervision.
The home was clean and orderly, with adequate heating and ventilation. There were safe, healthful and comfortable accommodations, furnishings and equipment available to children at the time of this inspection. There were a variety of books and toys for children's use. There was a working smoke detector (tested); a fully charged 3-A:40-B:C fire extinguisher; a first aid kit, and a carbon monoxide detector.
There are no hazardous materials, medicines, or cleaning solutions accessible to children during this inspection. Licensee stated there were no firearms on the premises . Licensee has a water fountain at the entrance of the property. Back yard area is securely fenced. Licensee has a shaded area. There is a climbing structure, an miniature airplane, house and basketball hoop; riding toys; and a shaded area for outdoor play. LPA pointed out areas in the backyard where additional care should be taken to watch children.
LPA discussed the safe sleep regulations with the licensee and discussed the Child Care Licensing Safe Sleep web page 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.
Licensee currently has no infants in care, but Infant Sleeping Plans/Regulations were discussed. Play yards were inspected. Bedding is sent home to be washed weekly. (continued)
SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Phyllis Dyer
LICENSING EVALUATOR SIGNATURE: DATE: 06/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/24/2022
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: GARCIA, MARGARITA
FACILITY NUMBER: 013423629
VISIT DATE: 06/24/2022
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 LPA reviewed facility, children's and personnel records at 10:34 a.m. Licensee's Mandated Reporter Training expires 4/16/24. Licensees' CPR/First Aid expires 3//23. Last disaster drill: 6/1/22. All files are complete and all required postings are visible for public review. Facility roster was current.
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 maximum per day/per person will be assessed if this regulation is violated. Licensee was also reminded of the Department's Inspection authority, and the need to comply when notified that termination of an employee is necessary.
Also discussed with the licensee: supervision of children at all times; car seats and high chairs; Unusual Incident Reporting; advertisements; changes in on-limit areas; paying fees on-line; smoking; ill children in home; a qualified assistant must be present whenever 9 or more children are in care, (if children become ill they are to be separated immediately from the other children), and the new Guardian background check process.
To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at: www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Important E-mail Addresses:
Community Care Licensing General Information and Updates: www.ccld.ca.gov.
Guardian: background check process with self-service options: https://www.cdss.ca.gov/inforesources/ cdss-programs/community-care- licensing/caregiver-background-check/guardian

NO DEFICIENCIES CITED.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the licensee Margarita Garcia.
SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Phyllis Dyer
LICENSING EVALUATOR SIGNATURE:

DATE: 06/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2022
LIC809 (FAS) - (06/04)
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