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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423904
Report Date: 03/07/2024
Date Signed: 03/07/2024 03:57:34 PM

Document Has Been Signed on 03/07/2024 03:57 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
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:GLENN, RHONDAFACILITY NUMBER:
013423904
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 10CENSUS: 7DATE:
03/07/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
12:55 PM
MET WITH:Rhonda GlennTIME COMPLETED:
03:05 PM
NARRATIVE
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On 3/7/2024 at 12:55pm Licensing Program Analysts (LPAs) Janai McClain and Indira Loza met with Licensee Rhonda Glenn for an Unannounced Capacity Increase Inspection. Present during the inspection were one infant, and six preschool aged children, and one assistant, Bridgette Ekow. The Licensee arrived about 20 minutes after LPAs arrived. The Licensee’s home was toured for a health and safety inspection. The facility operates 24 hours a day, 7 days a week.

The facility is a single story unit in a duplex. The home consists of a living room, kitchen, 3 bedrooms, and 1 bathroom.

ON LIMITS AREA: All areas
OFF LIMITS AREA: None
ISOLATION AREA: last bedroom on the right near the bathroom

At 12:57pm LPAs observed a two year old child sleeping in a car seat with the harness on which is a Type A violation. Then at approximately 1:13pm LPAs observed an infant placed to sleep in another car seat with the harness on which is also a Type A violation. LPAs also observed the infant being transferred to a cot with a blanket.

The inside of the home was observed to be neat, clean with ample age-appropriate materials for the children. All toxins, cleaning products, and hazardous materials were observed to be in inaccessible areas. Licensee provides food for the children that is properly stored and maintained. All cribs and napping equipment are clean, well maintained and free from defects. Licensee stated there are no firearms and no pets in the home.

**********************************Report Continues on LIC 809-C*******************************l

SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Janai McClain
LICENSING EVALUATOR SIGNATURE: DATE: 03/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/07/2024
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
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: GLENN, RHONDA
FACILITY NUMBER: 013423904
VISIT DATE: 03/07/2024
NARRATIVE
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Licensees’ Pediatric CPR and First Aid training expires 2/23/2026. The Licensee's Assistant, Bridgett Ekow's CPR certificate was not EMSA approved, which is a Type B violation. The Licensee’s Mandated Reporter expires 1/29/2026. All required forms are posted and visible for public view on the wall by the front door of the home.

Two Type A citations were issued for personal rights and safe sleep. One Type B citation was issued for Bridgette's CPR certification. See LIC 809-D for deficiencies.

LPAs informed the Licensee to provide a copy of this licensing report dated 3/7/2024 that documents the Type A citations to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Licensee was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, 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.

Due to multiple citations being issued during todays visit, the capacity increase will remain in pending status until all citations have been cleared.

Exit interview conducted and report was reviewed with the Licensee Rhonda Glenn.

Appeal Rights provided.

Notice of Site Visit must remain posted for 30 days.

SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Janai McClain
LICENSING EVALUATOR SIGNATURE:

DATE: 03/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2024
LIC809 (FAS) - (06/04)
Page: 4 of 4
Document Has Been Signed on 03/07/2024 03:57 PM - It Cannot Be Edited


Created By: Janai McClain On 03/07/2024 at 01:52 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: GLENN, RHONDA
FACILITY NUMBER: 013423904

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/07/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/08/2024
Section Cited
CCR
102416(c)

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(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866.This requirement is not met as evidenced by:
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Licensee will complete the Pediatric/Infant CPR and first aid training, and will email LPA a photo of her card by 04/08/2024.
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Based on interview and record review, the licensee did not comply with the section cited above by not having a EMSA approved infant/pediatric CPR/first aid training certification, which poses a potential health, safety or personal rights risk to persons in care.
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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:Mayla Mendoza
LICENSING EVALUATOR NAME:Janai McClain
LICENSING EVALUATOR SIGNATURE:
DATE: 03/07/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/07/2024


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 03/07/2024 03:57 PM - It Cannot Be Edited


Created By: Janai McClain On 03/07/2024 at 02:02 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: GLENN, RHONDA
FACILITY NUMBER: 013423904

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/07/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/08/2024
Section Cited
CCR
102425(h)

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Car seats shall only be used for transportation purposes and shall not be used for sleeping.

This requirement is not met as evidenced by:
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Licensee shall remove the infant from the car seat and email the LPA a summary of what was learned in the Safe Sleep regulation provided to the Licensee by 03/08/2024.
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Based on observation, the licensee did not comply with the section cited above in one out of one infants were found to be sleeping in their car seat, which poses an immediate health, safety or personal rights risk to persons in care.
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Type A
03/08/2024
Section Cited
CCR102423(a)(2)

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(a) Each child receiving services from a family child care home shall have certain rights that shall not be waived...These rights include, but are not limited to, the following: (2) To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.
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Licensee shall remove the infant from the car seat and email the LPA a summary of what was learned in the Personal Rights regulation provided to the Licensee 03/08/2024.
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This requirement is not met as evidenced by:
Based on observation, the licensee did not comply with the section cited above as one child over two years old was sleeping in a car seat with the harness on, which poses an immediate health, safety or personal rights risk to persons in care.
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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:Mayla Mendoza
LICENSING EVALUATOR NAME:Janai McClain
LICENSING EVALUATOR SIGNATURE:
DATE: 03/07/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/07/2024


LIC809 (FAS) - (06/04)
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