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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015700091
Report Date: 01/31/2022
Date Signed: 01/31/2022 09:39:54 AM

Document Has Been Signed on 01/31/2022 09:39 AM - 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 STE 1102
OAKLAND, CA 94612
FACILITY NAME:SOCOY REYES, CLAUDIAFACILITY NUMBER:
015700091
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 4CENSUS: 1DATE:
01/31/2022
TYPE OF VISIT:Case Management - OtherANNOUNCEDTIME BEGAN:
09:01 AM
MET WITH:Claudia Socoy ReyesTIME COMPLETED:
09:40 AM
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On 1/31/2022 at 9:01am Licensing Program Analyst (LPA) Morgan Pringle met with Licensee Claudia Socoy Reyes for an Announced Capacity Increase Inspection. Present during the inspection was the Licensee and one infant. Licensee lives in the home with her fingerprint cleared husband J.R. Huerta and two children age fourteen (14) and seven (7). The Licensee’s home was then toured for a health and safety inspection. The facility operates from 7:00am – 5:00pm Monday – Friday.

ON LIMITS AREA: Family Room, Childcare Area, Dining Area, Bathroom, Bedroom one (1) with Bathroom, Bedroom two (2), Bedroom three (3), and Backyard
OFF LIMITS AREA: Garage
ISOLATION AREA: Dining Area

The home has gained a fire clearance on 1/13/2022 from the Hayward Fire Department.

The facility is a single-story home rented by the Licensee. The inside and outside of the home are observed to be neat, clean with ample age appropriate materials for the children that are safe and clean. All toxins, cleaning products, medications, and hazardous materials were observed to be in inaccessible areas. Licensee has stated that there are no firearms and no pets in the home.


Continued on LIC809-C
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Morgan Pringle
LICENSING EVALUATOR SIGNATURE: DATE: 01/31/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/31/2022
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 STE 1102
OAKLAND, CA 94612
FACILITY NAME: SOCOY REYES, CLAUDIA
FACILITY NUMBER: 015700091
VISIT DATE: 01/31/2022
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The home has one (1) fully charged 3A40BC fire extinguisher in the entry way of the home by the cubbies. There is one (1) working combination smoke/carbon monoxide detector in the childcare area and every bedroom and one between the dining area and the kitchen. There is one working carbon monoxide detector in the hallway next to the bathroom. There is one pull down alarm located next to the from door as well. The home is equipped with central heat and plenty of opening windows for proper ventilation. The fireplace in the family room is blocked by furniture and a screen making it inaccessible to children in care. LPA did not observe any bodies of water in or around the home that could be a potential danger to the children in care. Licensee stated that there are no firearms and no pets in the home.

The Licensee’s Health and Safety training with the lead poisoning component has been completed and CPR and First Aid certificate is current and expires on 1/2023. Mandated Reporter training is complete and expires on 1/11/2024. Licensee has completed and logged a current fire and disaster drill on 1/10/2022.

Licensee was reminded that California Law requires licensees to report unusual incidents or injuries to children in care, to child's parents, and to the Department of Social Services using the Unusual Incident/Injury form (LIC 624B). Incidents must be reported within 24 hours by phone, fax, or email. LPA informed the Licensee that all forms can be downloaded at www.ccld.ca.gov. Licensee was also reminded that Mandated Reporter Training ("General" and "Child Care Providers") is required for all staff and is to be renewed every 2 years by visiting www.mandatedreporterca.com.

Licensee was reminded that EMSA approved Pediatric CPR & First Aid training must be completed every two (2) years. Children’s Roster must be properly maintained, and fire/disaster drill must be conducted every six (6) months and documented. Licensee is reminded that any structural changes to the home or additions to the childcare facility must be reported to Community Care Licensing.


Continued on LIC809-C
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Morgan Pringle
LICENSING EVALUATOR SIGNATURE:

DATE: 01/31/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2022
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: SOCOY REYES, CLAUDIA
FACILITY NUMBER: 015700091
VISIT DATE: 01/31/2022
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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.

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.

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.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform.
To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication. Licensee was encouraged to frequently visit our website at www.ccld.ca.gov for licensing regulations and updates.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Morgan Pringle
LICENSING EVALUATOR SIGNATURE:

DATE: 01/31/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2022
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: SOCOY REYES, CLAUDIA
FACILITY NUMBER: 015700091
VISIT DATE: 01/31/2022
NARRATIVE
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This home has been recommended for a capacity increase for a large family childcare home on 1/31/2022.

Exit interview conducted and report was given to License Claudia Socoy Reyes.

SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Morgan Pringle
LICENSING EVALUATOR SIGNATURE:

DATE: 01/31/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2022
LIC809 (FAS) - (06/04)
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