015701027-12-19-2023-52-CC-JSAI-CYNQJJ-20231219111250

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 015701027
Report Date: 12/19/2023
Date Signed: 12/19/2023 11:12:56 AM

Document Has Been Signed on 12/19/2023 11:12 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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME:	GARCIA ALVAREZ, DAMARIS		FACILITY NUMBER:	015701027
ADMINISTRATOR:	GARCIA ALVAREZ, DAMARIS		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 779-4499
CITY:	SAN LEANDRO	STATE: CA	ZIP CODE:	94579
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 8	CENSUS: 0	DATE:	12/19/2023
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	09:05 AM
MET WITH:	Applicant, Damaris Garcia		TIME COMPLETED:	12:00 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) Jyoti Saini conducted a scheduled pre-licensing inspection today and met with Applicant Damaris Garcia. The Applicant lives in this single-story home with her husband and two minor children (3 and 9 years old). All the individuals residing in the house have fingerprint clearance. The house consists of a living room, kitchen, three bedrooms ( including a master bedroom and bathroom), hallway bathroom, family room, garage, and backyard. Per Applicant, family childcare's operating hours will be from Monday to Friday, 7:00 am to 6:00 pm. The entrance to the daycare will be through the backyard door. ON LIMIT AREAS: Family room ( main daycare area), bedroom #3( circle time) located on the right-hand side of the hallway, and bathroom #2 on the left-hand side. OFF LIMIT AREAS: Bedroom #2, master bedroom and bathroom, kitchen, living room, and garage. All off-limits areas will be inaccessible with a locked door and visual supervision.Two storage sheds in the backyard will be exclusively used for storage and made inaccessible to the children in care with locked doors. LPA and Applicant inspected an entire house for Health and Safety Hazards. The house is neat and clean, with heating and ventilation for safety and comfort. The ISOLATION AREA will be bedroom #3. The home has a working smoke and carbon monoxide detector, a working telephone, and a fully charged Fire Extinguisher. There are no pools, hot tubs, or any other bodies of water on the premises. All hazardous materials and toxins are kept out of the reach of children. The Applicant will provide snacks only, and children are required to bring their lunch. The Applicant states that the discipline policy is redirection. Per Applicant, she may or may not purchase liability insurance; she was advised to use the Affidavit form regarding liability insurance for FCCH. The Applicant was advised to post the License when she received it. The Applicant was also advised to conduct fire/disaster drills once every six months and to log the date and time of the drill. LPA discussed safe sleep guidelines and 15-minute check requirements. During the inspection, the applicant stated that she plans to install a play structure in the backyard later; LPA advised the applicant to follow the manufacturer's guidelines and update the department. An inspection might be required prior to using the play structure. see next page...

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE:	DATE: 12/19/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2023

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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: GARCIA ALVAREZ, DAMARIS	FACILITY NUMBER: 015701027
	VISIT DATE: 12/19/2023

NARRATIVE

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The Applicant's Health and Safety training is completed, and the CPR and First Aid certificate is current and expires on 08/25. The Applicant has current Mandated reporter training. The Applicant is reminded that NO walkers, exersaucers, jumpers, bouncers, or any similar items are to be used for children in care and shall be made inaccessible. Smoking is prohibited in family childcare homes. The Applicant is reminded any structural changes to the home or additions to the childcare facility must be reported to Community Care Licensing.

Applicants 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, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.

APPLICANT RENTS THE HOUSE AND HAVE LANDLORD CONSENT.

APPLICANT KNOWS PROSPECTIVE CLIENTS WILL NEED IMS:
This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. 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) or (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

Safe Sleep -Family Child Care Homes
LPA discussed the safe sleep regulations with applicant 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 applicant 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.

see next page...

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE:	DATE: 12/19/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2023

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 SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: GARCIA ALVAREZ, DAMARIS	FACILITY NUMBER: 015701027
	VISIT DATE: 12/19/2023

NARRATIVE

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Applicant was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

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 platforms.

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

Prior to licensure:

There are two steps that children will use daily to enter and exit the family room ( main daycare area) and go out to the backyard. The steps have sharp edges. The provider shall install a barrier around the steps to prevent any accidents.

The fireplace in the playroom needs to be screened.

Exit interview conducted and report was reviewed with the applicant, Damaris Garcia

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Jyoti Saini
LICENSING EVALUATOR SIGNATURE:	DATE: 12/19/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2023

LIC809 (FAS) - (06/04)

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