015701063-1-11-2024-52-CC-AWRT-CZDTRH-20240111135733

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 015701063
Report Date: 01/11/2024
Date Signed: 01/11/2024 01:57:38 PM

Document Has Been Signed on 01/11/2024 01:57 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 SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME:	SANTOS, SUSANA		FACILITY NUMBER:	015701063
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 8	CENSUS: 0	DATE:	01/11/2024
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	12:00 PM
MET WITH:	Susana Santos		TIME COMPLETED:	01:55 PM

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On January 11th, 2024 at approximately 12:00pm, Licensing Program Analyst (LPA) April Wright arrived for Case Management visit and met with Licensee Susana Santos. Purpose of the visit was for a Change of Location Inspection. There were no children present during today's inspection. Present during today's visit was the Licensee fingerprint cleared spouse Oscar Santos, Mother Maria Rodriguez and daughter Madeline Santos. The home was toured to conduct a health and safety inspection. The hours of operation will be 7:30am - 5:30pm, Monday through Friday.

The single story home consists of three bedrooms, two bathrooms (including master bathroom), Living room, Dining area, kitchen, garage, and backyard. The home is neat and orderly with heating and ventilation for safety and comfort. There is a fireplace that is barricaded by a bookcase which makes it inaccessible to children. There are age appropriate toys and furniture available for children in care. There is a child safety locks on all doors that are in the off limits areas and cabinets.

On limits areas: Living Area( main day-care room), Dining Area (day-care room #2), Bathroom #1 (down hallway to the right) and master bedroom if needed. Bedroom #3 (Nap Room), Kitchen and entire backyard. The backyard is fully fenced and is free of defects and damage. There is a large cactus plant in the backyard that has been made inaccessible by a child safety gate with sufficient space surrounding it. LPA advised licensee to keep visual supervision in that area until it can be removed.

Off limit areas: Off limits areas will be made inaccessible by closed/locked doors, safety gates/locks and visual supervision. Off limit areas include Bedroom #1 and #2 and garage. Electrical outlets have child protective covers in place making them inaccessible to children. Licensee is aware of their responsibility to ensure that children never eat or sleep in the garage. There are no pools, hot tubs or bodies of water, hazardous materials, or toxins accessible to children on the premises during the inspection. The home has a fully charged 2A10BC fire extinguisher and smoke/carbon monoxide detectors (tested and working). Per licensee there are no weapons or firearms present in the home. See LIC809C for continuance.

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: April Wright
LICENSING EVALUATOR SIGNATURE:	DATE: 01/11/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2024

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

FACILITY NAME: SANTOS, SUSANA	FACILITY NUMBER: 015701063
	VISIT DATE: 01/11/2024

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LPA verified that the Licensee is in compliance with the immunization laws which pertain to all childcare providers. Licensee has current Mandated Reporter and CPR/First Aid training certificates. LPA reminded Licensee of their responsibility to renew each training every two years.

Licensee is reminded to maintain all children/employee/volunteer files with all required Licensing forms and update as needed/required. Licensee was reminded that all adults 18 and over living or working in the home, 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.

Baby bouncers & drop-down cribs are not allowed at the daycare facility. Roster of children & their records must be properly maintained & available for review at all times. A fire/disaster drill must be performed and recorded every 6 months. The licensee is reminded any structural changes to the home or additions to the childcare facility must be reported to the Community Care Licensing.

LPA discussed the safe sleep regulations with licensee discussed the Child Care Licensing Safe Sleep webpage at

https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/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 PIN 22-02-CCP . 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: https://www.ada.gov/resources/child-care-centers/.
See LIC809C for continuance.

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: April Wright
LICENSING EVALUATOR SIGNATURE:	DATE: 01/11/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2024

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: SANTOS, SUSANA	FACILITY NUMBER: 015701063
	VISIT DATE: 01/11/2024

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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 communication platform. To receive important licensed related information to licensed facilities, visit the CCLD website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email notifications.

This home is recommended for Change of location on 1/11/2024. Appeal Rights provided. Notice of site visit provided must remain posted for 30 days. . This report shall remain on file for 3 years. Exit interview conducted with licensee Susana Santos.

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: April Wright
LICENSING EVALUATOR SIGNATURE:	DATE: 01/11/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2024

LIC809 (FAS) - (06/04)

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