015701063-2-27-2025-52-CC-AWRT-DEB9XZ-20250227224623

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 015701063
Report Date: 02/27/2025
Date Signed: 02/27/2025 10:46:28 PM

Document Has Been Signed on 02/27/2025 10:46 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/ DIRECTOR:	SUSANA SANTOS		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 904-2577
CITY:	FREMONT	STATE: CA	ZIP CODE:	94555
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 7	DATE:	02/27/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	01:10 PM
MET WITH:	Susana Santos		TIME VISIT/ INSPECTION COMPLETED:	03:05 PM

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On February 27th, 2020 at approximately 1:10pm, Licensing Program Analyst (LPA) April Wright met with licensee Susana Santos for an Annual Random Inspection. LPA was allowed entry in the home by the licensee after the purpose of the inspection was disclosed. Present during the inspection were seven (7) children (4 infants/3 preschool age), the licensees assistant, mother and daughter. The home was toured for health and safety inspection. Hours of operation are 7:30am - 5:00pm Monday through Friday.

The single story home consists of three (3) bedrooms, two (2) 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. The fireplace has a gate and is barricaded by a toy shelf/bookcase which makes it inaccessible to children in care. There are age appropriate toys that the LPA observed to be in good condition, free of damage and defects. The home has a fully charged 2A10BC fire extinguisher, working smoke/carbon monoxide detector, fully stocked First Aid Kit. and telephone. Child safety locks remain on all doors in the off limits areas and cabinets. LPA observed and licensee confirmed that there are no hazardous materials, including cleaning products or toxins present during the inspection. LPA observed and Licensee confirmed that are no weapons or firearms present at the home.
On limits areas: Living room area (main day-care room), Dining/family area (day-care room #2), Bathroom #1 (down hallway to the right) Master bedroom (bedroom #2 - Nap Room - down hallway to the right), and backyard. The backyard is fully fenced and is free of defects, hazards and damage.

Off limit areas: Bedroom #1(left of hallway) and bedroom #3 (Right of hallway), kitchen and garage.

Off limits areas will be made inaccessible by closed/locked doors, safety gates/locks and visual supervision. LPA observed and Licensee confirmed that there are no pools, hot tubs or any bodies of water present in the home. The home has a fully charged 2A10BC fire extinguisher, carbon monoxide detector, and installed pull down fire alarm located on the wall to the right of entry/exit to backyard. There is a large cactus plant in the backyard which is inaccessible to children in care by way of child safety gates surrounding it. Licensee See LIC809C for continuance.

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: April Wright
LICENSING EVALUATOR SIGNATURE:	DATE: 02/27/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2025

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: 02/27/2025

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All individuals subject to criminal record review have a clearance or exemption and have been associated to this FCCH. LPA requested and reviewed the files of seven (7) children in care. The children's files contained, Parents rights, medical consent forms and identification and emergency contacts. The facility roster was review and copies were obtained. Fire and disaster drills are conducted every 6 months and the last was conducted on 11/21/2024. The licensee has a current CPR/First aid training which expires on 3/2026 and Mandated Reporter training was completed on 1/7/2025. The licensee is in compliance with the immunization laws which pertains to all childcare providers. All required forms are posted and visible for public review. Licensee was reminded that training certificates must be renewed every 2 years.

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.

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-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: 02/27/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2025

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: 02/27/2025

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To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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.

Licensee was informed of the MyChildCarePlan.org website; 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.

During the exit interview, the Licensee Santos, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

A notice of site visit was given and must remain posted for 30 days. Report was read and reviewed with licensee Susana Santos.

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: April Wright
LICENSING EVALUATOR SIGNATURE:	DATE: 02/27/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2025

LIC809 (FAS) - (06/04)

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