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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 070211088
Report Date: 01/17/2025
Date Signed: 01/17/2025 11:34:44 AM

Document Has Been Signed on 01/17/2025 11:34 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, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:BALDWIN, KARENFACILITY NUMBER:
070211088
ADMINISTRATOR/
DIRECTOR:		BALDWIN, KARENFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(925) 625-2875
CITY:OAKLEYSTATE: CAZIP CODE:
94561
CAPACITY: 14TOTAL ENROLLED CHILDREN: 38CENSUS: 10DATE:
01/17/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Karen BaldwinTIME VISIT/
INSPECTION COMPLETED:
11:35 AM
NARRATIVE
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On 01/17/2025 at 9:30 AM, Licensing Program Analysts (LPAs) Christina Watts and Arminder Singh conducted an unannounced annual inspection (Random) for Karen Baldwin's large family child care home. LPA met with licensee, Karen and guided analyst on a tour of the facility. During today's inspection, there were 10 preschool children in care and 1 assistant. Facility has 38 children enrolled. Family members residing in the home are licensee and licensee spouse. Licensee and all adults supervising and caring for children have criminal background clearance. Facility runs a part time in home preschool that is in session for 2 1/2 hours. Ages that are served are from 3- 5 years old. Facility hours of operations are Monday - Friday from 8:30AM - 11:00AM and 11:30AM - 2:00PM.

This is a two story home.
The children on limits areas: Play room in the back of the home that has a restroom and a kitchenette inside and the backyard.
Areas off limits include: Rest of the home and pool, garage and left side of the backyard.
The LPA toured all areas used by children during this visit.

Areas accessible to children were inspected to ensure that they are clean and orderly with ventilation and central heating system for safety and comfort. There were safe toys, play equipment and materials observed for children. There are no stairs in the play room. There is a working telephone in the home. Detergents, poisons, cleaning compounds, medications, and other items which can pose a danger to children are made inaccessible in the home.

Per the licensee, there are no weapons or firearms in the home. Licensee has an up to code 3A40BC fire extinguisher and working smoke/carbon monoxide detector on the premises. Licensee last conducted fire drill October 24, 2024. Licensee stated there are no pets in the facility.

*CON'T ON PAGE 2*

SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Christina Watts
LICENSING EVALUATOR SIGNATURE: DATE: 01/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/17/2025
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
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: BALDWIN, KAREN
FACILITY NUMBER: 070211088
VISIT DATE: 01/17/2025
NARRATIVE
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*PAGE 2*

Licensee stated the backyard is used for outdoor play activities. Backyard was inspected and observed to be fenced and safe. LPA observed age appropriate toys for children. The play equipment was maintained in good condition and free of hazards. LPA observed an in ground swimming pool that is fenced to state standards. Facility does not provide transportation for children, but licensee understands that children cannot be left alone, unattended in parked vehicles

Child record were reviewed to ensure that each child has an Identification and Emergency form and other required forms. All files contained required documents. The licensee their Pediatric First Aid and CPR certificate just recently expired. LPA reminded licensee of the requirement to have their CPR certificate updated every 2 years. Licensee stated they are enrolled in a course for CPR and will complete the course. Licensee stated they will submit the certificate to LPA. A Child's Roster was review and a copy was obtained. Required postings were observed in the home.

On or before March 30, 2018, any person who works in a child care facility shall complete Mandated Reporter training and renew the training every 2 years. Website provided: https://www.mandatedreporterca.com/training/child-care-providers. Licensee stated they did not complete the mandated reporter training. Licensee stated they will complete Mandated Report training and submit the certificate to licensing.



LPA reminded licensee day care needs to be operated within the limitations and capacity of a Large Family Child Care Home with regards to ratios and that Licensee has to be present in the day care for 80% of the operation hours.

LPA discussed the safe sleep regulations with aid 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. *CON'T ON PAGE 3*

SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Christina Watts
LICENSING EVALUATOR SIGNATURE:

DATE: 01/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2025
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
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: BALDWIN, KAREN
FACILITY NUMBER: 070211088
VISIT DATE: 01/17/2025
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*PAGE 3*

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) Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

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.

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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/process

In the areas that were evaluated, there were no violation observed.

Exit interview conducted and report was reviewed with the licensee, Karen Baldwin. A notice of site visit was given and must remain posted for 30 consecutive days.

SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Christina Watts
LICENSING EVALUATOR SIGNATURE:

DATE: 01/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2025
LIC809 (FAS) - (06/04)
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