073409154-7-8-2022-02-CC-CWAS-CG624Y-20220708170443

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 073409154
Report Date: 07/08/2022
Date Signed: 07/08/2022 05:04:55 PM

Document Has Been Signed on 07/08/2022 05:04 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
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME:	KNEIP, MARIESSA		FACILITY NUMBER:	073409154
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 9	CENSUS: 8	DATE:	07/08/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	02:10 PM
MET WITH:	Mariessa Kneip		TIME COMPLETED:	05:00 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	On 07/08/2022 at 2:10 PM, Licensing Program Analyst's (LPAs) Christina Watts and Morgan Pringle conducted an unannounced annual inspection for a small family child care home. LPA met with licensee and guided analyst on a tour of the facility. During today's inspection, there were 8 children in care (1 infant, 4 preschoolers and 3 school age children) and an aide. Family members residing in the home are licensee and licensee minor son (age 10) who was not present during inspection. Facility hours of operations are Monday-Friday from 7:15 am - 5:15 pm. This is a one story home which consists of 4 bedrooms, 2 bathrooms, kitchen, dining room (classroom), family room, living room (playroom), backyard with an above ground pool with two locked shed. The children on limits areas: Kitchen, living room (playroom), dining room (classroom), bathroom, and the right side of backyard. Areas off limits include: 4 bedroom that included the Master bedroom, master bathroom, the left side of the yard with includes the above ground pool and 2 locked sheds. The LPA toured all areas used by children during this visit. LPA observed and inspected sleeping equipment for infant. LPA observed a crib and play yard for infant who is unable to climb out of the play yard or crib. LPA observed toys in the playpen. Per Licensee, infant does not sleep in the play yard. The infant is left in play yard temporarily while awake. LPA reminded licensee she cannot have blankets, toys or pillows inside of the crib or above the crib while child is sleeping. LPA observed that play yard or crib do not hinder the entrance or exit to and from the space they are sleeping in. Mattresses were observed to be firm and covered with a fitted sheet that is appropriate to the mattress size.

SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Christina Watts
LICENSING EVALUATOR SIGNATURE:	DATE: 07/08/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2022

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, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: KNEIP, MARIESSA	FACILITY NUMBER: 073409154
	VISIT DATE: 07/08/2022

NARRATIVE

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Licensee was advised that infants shall not be swaddled while napping and all infants up to 12 months should be placed on their back for sleeping. Per licensee, there are no weapons or firearms in the home. Licensee has an up to code 2A10BC fire extinguisher and working smoke/carbon monoxide detector on the premises. LPA observed 2 fireplaces, one in family room and one in living room. Fireplace in family room is screened while the fireplace in the living room is made inaccessible to children while in care. Licensee last conducted fire drill 07/07/2022. Currently, there are 2 cats in the facility.

LPAs inspected the backyard and observed an above ground pool with a cover on top that is secured to the ground with screw rods and child proof gate surrounding the pool. Licensee stated the ladder to the pool is stored in the shed. LPAs observed two sheds on left side of backyard. One shed was unlocked. LPA reminded licensee to lock the shed or to make shed area inaccessible to children in care. LPAs discussed with applicant that there needs to be 100% supervision when children are playing in the backyard..

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 home. 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.

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.

Children’s records were reviewed to ensure that each child has an Identification and Emergency form. The licensee Pediatric First Aid and CPR certificate will expire in 11/2023. Required postings were observed near the entrance.

SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Christina Watts
LICENSING EVALUATOR SIGNATURE:	DATE: 07/08/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2022

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, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: KNEIP, MARIESSA	FACILITY NUMBER: 073409154
	VISIT DATE: 07/08/2022

NARRATIVE

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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. he 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.

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 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.

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, Marissa Kneip. 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: 07/08/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2022

LIC809 (FAS) - (06/04)

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