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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073409216
Report Date: 11/23/2021
Date Signed: 11/23/2021 01:44:10 PM

Document Has Been Signed on 11/23/2021 01:44 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:SANTOYO, MONICAFACILITY NUMBER:
073409216
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
11/23/2021
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Monica SantoyoTIME COMPLETED:
01:45 PM
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On 11/23/21 at 11:00 AM Licensing Program Analyst (LPA) Michelle Sutton conducted an announced Pre-licensing Inspection at Monica Santoyo home and met with Applicant, Monica who has applied for a Small Family Child Care Home with a capacity of 8 children. The home was toured to conduct a Health and Safety Inspection. Present during today’s inspection is applicant and her 3 children. The Child Care home plans to operate Monday-Friday from 7:30 AM-6:30 PM. Living in the home there is applicant, 1 year old son, 13 year old son and 1 adult son who is fingerprint cleared and associated to the facility.

Monica was reminded that all adults 18 and over living or working in the home, 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. LPA discussed the Guardian
system with applicant.

INDOOR SPACE: At 11:05 AM LPA toured the indoor space of the home. The home consists of living room, dining room, family room, kitchen, attached garage, 3 bedrooms, office and 2 bathrooms.

IN-USE AREAS: Family room(daycare room), office, kitchen, bathroom 2, and backyard

OFF-LIMIT AREAS: Bedroom 1 (master bedroom), bathroom 1, Bedroom 2, Bedroom 3, living room, dinning room and garage. Applicant has child proof doorknobs on all off-limit doors.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Michelle Sutton
LICENSING EVALUATOR SIGNATURE: DATE: 11/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/23/2021
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: SANTOYO, MONICA
FACILITY NUMBER: 073409216
VISIT DATE: 11/23/2021
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OUTDOOR SPACE: 11:30 AM LPA toured the outdoor area (backyard) and observed it was fenced. LPA observed a chicken run that is 100% fenced with 7 chickens. There are no water body in play yard, LPA discussed with applicant that there needs to be 100% supervision when children are playing with water. LPA observed 2 side gates for off-limit areas. Day care entrance will be on the right side of the house where there is a door entering to the family room (daycare room).

LPA observed: fully charged 3A40BC fire extinguisher, working smoke and carbon monoxide detector in family room (daycare room). Medicines, cleaning products, sharp objects are stored inaccessible to children in cabinets with latches. LPA reminded Applicant that smoking, baby walkers, bouncers, jumpers and similar items are not allowed in family childcare homes. Applicant states that there are 2 dogs, lizard, turtle and 7 chickens. There are no arms and ammunition stored in the home.

Applicant completed the 16-hour Preventative Health training which includes EMSA approved CPR and first aid, one hour of Child Care Nutrition and Lead Poisoning. Applicant has documentation maintained for Measles, Pertussis Immunization, Influenza vaccination for the current flu season and Tuberculosis (TB) clearance. Applicant has Criminal Record statement and Child abuse Index Clearance. Applicant owns the home and has submitted proof of ownership to CCLD. LPA reminded Applicant that when care for more than six and up to eight is provided, Applicant must notify parents. Applicant will use the Affidavit Regarding Liability Insurance form to inform parents that she does not carry a day care insurance. Applicant has a working telephone in the home.

Discipline policy was discussed, and Applicant stated she will talk to the children and use "quiet time" as form of discipline. Applicant understands that children's personal rights should not be violated and no corporal punishment. The isolation of sick children is in the office. Supervision of children, capacity options, transportation of children, requirements for reporting suspected child abuse, unusual incidents/injuries and requirements for assistant/substitute were also discussed. Fire/Earthquake drills must be practiced once every six months and documented.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Michelle Sutton
LICENSING EVALUATOR SIGNATURE:

DATE: 11/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/23/2021
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: SANTOYO, MONICA
FACILITY NUMBER: 073409216
VISIT DATE: 11/23/2021
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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. 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: http://www.ada.gov/childqanda.htm

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.

LPA provided a Family Child Care Home packet with copies of all required forms and documents needed for starting the day care. This home is recommended for licensing. Applicant was reminded that compliance with all Title 22 regulations and applicable Health and Safety regulations, must be maintained at all times. This report shall remain on file for 3 years. At 1:30 PM Exit interview was conducted with Applicant Monica Sontoyo and report was signed acknowledging receipts of documents.
END OF REPORT



SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Michelle Sutton
LICENSING EVALUATOR SIGNATURE:

DATE: 11/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/23/2021
LIC809 (FAS) - (06/04)
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