073409263-1-19-2024-02-CC-CWAS-CZMQSV-20240119112610

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 073409263
Report Date: 01/19/2024
Date Signed: 01/19/2024 11:26:19 AM

Document Has Been Signed on 01/19/2024 11:26 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:	FIGUEROA CHAVEZ, YARA		FACILITY NUMBER:	073409263
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 8	CENSUS: 5	DATE:	01/19/2024
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Yara Figueroa Chavez		TIME COMPLETED:	11:30 AM

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 01/19/2024 at 9:00 AM, Licensing Program Analyst (LPA) Christina Watts conducted an unannounced case management – licensee initiated for Yara Figueroa Chavez's small family child care home. LPA met with licensee and guided analyst on a tour of the facility. During today's inspection, there were 5 children in care (4 preschool aged children and 1 infant) and 8 children enrolled. Also present during today's inspection was an assistant. Family members residing in the home are licensee and licensee's spouse. Licensee, assistant and all adults in the home have Criminal Record Clearance. Facility hours of operations are Monday - Friday from 7:30 AM - 5:00 PM. Licensee completed her Pediatric CPR/First Aid certificate which expires 07/2025 and Mandated Reporter certificate which expires 03/2024. Licensee has documentation maintained for Measles, Pertussis Immunization's, Influenza Opt-Out statement for the current flu season. Licensing has proof of control of property. There is a working telephone in the home. Fire clearance request was approved on 01/09/2024 by Inspector B. Pizzimenti of the Contra Costa County Fire Protection Department. This is a one story home which consists of 4 bedrooms, 2 bathrooms, 2 play rooms, kitchen, dining room, living room, laundry room, attached garage, backyard with a locked shed on the left side and on the right side near the entrance, an outdoor play area for children. The children on limits areas: Dining room, Living room, 2 play areas in the front of the facility, hallway bathroom and right section of the backyard near entrance. Areas off limits include: 4 bedrooms including the master bedroom, master bathroom, kitchen, the whole left section and middle section and part of the right section of the backyard, and attached garage. Per Inspector Pizzimenti, the middle section of the backyard going toward the left side of the yard is the licensee's 2nd emergency exit. In case of an emergency, the licensee can use the middle and left sections of the backyard. The licensee cannot use the middle and left sections of the backyard at any time outside of an emergency. The LPA toured all areas used by children during this visit. *CON'T ON PAGE 2*

SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Christina Watts
LICENSING EVALUATOR SIGNATURE:	DATE: 01/19/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/19/2024

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
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: FIGUEROA CHAVEZ, YARA	FACILITY NUMBER: 073409263
	VISIT DATE: 01/19/2024

NARRATIVE

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*PAGE 2*

Per licensee, there are no firearm in the home. LPA observed a screened fireplace in the living room. LPA observed a fully charged 2A10BC fire extinguisher, working dual smoke and carbon monoxide detector. Medicines, cleaning products, sharp objects are stored inaccessible to children. LPA reminded licensee that smoking, baby walkers, bouncers, jumpers and similar items are not allowed in family child care homes. There are no stairs in the home. Licensee stated there are two dogs that live in the home.

OUTDOOR SPACE: LPA inspected the backyard and observed a fenced and safe backyard for children in care. The right hand side of the backyard near the entrance of the facility is an outdoor play area for children. LPA observed age appropriate toys for children to play with. LPA did not observed any bodies of water. Facility does not provide transportation for children, but understands that children cannot be left alone, unattended in parked vehicles

LPA discussed and 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. All documents have been reviewed for the increase of capacity application. The Licensee was reminded that an assistant is needed with a large family child care home license, and whenever an assistant is not present, the licensee will comply with the capacity requirements for a small family child care home.

To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at:https://www.cdss.ca.gov/inforesources/community-carelicensing/subscribe and select the Child Care option to receive email communication. LPA provided the main office number for the Oakland Regional Child Care office: (510) 622-2602. LPA reminded licensee to call and report injuries or unusual incidents within 24 hours of knowledge of occurrence. Licensees are to review the form (LIC 624B) to follow up in writing within 7 days of the injury/unusual incident.

*CON'T ON PAGE 3*

SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Christina Watts
LICENSING EVALUATOR SIGNATURE:	DATE: 01/19/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/19/2024

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
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: FIGUEROA CHAVEZ, YARA	FACILITY NUMBER: 073409263
	VISIT DATE: 01/19/2024

NARRATIVE

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*PAGE 3*

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.

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.

Effective as of 01/19/ 2024, change of capacity application has been approved.

During today's inspection, there were no violation observed.

Exit interview conducted and report was reviewed with the licensee, Yara Figueroa Chavez. 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: 01/19/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/19/2024

LIC809 (FAS) - (06/04)

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