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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073409348
Report Date: 01/20/2023
Date Signed: 01/20/2023 04:16:02 PM

Document Has Been Signed on 01/20/2023 04:16 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
BAY AREA-CC OAKLAND, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:WATSON, JOYFACILITY NUMBER:
073409348
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
01/20/2023
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
02:33 PM
MET WITH:Joy WatsonTIME COMPLETED:
04:30 PM
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On Friday, January 20, 2023 at 2:33 PM, Licensing Program Analyst (LPA) Caroline Colson met with Joy Watson for an announced change of location and technical assistance prelicensing inspection. There are no day care children present. The home was toured to conduct a health and safety inspection. Some records were reviewed. Operating Hours are Monday - Friday 8:00 AM - 6:00 PM

Indoor Space: The home is a one story home. The home consist of a living room, kitchen with dinning area, two bedrooms, hallway closet, unfenced front yard, fenced back yard with shed and garage. Applicant doesn't have access to the garage. There is a working smoke detector and carbon monoxide detector. There is a 3A40BC fire extinguisher located in the kitchen. Ms. Watson states that there are no firearms in the home. She sent a copy of her rental agreement. There are toys and play equipment available for the children. Her CPR and First Aid certificates are current and expire on May 18, 2024. Her Mandated Reporter Training certificate is current and expire on September 22, 2024. There is a First Aid Kit available. The isolation area will be the second bedroom. There is one cat.

Outdoor Space: The fenced back yard is the outdoor play space.

Off Limit Areas: The master bedroom and shed are the inaccessible areas.


Please See LIC 809 C for Additional Information
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Caroline Colson
LICENSING EVALUATOR SIGNATURE: DATE: 01/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/20/2023
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
BAY AREA-CC OAKLAND, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: WATSON, JOY
FACILITY NUMBER: 073409348
VISIT DATE: 01/20/2023
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The following items need to be corrected by February 20, 2023:
1. The slide attached to the play structure needs matting to deter an injury in case of a fall.
2. Emergency Disaster Plan needs to be posted.
3. Applicant will check to see if second hand cribs and baby pillow has been recalled by the Consumer Product Safety Commission.
4. Applicant will ask owner for documentation that no one lives in the garage since it is inaccessible.


REMINDERS/RESOURCES

· CCLD Complaint Hotline, 1-844-LET-US-NO (1-844-538-8766) email: LetUsNo@dss.ca.gov

CCLD website address for obtaining licensing forms, training videos and other provider resources can be obtained at www.ccld.ca.gov



· Licensees may register to receive child care updates: www.myccl.ca.gov

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 ADA, available at: http://www.ada.gov/childquanda.htm


Please See LIC 809 C for Additional Information
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Caroline Colson
LICENSING EVALUATOR SIGNATURE:

DATE: 01/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/20/2023
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
BAY AREA-CC OAKLAND, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: WATSON, JOY
FACILITY NUMBER: 073409348
VISIT DATE: 01/20/2023
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Family Child Care Homes

Licensee 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.

Safe Sleep

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep web page at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee, Joy Watson, 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.

Notice of Site Visit

A notice of site visit was given and must remain posted for 30 days.

Exit Interview

Exit interview conducted and report was reviewed with the applicant, Joy Watson.

SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Caroline Colson
LICENSING EVALUATOR SIGNATURE:

DATE: 01/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/20/2023
LIC809 (FAS) - (06/04)
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