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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 274412873
Report Date: 07/09/2021
Date Signed: 07/09/2021 11:55:05 AM

Document Has Been Signed on 07/09/2021 11:55 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:PUENTES, GABRIELAFACILITY NUMBER:
274412873
ADMINISTRATOR:PUENTES, GABRIELAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(831) 975-3726
CITY:SALINASSTATE: CAZIP CODE:
93905
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 7DATE:
07/09/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:20 AM
MET WITH:Gabriela PuentesTIME COMPLETED:
12:00 PM
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Licensing Program Analyst (LPA) Fermin Campos-Jaramillo conducted an unannounced annual one year required inspection to the home today. LPA met with Gabriela Puentes, Licensee, and explained the nature of today's inspection to her. Days and hours of operation are Monday to Friday from 5:00 AM to 6:00 PM. Licensee stated that she, her spouse Ignacio and her daughters Jacqueline and Paola are the only adults residing in the home. Also present today was licensee's helper Maria Guadalupe. LPA observed licensee had seven children in care today, included 1 infant, 2 school age, and 4 preschoolers. Licensee's certifications for CPR and First Aid is current and will expire on 9/26/22 for herself and on 10/26/21 for her helper.
LPA toured the indoor areas of the home during today's inspection. LPA reviewed and obtained a copy of the Child Care Facility Roster during today's inspection and it is current. LPA reviewed five children's files and observed that parent's rights forms, immunization records forms, consents for emergency medical treatment forms, and Identification and emergency information forms are in each file. LPA observed that last fire drill was documented on 5/31/21
The Licensee has a working telephone in the home. LPA observed sufficient materials, toys, and play equipment for the day care children. LPA observed the home does not have wall heaters. LPA observed the home has a barricaded fireplace. Off limit areas in the home are: All the second floor. LPA observed the washing and dryer area is located in the garage and are off limits. LPA observed there are barricaded stairs inside the home. LPA observed the home has a fenced back yard which is used as playground for the children in care. Off limits area outside is the right side yard, and a shed in the back yard.

LPA observed a fully charged 2A10BC fire extinguisher which was last time serviced on 4/21/21, working smoke detector and no bodies of water. The home has a carbon monoxide detector. The Licensee states that she does not have any weapons in the home. All detergents, cleaning compounds, medications, and other similar items are stored inaccessible to children.

********************************Report dated 7/09/21 continues in page 2.
SUPERVISORS NAME: Mary Segura
LICENSING EVALUATOR NAME: Fermin Campos-Jaramillo
LICENSING EVALUATOR SIGNATURE: DATE: 07/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/09/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: PUENTES, GABRIELA
FACILITY NUMBER: 274412873
VISIT DATE: 07/09/2021
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Report dated 7/09/21 continues from page 1.

LPA discussed Incidental Medical Services (IMS) with the Licensee. LPA observed Licensee and her helper have proof of immunization for pertussis, measles, and opt out statements for influenza according with the SB792.

A review of staff records on 7/06/21 indicates that all Facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. LPA also reminded Licensee of the applicable civil penalties for those adults who have not received fingerprint clearances, are not associated to the license and who come in contact with or provide care and supervision to the children. Penalty amounts: $100.00 per person per day, minimum of $100.00 to a maximum of $500.00 per person for an initial violation and a minimum of $100.00 to a maximum of $3000.00 per person for any subsequent violation within a 12 month period.
Supervision of children was discussed with the Licensee and she understands that she must be present in the home during day care hours and ensure that the children are supervised at all times. The Licensee understands her capacity options and she understands that she cannot have more than 14 children in the home at any time and a helper must be present whenever there are more than 8 children in care and ratio must be observed. The Licensee states that she does not transport children via vehicle and she understands that children cannot be left in parked vehicles unattended at any time.

Department website: www.ccld.ca.gov provided to Licensee.
LPA discussed the requirements of AB 633 with the Licensee. LPA also discussed "zero tolerance" related regulations with the Licensee. LPA observed that licensee has obtained certificate of completion of the required "mandated reporter" training for both licensee and her helper on 2/29/20. LPA reviewed with licensee of the new regulations on Safe sleep for infant children. and provided licensee with form LIC9227. LPA referred the Licensee to the Department website: www.ccld.ca.gov for additional information.
LPA provided licensee with the Lead Poisoning Facts sheet.

No deficiencies have been cited during today's inspection. Appeal rights was printed and given to Licensee. Exit interview was conducted with licensee in Spanish.
A NOTICE OF SITE VISIT WAS ISSUED, POSTED NEAR THE FRONT ENTRANCE TO THE HOME, AND MUST REMAIN POSTED FOR 30 CONSECUTIVE DAYS.
SUPERVISORS NAME: Mary Segura
LICENSING EVALUATOR NAME: Fermin Campos-Jaramillo
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2021
LIC809 (FAS) - (06/04)
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