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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 274415623
Report Date: 11/07/2024
Date Signed: 11/07/2024 10:23:52 AM

Document Has Been Signed on 11/07/2024 10:23 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
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:LOPEZ, OLGAFACILITY NUMBER:
274415623
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 4DATE:
11/07/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:05 AM
MET WITH:Olga LopezTIME VISIT/
INSPECTION COMPLETED:
10:30 AM
NARRATIVE
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Licensing Program Analyst (LPA) Martha Jimenez-Villanueva made an unannounced Case Management Inspection in response to a request to increase the capacity. LPA met with Licensee, Olga Lopez, and explained to her the purpose of today's visit. Also present in the home were licensee's husband (also her helper) and four (4) toddlers in care. Adults living in the home are herself and her husband. Licensee stated her seventeen year old son, her fifteen and twelve years old daughters are also residing in the home. LPA reminded licensee that children living in the home who turn 18-year-old have 30 days to obtain fingerprint clearances and TB test. The daycare is a two story home with three (3) bedrooms and three (3) bathrooms. Fire clearance was granted on October 17, 2024, by City of Salinas Fire Prevention..

Licensee stated that the daycare is open Monday – Friday from 5:30AM to 5:30PM. Licensee understands that the children cannot stay in the home for more than 24 continue hours. Licensee and her helper have completed the Preventative Health and Safety Training including Nutrition and Lead Poisoning Prevention and a copy of the certifications are on file. Licensee's and helper's CPR and First Aid certifications are current and expire on 06/21/2025 both of them. Licensee's and her helper's Mandated Reporter Training were completed on 05/15/2023 and 11/17/2022 respectively. LPA reminded licensee that Mandated Reporter Training for Child Care Providers shall be renewed by all staff every two years from completion date.
Licensee was informed that if eventually a large license is granted, the maximum capacity is 14 and a qualified helper is required to be present whenever there are more than 8 children in care and ratio (age of the children) must be observed. Licensee understands that in absence of a qualified helper, her license capacity automatically returns to capacity 8 and ratio must be observed as well. Graphical material showing ratio for a large FCCH license was provided to the licensee.

LPA inspected the indoor and outdoor areas of the home. LPA observed a fully charged 2A10BC fire extinguisher that was serviced on 10/15/2024, functioning smoke and carbon monoxide detectors, gated stairs and kitchen and blocked fireplace in the living room. Off limit areas inside the home are entire second floor: 1 master bedroom with bath, 2 bedrooms and 1 bath; on the first floor, kitchen, 2nd living room and attached garage. Licensee understands that the garage is not approved for childcare in accordance with the Fire Clearance document. Off limit areas outside the home: storage sheds and the front yard. LPA observed a dog in the garage, licensee stated is vaccinated. The backyard is fenced.
Report Continues in 809-C page 2.
SUPERVISORS NAME: Susy Cervantes
LICENSING EVALUATOR NAME: Martha Jimenez-Villanueva
LICENSING EVALUATOR SIGNATURE: DATE: 11/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/07/2024
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
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: LOPEZ, OLGA
FACILITY NUMBER: 274415623
VISIT DATE: 11/07/2024
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Report 809-C page 2.

Cleaning products, sharp objects, and other similar items are stored inaccessible to children. LPA observed sufficient toys, supplies, and equipment for the day care children. Licensee stated that there are no weapons in the home. There were no bodies of water.

A review of staff records on 11/06//2024 indicates that all Facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. Licensee was reminded that all the 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.

During the exit interview, the LICENSEE OLGA LOPEZ confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

No deficiencies were cited today. A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with Licensee, Olga Lopez in Spanish.

Licensee Olga Lopez was informed that a Large Family Child Care Home license would be approved pending on the following: 1) Approval from a manager of the Licensing Program.
SUPERVISORS NAME: Susy Cervantes
LICENSING EVALUATOR NAME: Martha Jimenez-Villanueva
LICENSING EVALUATOR SIGNATURE:

DATE: 11/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2024
LIC809 (FAS) - (06/04)
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