274416758-6-12-2023-07-CC-JMAS-CSQRGB-20230612130027

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 274416758
Report Date: 06/12/2023
Date Signed: 06/12/2023 01:00:35 PM

Document Has Been Signed on 06/12/2023 01:00 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
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME:	FABIAN ELIZALDE, MARIA		FACILITY NUMBER:	274416758
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 7	CENSUS: 0	DATE:	06/12/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:35 AM
MET WITH:	Maria Fabian Elizalde		TIME COMPLETED:	01:05 PM

NARRATIVE

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Licensing Program Analyst (LPA) Joe Macias conducted an unannounced Required-1 Year/ Increase of Capacity Inspection. LPA was greeted and granted entrance by the Licensee Maria Fabian Elizalde. The purpose of today’s inspection is to ensure the home is in compliance with Title 22 California Code of Regulations. Todays census is 0, there are currently seven children enrolled. The Licensee, her partner Rodolfo Merlos, and adult brothers Oscar Fabian, and Alfredo Fabian are the only adult who reside in the home. The day care hours of operation are Monday - Friday, 5am - 6pm. The Licensee's CPR and First Aid are current, and expire April 2025. The Licensee recently submitted an application for the purpose of an increase of capacity.

The Licensee Maria Fabian Elizalde currently has a small family child care home license. The Licensee wishes to obtain a large family child care home license, to provide care and supervision for up to fourteen children. LPA Macias reviewed the ratio and capacity guidelines for a large license. LPA Macias explained the requirements for a qualified assistant.

LPA toured the indoor and outdoor areas of the home during today's visit. LPA reviewed a current Child Care Facility Roster and Fire/Disaster drill log during today's visit. The last fire disaster drill was conducted February 20, 2023. The Licensee has a working telephone in the home. LPA observed sufficient materials, toys, and play equipment for the children in care. The home is orderly, and safe for the day care children. The LPA did not observe a wall heater as the home has central heat. Off limit areas of the home: all bedrooms, master bathroom, and garage.

Prior to today's inspection LPA Macias received an approved fire clearance from the City of Salinas Fire Department. LPA observed a fully charged 2A10BC fire extinguisher, working smoke, and carbon monoxide detectors, and no bodies of water. The Licensee states that she does have weapons in the home. The firearm is registered to the Licensee's brother who is cleared and associated to the family child care home. The firearm is stored in a locked bedroom, behind a locked closet, inside of a securely locked gun safe. The ammunition is stored separately in a locked safe. All detergents, cleaning compounds, poisons, medications, and other similar items are out of reach and inaccessible to children. Licensee states that she does not administer medications at this time.

Supervision of children was discussed with the Licensee and she understands that she must be present in the home during day care hours to ensure that the children are safe and supervised at all times. The Licensee understands the current capacity options and she understands that she cannot have more than 8 children in the home at any time. The Licensee will not operate as a large family child care home until she has received the approved large license. LPA provided the Licensee with the ratio/capacity chart for his reference. The Licensee states that she does transport children; she understands that children cannot be left in parked vehicles unattended any time.

LPA observed staff immunization records on file.

SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Joseph Macias
LICENSING EVALUATOR SIGNATURE:	DATE: 06/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2023

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
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: FABIAN ELIZALDE, MARIA	FACILITY NUMBER: 274416758
	VISIT DATE: 06/12/2023

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LPA discussed the safe sleep regulations with the License 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 licensee [facility representative] 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.

A review of staff records on June 12, 2023 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 Maria Fabian Elizalde 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

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

The Licensee has completed the Mandated Reporter Training.

No deficiencies cited. Exit interview conducted and report was reviewed with the Licensee Maria Fabian Elizalde. LPA Macias advised the Licensee that the large family child care home license will be issued pending management approval.

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

SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Joseph Macias
LICENSING EVALUATOR SIGNATURE:	DATE: 06/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2023

LIC809 (FAS) - (06/04)

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