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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 274416781
Report Date: 09/01/2023
Date Signed: 09/01/2023 11:01:43 AM

Document Has Been Signed on 09/01/2023 11:01 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:TAPIA, ALONDRAFACILITY NUMBER:
274416781
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 6CENSUS: 2DATE:
09/01/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:35 AM
MET WITH:Alondra TapiaTIME COMPLETED:
11:35 AM
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Licensing Program Analysts (LPAs), Janette Cruz and Jessica Bongardt , conducted an unannounced case management inspection in response to Licensee's request to increase the capacity from 8 to 14 children. LPAs met with Alondra Tapia, Licensee. LPAs also observed Ignacio Caballero-Prado (Licensee's uncle), Mirella Alcazar (Licensee's mother), with two children (1 preschool, 1 infant) present in the home. Licensee stated that her mother was just visiting her home for three days and has provided LPAs proof that Licensee's mother arrived on 8/31/2023. The Licensee, Ignacio Caballero-Prado and Jeffrey Robles-Morales (Licensee's fiance) are the adults residing in the home. Days and hours of operation are from Monday to Saturday from 3:00 AM to 1:00 AM. Licensee has current CPR/First Aid certifications and Mandated Reporter Training certificate on file. Both indoor and outdoor areas of the home were inspected.

LPAs observed the home is clean, orderly, and safe for the day care children. LPAs observed no fireplace and no open face heaters, LPA observed sufficient age-appropriate materials, toys, and play equipment in the home. Off limit areas in the home: master bedroom/bathroom, two bedrooms, laundry room and garage. Off limit areas outside the home: gated dog run area located at the left side of backyard

LPAs observed a fully charged 2A10BC fire extinguisher, working smoke/carbon monoxide detectors, no bodies of water, and fenced backyard. LPAs observed Licensee has a pet dog (mini Australian Shepherd) that is kept away from children. Licensee stated she does not have weapons in the home. All cleaning compounds and medications are adequately stored in locked cabinets and inaccessible to children.

Licensee states that she does not administer medication at this time. Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual- Regulation Interpretations and Procedures for Family Child Care Homes, Section
SUPERVISORS NAME: Diana Stephenson
LICENSING EVALUATOR NAME: Janette Cruz
LICENSING EVALUATOR SIGNATURE: DATE: 09/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/01/2023
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
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: TAPIA, ALONDRA
FACILITY NUMBER: 274416781
VISIT DATE: 09/01/2023
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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 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

LPAs obtained a copy of children's roster. LPAs reviewed staff and children's files.
A review of staff records during today's inspection indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

LPAs reviewed with the Licensee the LIC 311D, Forms/Records To Keep In Your Family Child Care Homes, children’s forms/records, facility forms/records, and information to be posted.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform.

To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

Fire clearance was granted on 08/11/2023. Licensee was advised that approval of a large Family Child Care Home license shall be issued upon submission of the following:
1. Updated lease agreement that will include Licensee's uncle as tenant in the home
2. Approval of application by LPAs' Manager.

Exit interview conducted and report was reviewed with Alondra Tapia, Licensee. No deficiency was cited during today's inspection.

A Notice of Site Visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Diana Stephenson
LICENSING EVALUATOR NAME: Janette Cruz
LICENSING EVALUATOR SIGNATURE:

DATE: 09/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2023
LIC809 (FAS) - (06/04)
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