274416878-3-1-2024-07-CC-ELAS-D2Y25F-20240301160528

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 274416878
Report Date: 03/01/2024
Date Signed: 03/01/2024 04:05:38 PM

Document Has Been Signed on 03/01/2024 04:05 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
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME:	TAPIA, ALCAZAR, DANIELA		FACILITY NUMBER:	274416878
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 8	CENSUS: 0	DATE:	03/01/2024
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	03:35 PM
MET WITH:	Daniela Tapia Alcazar		TIME COMPLETED:	04:05 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst (LPA), Elizabeth Larios, met with Licensee, Daniela. LPA conducted a Case Management visit for change of location on 2/21/2024 and due to technical issues the report was regenerated in the incorrect facility number. Licensing Program Analyst (LPA), Elizabeth Larios, met with Licensee, Daniela to conduct Case Management inspection for change of location. Upon arrival, LPA was admitted into the home by Daniela and toured inside and outside during todays inspection. The operating hours for the Family Child Care Home (FCCH) will be Monday - Saturday from 12:00AM-11:00PM. The FCCH will care for children ages zero through thirteen years old. The FCCH is currently not working with any program and plans to work with Migrant Head Start, Go Kids, Capsule, MAOF, and Food Program. Daniela states that adults over the age of 18 residing in the home are herself and her fiance, Justin Patrick Landacre. There are no minor children living in the home. LPA informed Daniela that children living in the home will be included in the home ratio and capacity until they turn 10 years of age. Daniela submitted proof of control of property via a rental agreement for the home and she states that she currently does not have liability insurance for the day care. The Licensee was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, 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 Famiy 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. LPA toured inside the home and observed sufficient materials and play equipment for day care children. There are a variety of toys for the children to play with, including cars/vehicles, blocks, cooking/kitchen, and other manipulative materials.

SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Elizabeth Larios
LICENSING EVALUATOR SIGNATURE:	DATE: 03/01/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/01/2024

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
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: TAPIA, ALCAZAR, DANIELA	FACILITY NUMBER: 274416878
	VISIT DATE: 03/01/2024

NARRATIVE

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The stairs are properly barricaded. Off limits inside the home include: living room/dinning area, laundry room, garage, and the entire second floor. LPA observed there are baby gates in the home to prevent children from accessing off-limits areas. LPA advised if there are changes to the on/off limits of the home to submit an updated facility sketch (LIC999A) to the San Jose Regional Office.

There is a working telephone at the FCCH. Daniela states that she currently has multiple napping cots and is planning to purchase more if necessary. There is a baby changing table with pad located in the living room (day care) for changing diapers. Daniela states that she does plan to assist with potty training and has the necessary equipment. There are no cribs only pack n plays currently (two) for infants.

Daniela states that she will provide medication and Incidental Medical Services to children as needed. The FCCH will provide children in care breakfast, lunch, and AM/PM snack. Water will be provided to the children via plastic disposable water bottles. LPA observed kitchen knives are properly stored inaccessible to children. There is a functioning carbon monoxide detector, smoke detector, and fully charged 3A40BC fire extinguisher.

Incidental Medical Services (IMS) policy was discussed. For IMS information , see PIN 22-02-CCP. 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 outside area of the home was inspected and observed to be fenced in. Off-limits outside of the home include: shed. LPA discussed isolation of sick children with Daniela and she states that if a child were to start feeling sick at her home that she would isolate the child in the kitchen or hallway with a napping cot, until the parent/guardian arrives to pick-up. LPA discussed isolation strategies, such as using a baby gate, and utilizing the restroom if the child's symptoms need close restroom access. LPA observed Daniela has a first-aid kit, and thermometer, available in her home.

Daniela states will transport children and LPA reviewed the vehicle (Toyota Corolla) and observed it is in good working condition. Daniela has car insurance through State Farm Insurance and her CA drivers license is valid. The vehicle will be equipped with car seat(s) and Daniela states she will transport school-age children. LPA requested that Daniela submit proof of current vehicle registration and insurance.

SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Elizabeth Larios
LICENSING EVALUATOR SIGNATURE:	DATE: 03/01/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/01/2024

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, ALCAZAR, DANIELA	FACILITY NUMBER: 274416878
	VISIT DATE: 03/01/2024

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LPA reviewed small family child care home capacity requirements with Daniela and provided a copy of 102416.5 Staffing Ratio and Capacity from California Code of Regulations. LPA advised that there should never be more than four infants, children under two years of age, present at the FCCH.

LPA discussed the safe sleep regulations with the Licensee and provided 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.

Daniela was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Exit interview conducted and report was reviewed with the Licensee, Daniela.

LPA advised Daniela that a small FCCH license change of location will be issued pending manager review/approval and submission of the following corrections:

-Proof of current vehicle registration and insurance for transporting children.

SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Elizabeth Larios
LICENSING EVALUATOR SIGNATURE:	DATE: 03/01/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/01/2024

LIC809 (FAS) - (06/04)

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