384004407-6-16-2021-05-CC-CQUO-C42KZB-20210616082025

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 384004407
Report Date: 06/14/2021
Date Signed: 06/16/2021 08:21:35 AM

Document Has Been Signed on 06/16/2021 08:21 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, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME:	RYAN, JOY E.		FACILITY NUMBER:	384004407
ADMINISTRATOR:	RYAN, JOY E.		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(267) 879-4003
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94131
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 0	CENSUS: 0	DATE:	06/14/2021
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	05:00 PM
MET WITH:	Joy Ryan		TIME COMPLETED:	07:30 PM

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Due to COVID-19 and DPH guidelines of social distancing, Licensing Program Analyst (LPA) Catrina Quimbo conducted the Pre-Licensing tele-inspection via FaceTime on June 14, 2021 at 5:00pm with applicant, Joy Ryan. Present at the home during the tele-inspection was applicant.

The applicant has applied for a large Family Child Care Home License. The applicant will operate from Monday to Thursday from 8:00am to 5:30pm and Friday 8:00am to 4:30pm. The home is a two-story, two level home. Applicant lives in the home with her two minor children.

The home consists of a porch, 3 bedrooms, 2 bathrooms, family room, 1 living room (Preschool Room #1), 1 dining room (Preschool Room #2), kitchen, art room, and backyard area. The DAY CARE AREAS are preschool room #1, preschool room #2, bathroom #1, art room, and front portion of backyard. The OFF-LIMITS AREAS are the porch, kitchen, all 3 bedrooms, bathroom #2, family room and back portion of backyard. A health and safety inspection was conducted inside the home.

LPA observed the home to be clean, safe, with a working smoke and carbon monoxide detector and a fully charged fire extinguisher. (2A10BC). Stairs are barricaded with a child safety locked gate. The applicant has multiple fully stocked First Aid kits equipped with a thermometer. The home has a fire place, made inaccessible to children by a safety gate. Fireplace is also blocked by furniture. There are no bodies of water in the home. Garbage cans have tight fitting lids. The home has age appropriate toys and equipment available for children in care. Applicant was reminded baby walkers, bouncers, jumpers and any other similar items are to not be used for children in care. Discipline policy was discussed.

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SUPERVISORS NAME: Cindy Interiano
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE:	DATE: 06/14/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2021

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, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: RYAN, JOY E.	FACILITY NUMBER: 384004407
	VISIT DATE: 06/14/2021

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Applicant uses a designated cell phone and is aware the cell phone must stay within the home during day care hours. Per applicant, there are no firearms or weapons in the home. Applicant has a black cat in the home. Per applicant, cat is up to date on immunizations. LPA advised to keep pets separate from children in care.

All hazardous materials and toxins are kept out of reach from children and are not accessible. Per applicant, children will bring their own meals and applicant will provide breakfast, morning and afternoon snacks. Food storage, labels, sanitization and children’s allergies was discussed. Applicant will provide sleeping mats. Parents to provide sheets and blankets. Safe sleep regulations, laundering, COVID-19 guidelines and sanitization was discussed.

The applicant completed the Health and Safety Training in November 2020 and CPR and First Aid Training in April 2021. Applicant was reminded to renew CPR and First Aid training every two years. The applicant has proof of immunizations and has completed the Mandated Reporter Training in February 2021. LPA informed applicant Mandated Reporter Training must be renewed every two years.

Applicant is considering providing Incidental Medical Services (IMS). IMS policy was discussed. For IMS information see Evaluator Manual –regulation interpretations and Procedures for the home. When any IMS is provided, an updated plan of operations for IMS will be submitted to the Department.

A packet of forms pertaining to the children’s files and facility files were reviewed and discussed. Applicant was advised all assistants, volunteers, frequent visitors or adults living in the home, over the age of 18 must be fingerprint cleared, associated to the home and have proof of immunizations, prior to having any contact with the children in care. Failure to do so could result in an immediate civil penalty of $100 per person, each day.

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SUPERVISORS NAME: Cindy Interiano
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE:	DATE: 06/14/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2021

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, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: RYAN, JOY E.	FACILITY NUMBER: 384004407
	VISIT DATE: 06/14/2021

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Prior to recommended licensure, the following must be complete:

-Fire clearance approval from San Francisco Fire Department

Applicant was advised to contact San Bruno Regional Office for concerns or questions. Desk Duty is available M-F, 8:00am to 5:00pm at (650) 266-8800. Forms and regulations are made available at www.cdss.ca.gov/inforesources/Community-Care-Licensing

This report is public and can be reviewed. A copy of this report will be emailed to applicant. Applicant was advised to acknowledge receipt of report once received.

SUPERVISORS NAME: Cindy Interiano
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE:	DATE: 06/14/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2021

LIC809 (FAS) - (06/04)

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