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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004621
Report Date: 09/13/2021
Date Signed: 09/13/2021 02:09:18 PM

Document Has Been Signed on 09/13/2021 02:09 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, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:SORTO, ANGELICAFACILITY NUMBER:
414004621
ADMINISTRATOR:SORTO, ANGELICAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 384-6573
CITY:EAST PALO ALTOSTATE: CAZIP CODE:
94303
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 8DATE:
09/13/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Angelica SortoTIME COMPLETED:
12:15 PM
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On September 13, 2021 at 10:45am, Licensing Program Analyst (LPA) Tapia-Mandujano conducted an unannounced Annual Required inspection. LPA met with Licensee, Angelica Sorto. Present in home were the Licensee, Licensee's adult daughter, assistant, and 8 enrolled children (1 infant, 5 preschoolers, and 2 school age). Licensee is operating within capacity requirements on this day. All adults living and or working in the home have a criminal record clearance on file.

Licensee owns home, which is a three bedroom, two bathroom, single level house. Hours of Operation are Monday-Friday from 7am-6pm. Daycare area is: Living Room, Dining area, Master Bedroom #3, Bathroom #1, Bathroom #2, Porch area, and Backyard. OFF limit areas: Kitchen, Bedroom #1, Bedroom #2, all closets, Garage, and Storage in the backyard. All off limit areas are properly barricaded.

LPA toured day care areas of home with Licensee. LPA observed home to be in good repair with proper temperature and ventilation. There were a variety of age appropriate toys and equipment in the home which were in good condition. There were no pools, spas or bodies of water on the property. Backyard area is enclosed with an least 4ft high fence. Outdoor toys and equipment in the backyard were age appropriate and in good repair. All cleaning supplies, poisons, and other chemicals were stored inaccessible to children. There was a working smoke detector and carbon monoxide detector, a fully charged fire extinguisher, and a working telephone. Phone number listed for Licensee is current. Per Licensee, there are no weapons or firearms in the home. Per licensee, sick children are isolated in the master bedroom.

LPA reviewed nine child’s record which were complete. Children’s file has a record of emergency identification information on file. LPA also reviewed assistant's records which were complete. Licensee record reviewed was complete. Licensee's Pediatric First Aid/CPR 09/2022. Mandated Reporter training expires 04/2022. Last emergency drill was conducted in August 29, 2021. Emergency drills are conducted at least once every six months and are properly logged.

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SUPERVISORS NAME: Cindy Interiano
LICENSING EVALUATOR NAME: Leslit Tapia-Mandujano
LICENSING EVALUATOR SIGNATURE: DATE: 09/13/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/13/2021
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: SORTO, ANGELICA
FACILITY NUMBER: 414004621
VISIT DATE: 09/13/2021
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Incidental Medical Services (IMS) was discussed. Licensee has no children who need services at this time. 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 Americans with Disabilities Act (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: www.ada.gov/childqanda.htm.

During inspection:
- Licensee was given information regarding updated Safe Sleep Regulations, CA DPH Guidance for Use of Face Coverings, and Receiving Provider Information Notices(PINs) on CCLD website.
- Licensee was reminded, as of September 1, 2016, all Staff and Volunteers must provide proof of immunization against pertussis, measles, and influenza, or qualifies for an exemption, pursuant to Health and Safety code 1596.7995 and 1597.622.
- Licensee was reminded about Mandated Reporter training available on CCLD website. Training must be completed every 2 years by all staff hired. Training can be taken online at www.mandatedreporterca.com.

>No Deficiencies were cited today under CRR, Title 22, Division 12, Chapter 3. A copy of this report and Notice of site visit will be emailed to ANGELICASORTO40T@GMAIL.COM. This report will be kept in the facility file and will be made available for public review upon request. Desk Duty is available Monday through Friday between 8AM - 5PM at (650) 266-8800.
SUPERVISORS NAME: Cindy Interiano
LICENSING EVALUATOR NAME: Leslit Tapia-Mandujano
LICENSING EVALUATOR SIGNATURE:

DATE: 09/13/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2021
LIC809 (FAS) - (06/04)
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