434407150-7-7-2021-07-CC-OCAO-C4PTTZ-20210707150134

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434407150
Report Date: 07/07/2021
Date Signed: 07/07/2021 03:01:40 PM

Document Has Been Signed on 07/07/2021 03:01 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:	GENETTI, BAMBI		FACILITY NUMBER:	434407150
ADMINISTRATOR:	GENETTI, BAMBI		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(408) 292-0828
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95125
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 0	CENSUS: 7	DATE:	07/07/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:15 PM
MET WITH:	Bambi Genetti		TIME COMPLETED:	03:05 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	On 07/07/2021 at 1:15 PM, Licensing Program Analysts (LPAs) Susy Cervantes and Ofelia Calivo met with licensee, Bambi Genetti for an annual inspection. Present were licensee and their assistant Sheila Campos with 7 day care children: 2 infants, 3 preschool, and 2 school age. Adults that live in the home are licensee, their spouse Christopher, and their adult son Robert. Days and hours of operation are Monday through Friday from 7:00 AM to 6:00 PM. A review of staff records on January 7, 2019 indicates that all Facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. LPA also reminded the Licensee of the applicable civil penalties for those adults who have not received fingerprint clearances, are not associated to the license and who come in contact with or provide care and supervision to the children. Penalty amounts: $100.00 per person per day, minimum of $100.00 to a maximum of $500.00 per person for an initial violation and a minimum of $100.00 to a maximum of $3000.00 per person for any subsequent violation within a 12 month period. LPAs toured inside and outside of the home. LPAs observed a covered fireplace, no wall heaters, and gated stairs. Licensee stated there are no weapons in the home. Licensee stated there is a dog upstairs and they are vaccinated. Licensee showed proof of insurance for the daycare. Off limits inside: second floor, one bathroom, pantry/laundry room, living room and dinning room. LPAs observed a 3A40BC fire extinguisher that was serviced on 01/27/2021. Smoke detector and Carbon Monoxide detectors were operable. Telephone was in working order. Sharp objects, medicines, poisons and cleaning supplies were inaccessible to the children and stored in the laundry room. Backyard was fenced. Off limits outdoor: left side yard and detached garage. LPAs reminded licensee that they can only have 14 children according to their license. Children were supervised during the visit and LPAs went over substitute options. *Continues on report dated 07/06/2021 pg. 1/2*

SUPERVISORS NAME: Diana Stephenson
LICENSING EVALUATOR NAME: Ofelia Calivo
LICENSING EVALUATOR SIGNATURE:	DATE: 07/07/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2021

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

FACILITY NAME: GENETTI, BAMBI	FACILITY NUMBER: 434407150
	VISIT DATE: 07/07/2021

NARRATIVE

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Continuation of report dated 07/07/2021 pg. 2/2

Licensee stated they do not transport children, LPAs reminded Licensee that children are never to be left in parked vehicles and must use appropriate car seats according to the child's age/weight/size.

LPAs took a picture of a current roster of the children. LPAs observed a fire and disaster drill log that was last conducted on 06/05/2021. LPAs reviewed five child’s file and observed a copy of the emergency information card (LIC 700) in each file. Infant individual sleeping plan (LIC 9227) for each infant under 12 months and a 15 minute check sleep log for infants under 24 months was discussed with Licensee. LPAs observed the Licensee and assistant have completed Mandated Reporter training on 06/19/21 and 12/1/20. Licensee has enrolled in Pediatric CPR/1^st Aid and is scheduled for Saturday 07/10/21. Needed documentation for SB 792 which requires immunization against Pertussis, Measles, and Influenza as well as TB testing is on file for licensee and assistant.

Incidental Medical Services (IMS) policy was discussed with the licensee. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The licensee is not providing IMS at this time. Licensee will submit an updated plan of operation if in the future they provide any IMS services to a child in care.

Licensee was reminded that any authorized employee of the Department may enter and inspect any place providing personal care and services at any time, with or without advance notice. LPA discussed the immediate civil penalties for Zero Tolerance of $500 and the Healthy Beverage Act and AB633 requirements for type A violation. Beginning January 1, 2019 AB2370 requires licensed homes and centers to share information on the risks and effects of lead exposure with enrolling and re-enrolling families. LPA discussed the “Lead Poisoning Facts Information Flyer” to the facility. Department website: http://ccld.ca.gov provided to Licensee.

Licensee was informed that failure to correct the deficiencies by the specified Plan of Correction Due Date will result in assessment of civil penalties in the amount of $100 per day per violation until the correction is made.

An exit interview was conducted with Licensee. No deficiencies were cited during today’s inspection.
Notice of site visit must remain posted for 30 days.

SUPERVISORS NAME: Diana Stephenson
LICENSING EVALUATOR NAME: Ofelia Calivo
LICENSING EVALUATOR SIGNATURE:	DATE: 07/07/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2021

LIC809 (FAS) - (06/04)

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