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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434413382
Report Date: 10/29/2021
Date Signed: 11/01/2021 11:49:16 PM

Document Has Been Signed on 11/01/2021 11:49 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:QUINTERO, MIREYAFACILITY NUMBER:
434413382
ADMINISTRATOR:QUINTERO, MIREYAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 746-5040
CITY:SUNNYVALESTATE: CAZIP CODE:
94087
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 9DATE:
10/29/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Mireya QuinteroTIME COMPLETED:
11:30 AM
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Licensing Program Analyst (LPA) Elizabeth Berumen met with Licensee, Mireya Quintero for a 1 year required inspection. LPA observed nine day care children in the home with Licensee and her assistants, Liz Esther Quintero and Adela Prieto. Adults living in the home are Licensee, her husband, her adult daughter (Liz Esther Quintero) and Assistant (Adela Prieto). A review of staff records on 10/29/2021 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 discussed penalty amounts.
Mireya updated her telephone number to (650) 814-5203 (cell).
Days and hours of operation are Monday to Friday, 8:00 am to 6:00 pm.

LPA toured the indoor and outdoor of the home. LPA observed a blocked and covered fireplace and no wall heaters. The fire place is covered in two sides. Off limits indoor: all four bedrooms, a bathroom, kitchen, living room, hall closet with washer/dryer. Children have to access through the kitchen to access the bathroom for day care children. Children are escorted to the bathroom. There are no bodies of water. Licensee stated there is no firearms/weapons in the home. Sharp objects, medicines, poisons and cleaning supplies are inaccessible to the children. Outdoor area is fenced. Off limits outdoor: the right side fenced off area of the yard. LPA observed a locked storage shed. LPA observed a deck in the fenced off limits area and locked storage shed. LPA reminded Licensee that she can only have 14 children according to her license with a qualified assistant.

LPA observed a 2A10BC fire extinguisher. The smoke and carbon monoxide detectors were tested and proved to be functioning. Home is clean and orderly with heating and ventilation for safety and comfort. LPA observed sufficient materials, toys, and play equipment for the day care children. Telephone is in working order. Licensee provided LPA with current phone number. Children were supervised on the visit and LPA went over substitute options. LPA also discussed if Licensee transports children, they are never to be left in parked vehicles and car seat laws are to be followed. Licensee does not transport children.
SUPERVISORS NAME: Mary Segura
LICENSING EVALUATOR NAME: Elizabeth Berumen
LICENSING EVALUATOR SIGNATURE: DATE: 10/29/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/29/2021
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: QUINTERO, MIREYA
FACILITY NUMBER: 434413382
VISIT DATE: 10/29/2021
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LPA reviewed current roster. LPA observed fire drill log; last practiced drill was June 24, 2021. LPA reviewed Assistant's file (Liz Esther Quintero and Adela Prieto). Both files are complete and staff records review form was completed. Licensee has immunization against pertussis and measles. Licensee has not taken the influenza vaccine. Licensee completed Mandated Reporter Training and understands she is to renew every two years.
Website to complete training: https://mandatedreporterca.com.

Website to download forms and to review: http://www.ccld.ca.gov. Periodic information releases accessible by signing up at: www.myccl.ca.gov.

LPA discussed the immediate civil penalties for Zero Tolerance of $500, and an ongoing $100 per day per violation continues until the violation(s) is corrected. LPA also discussed the Healthy Beverage Act. LPA discussed the requirements of AB633 to licensee and provided her the AB633 fact sheet and a copy of Acknowledgement of Receipt of Licensing Reports (LIC 9224) and licensee understands the requirements. SB792 Immunization Requirements was discussed.

Licensee understands that per Assembly Bill (AB 2370), written information regarding lead exposure needs to be given out to enrolling and re-enrolling parents or guardians.

LPA reviewed infants safe sleep policies with Licensee and provided "A Child Care Provider's Guide to Safe Sleep.” More information can be found at https://cdss.ca.gov/inforesources/Child-Care-Licensing. Incidental Medical Services were discussed with the licensee. The licensee is not providing IMS (Incidental Medical Services) 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.

No deficiency was cited. Notice of site visit was issued and must be posted for 30 days.
SUPERVISORS NAME: Mary Segura
LICENSING EVALUATOR NAME: Elizabeth Berumen
LICENSING EVALUATOR SIGNATURE:

DATE: 10/29/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2021
LIC809 (FAS) - (06/04)
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