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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434413400
Report Date: 01/09/2025
Date Signed: 01/09/2025 11:10:39 AM

Document Has Been Signed on 01/09/2025 11:10 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
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:RICHARDS, MARLAFACILITY NUMBER:
434413400
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 3DATE:
01/09/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:40 AM
MET WITH:Licensee Marla RichardsTIME VISIT/
INSPECTION COMPLETED:
11:15 AM
NARRATIVE
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On January 9, 2025, Licensing Program Analysts (LPAs) Jaime Gonzales, Syhshyan (Shine) Yu, and Licensing Program Manager (LPM) Gladys Kuizon, conducted an unannounced Annual Random Inspection. LPAs met with Licensee, Marla Richards, and explained the nature of today's inspection. Also present in the home were 3 infants. All required posting materials were posted. The daycare is open Monday thru Friday from 7:30 AM to 4:30 PM. Licensee was informed that all waivers previously approved are now rescinded. Licensee no longer has a water fountain, but LPAs observed a bird bath filled with rocks. LPAs observed one dog in facility with current vaccinations.

LPAs obtained a copy of current children's roster. Fire/disaster drill was conducted on 12/02/2024. LPAs observed a 2A10BC fire extinguisher that has not been serviced. LPAs observed functioning smoke and carbon monoxide detectors, and barricaded fireplace. Licensee states that there are no weapons or firearms in the home.

Incidental Medical Services (IMS) policy was discussed. 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 ADA was provided: US Department of Justice 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


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SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Jaime Gonzales
LICENSING EVALUATOR SIGNATURE: DATE: 01/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/09/2025
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
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: RICHARDS, MARLA
FACILITY NUMBER: 434413400
VISIT DATE: 01/09/2025
NARRATIVE
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Licensee, Marla Richards 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, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.

LPAs observed that the home is clean and orderly. Cleaning products, sharp objects, and other items that are dangerous to children were stored inaccessible. Off limit areas inside the home are: master bedroom and master bathroom. LPAs observed sufficient age-appropriate materials, toys, and play equipment in the home. The children's bathroom is clean, sanitary, and operable. Off limit areas outside the home: side fenced off area where the shed is located.

LPAs reviewed 3 children's files during today's inspection for the following records: Notification of Parents Rights (LIC995A), Consent for Emergency Medical Treatment (LIC627), Identification and Emergency Information (LIC700), sleep log for children under 2 years old, and Immunization Records. Licensee carries daycare insurance.

Licensee has immunizations in measles, pertussis and flu declination. Licensee has Pediatric CPR/First Aid certifications and expires on 10/2025. Licensee has proof of Mandated Reporter Training and expires on 09/20/25. LPAs reminded Licensee that Mandated Reporter Training must be renewed by all staff every 2 years.

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SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Jaime Gonzales
LICENSING EVALUATOR SIGNATURE:

DATE: 01/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2025
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
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: RICHARDS, MARLA
FACILITY NUMBER: 434413400
VISIT DATE: 01/09/2025
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LPA provided and discussed the safe sleep regulations with Licensee and discussed the Child Care Licensing Safe Sleep webpage at an additional resource. LPA also reminded Licensee of the importance of checking for recalled infant devices https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Licensee, Marla Richards, 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&R's) throughout California.

RSO completed on 01/08/2025

LPAs collected the following documents during todays inspection:
-Child roster
-Updated facility sketch

Exit interview conducted, report was reviewed and provided with the Licensee, Marla Richards.

A NOTICE OF SITE VISIT WAS ISSUED AND MUST REMAIN POSTED FOR 30 DAYS
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Jaime Gonzales
LICENSING EVALUATOR SIGNATURE:

DATE: 01/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2025
LIC809 (FAS) - (06/04)
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