434415424-7-1-2021-07-CC-YHUG-C4HTXA-20210701150648

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434415424
Report Date: 07/01/2021
Date Signed: 07/01/2021 03:07:40 PM

Document Has Been Signed on 07/01/2021 03:07 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:	ORGANIZATION OF SPECIAL NEEDS FAMILIES		FACILITY NUMBER:	434415424
ADMINISTRATOR:	ALEJANDRA GOMEZ		FACILITY TYPE:	840
ADDRESS:	511 S BASCOM AVE. (FRONT BLDG)		TELEPHONE:	(408) 996-0850
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95128
CAPACITY: 6	TOTAL ENROLLED CHILDREN: 0	CENSUS: 0	DATE:	07/01/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Lihueiw Yau		TIME COMPLETED:	03:30 PM

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Licensing Program Analyst (LPA), Oscar Huang, conducted a screening call to licensee in the morning. Licensee stated that her facility is currently temporally on open as there no enrollment, but waiting for children to return. Licensee stated that she can meet LPA at the facility for inspection this afternoon. When arrived, LPA toured the Facility both inside and outside during today's visit. Licensee stated The facility operation hours is from 2:00pm to 6:00pm Monday to Friday.

LPA observed the required posted materials, including the Facility License, Emergency Disaster Plan (LIC 610), Earthquake Preparedness Checklist (LIC 9148), Parents' Rights Poster (PUB 393), Personal Rights (LIC 613A), Child Car Seat Law (PUB 269), and Activity Schedule. The Facility has no active waivers on file.

A review of staff records on today 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 reminded Director of the applicable civil penalties for those adults who have not received fingerprint clearances, are not associated to the facility 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. Licensee understands upon notice of the Department to remove or to exclude an individual from the facility, Director shall immediately remove the individual and prevent them from returning to the facility or having contact with children in care.

Licensee stated that all the staff were let go as all the clients had left last year in 13, March. She will process the rehiring once children are returing, and will be in compliance with regulations of staff requirements.

SUPERVISORS NAME: Sandy Knight
LICENSING EVALUATOR NAME: Yangcheng Huang
LICENSING EVALUATOR SIGNATURE:	DATE: 07/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2021

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: ORGANIZATION OF SPECIAL NEEDS FAMILIES	FACILITY NUMBER: 434415424
	VISIT DATE: 07/01/2021

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LPA reviewed COVID-19 infection prevention guidance & self-assessment with licensee including her plans in place to protect and support staff, children, cleaning & hygiene implementation, health screening & social distancing practices, meal times and arrival & pickup procedures. LPA observed posters & visitor policy notice were posted at the front entrance. LPA advised that child above 2 shall be taught to wear masks. LPA also reviewed the CDPH latest guidance issued on 6/29/21 with licensee.

LPA observed licensee's CPR & First Aid certification has expired, but has registered to re-certified on 7/11/2021.

Supervision of children was discussed with Licensee, and she understands that the staff must be present in the facility during day care hours and ensure that the children are supervised at all times. Licensee understands her capacity. Licensee states that she does not transport children via vehicle but she understands that children cannot be left in parked vehicles unattended at any time.

LPA discussed Beginning January 1, 2018, Health and Safety Code 1596.8662 requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. LPA observed licensee has completed her training and certification is on file, however is expired on January, 2021. LPA advised licensee to retake and obtained the certification once child is enrolled.

No Deficiency was cited. Exit interview conducted with Licensee. A NOTICE OF SITE VISIT WAS ISSUED, POSTED NEAR THE ENTRANCE TO THE HOME, AND MUST REMAIN POSTED FOR 30 DAYS.

SUPERVISORS NAME: Sandy Knight
LICENSING EVALUATOR NAME: Yangcheng Huang
LICENSING EVALUATOR SIGNATURE:	DATE: 07/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2021

LIC809 (FAS) - (06/04)

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