434415599-1-19-2023-07-CC-CTAO-CN8S3Q-20230119123130

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434415599
Report Date: 01/19/2023
Date Signed: 01/19/2023 12:31:40 PM

Document Has Been Signed on 01/19/2023 12:31 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
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME:	BUENAVENTURA, RHONDA		FACILITY NUMBER:	434415599
ADMINISTRATOR:	RHONDA BUENAVENTURA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(408) 712-4081
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95131
CAPACITY:	14	CENSUS: 13	DATE:	01/19/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Rhonda Buenaventura		TIME COMPLETED:	12:30 PM

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Licensing Program Analysts (LPAs) Cynthia Tamayo and Mel Matos met with Rhonda Buenaventura, Licensee, for an unannounced Required – 1 year annual inspection. LPAs were granted access to the home by the Licensee. LPAs observed Licensee's spouse (Vonryan Buenaventura) one adult assistant, Carina Peret, and 13 day care children (3 infants, 9 preschool, and 1 school age (attending TK) in the home during today's inspection Licensee was operating within the capacity and ratio requirements of her license. LPAs observed the required postings, including the facility license, near the main entrance to the home. The adults that reside in the home: the Licensee, Licensee's spouse, Licensee's mother (Aurora Vasquez), Licensee's mother in law (Fleurdeliz Buenaventura) and Licensee’s adult assistant (Carina Peret). The Licensee has three children of her own, ages 18, 15, & 10 years of age, and Licensee's 15-year-old nephew that reside in the home. Days and hours of operation are Monday to Friday from 8:00 AM to 5:30 PM.

LPAs reviewed a current Child Care Facility Roster and Fire/Disaster drill log during today's inspection. The last fire/ and disaster drill was completed on 1/10/23. Licensee states that she does have liability insurance for the day care via Markel. Licensee and LIcensee's adult assistant has current CPR and First Aid certifications (expiration: 11/2023). Licensee and adult assistant has the required vaccines (MMR, Tdap, & flu) and are current with her Mandated Reporter Training for Child Care Workers (expiration: 12/02/2023). LPAs reviewed six children's files and the files were complete with the required forms and immunization records. LPAs reviewed three staff files (Licensee, Licensee's spouse, and adult assistant) and the files were complete with the required forms and immunization records.

LPAs toured the indoor and outdoor areas of the home with the Licensee during today's inspection. The Licensee’s home is two story and LPAs observed barricaded stairs during today's inspection. Off limit areas inside the home (downstairs): two kitchen cabinet doors, locked top kitchen drawer (to the right of the stove), and attached garage. Off limit areas inside the home (entire upstairs): two bedrooms and one bathroom. LPAs observed a fully charged 2A10BC fire extinguisher, working smoke/carbon monoxide detectors, no bodies of water, and fenced backyard. LPAs observed sufficient materials, toys, and play equipment for the day care children. The home is clean, orderly, and safe for the day care children. The Applicant states that there are no weapons in the home. Licensee has a Pocket Bulldog in the home that is vaccinated and kept in off limit areas during day care hours. Cleaning Products, toxic agents, medications, and sharp objects were inaccessible to children. The Licensee does not currently administer medication to the day care children.

SUPERVISOR'S NAME: Diana Stephenson	TELEPHONE: (408) 324-2128
LICENSING EVALUATOR NAME: Cynthia Tamayo	TELEPHONE: (408) 834-2558
LICENSING EVALUATOR SIGNATURE:	DATE: 01/19/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/19/2023

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

FACILITY NAME: BUENAVENTURA, RHONDA	FACILITY NUMBER: 434415599
	VISIT DATE: 01/19/2023

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Licensee states that she provides all meals, including breakfast, lunch, and PM snack to the day care children. Licensee understands that any food brought from home shall be labeled with each child's name and properly stored. Licensee has a first aid kit in the home which includes a touch less thermometer. Licensee understands that smoking is prohibited in the home.

Licensee states that she does not administer any medications to the day care children at this time. 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 (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: http://www.ada.gov/childqanda.htm

Supervision of children was discussed with the Licensee and she understands that she must be present in the home during day care hours and ensure that the children are supervised at all times. Licensee understands the capacity/ratio options and she understands that she cannot have more than 14 children present in the home without at least two qualified adults present. Licensee states that a child will be isolated in the adjacent living room area if necessary due to illness or communicable disease. Licensee states that she does not currently transport any day care children. Licensee understands that children shall not be left unattended in parked vehicles and that car seats shall only be used for transportation and shall not be used for sleeping.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPAs discussed the safe sleep regulations with the Licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPAs also informed the Licensee of the importance of checking for recalled infant devices 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.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process

Exit interview conducted and report was reviewed with the Licensee, Rhonda Buenavista. No deficiencies issued during today's inspection. Rhonda agreed to submit an updated Application for Family Child Care Home (LIC 279) and Children in the Home form ( LIC 279B) by Friday January 27th 2023.

A Notice of Site Visit was given and must remain posted for 30 days.

SUPERVISOR'S NAME: Diana Stephenson	TELEPHONE: (408) 324-2128
LICENSING EVALUATOR NAME: Cynthia Tamayo	TELEPHONE: (408) 834-2558
LICENSING EVALUATOR SIGNATURE:	DATE: 01/19/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/19/2023

LIC809 (FAS) - (06/04)

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