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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434416040
Report Date: 08/18/2023
Date Signed: 08/22/2023 11:21:22 AM

Document Has Been Signed on 08/22/2023 11:21 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
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:ROJAS, ALBERTOFACILITY NUMBER:
434416040
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 6CENSUS: 2DATE:
08/18/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Adilene Rojas MendezTIME COMPLETED:
01:35 PM
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Licensee Program Analyst (LPA) Deanna Villagrana met with licensee's sister Adilene Rojas Mendez for an increase of capacity visit which licensee initiated. LPA explained the reason for the visit. Licensee has been licensed since 02/22/2022 and qualifies for an increase of capacity. Present were licensee sister Adilene Rojas Mendez, two renters and two day care children including one infant. An additional assistant Concepcion Salinas arrived a short time later. Concepcion helps pick up children from school and in the home. Licensee Alberto Rojas is out of country for a family emergency on 08/16/2023 and shall return next week depending on situation. The adults that reside in the home are licensee, licensee's husband, sister and two renters.

A review of staff records on 008/15/2023 indicates that all Facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. License's sister Adilene Rojas Mendez 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.


LPA toured the indoor and outdoor areas of the home during today’s inspection. The home is licensed in one of the duplexes that is on the premises. There is not access to second unit except through a locked gate on the right side of the front yard. LPA observed that the home is clean and orderly, with heating and ventilation for safety and comfort of the children. LPA observed a barricaded fireplace and wall heater in the home. LPA observed safe and sufficient materials, toys, and play equipment for the day care children. All sharp objects, detergents, cleaning compounds, medications, poisons, and other similar items inside the home are stored inaccessible to children. LPA observed a fully charged 4A80BC fire extinguisher, a working smoke and carbon monoxide detector.
SUPERVISORS NAME: Mary Segura
LICENSING EVALUATOR NAME: Deanna Villagrana
LICENSING EVALUATOR SIGNATURE: DATE: 08/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/18/2023
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
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: ROJAS, ALBERTO
FACILITY NUMBER: 434416040
VISIT DATE: 08/18/2023
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Adilene Rojas Mendez states there are no weapons/firearms in the home. Off limit areas indoor: master bedroom/bath, two bedrooms and garage that is accessible through the front of the home. There are no bodies of water. Backyard is fenced. Off limits outdoor: entire backyard. Licensee uses front yard for outdoor play and understands children must be supervised at all times. LPA observed one parrot in the home that stays in the backyard of the home. LPA observed licensee has a current CPR and First Aid certification expiring 06/2025, assistants Adilene expires on 05/2024, and assistant Concepcion on 06/2025. Licensee, assistant Adilene and Concepcion have all completed Mandated Reporter training, licensee on 10/27/2021, Adilene on 02/16/2022 and Concepcion on 07/25/2023.

Supervision of children was discussed with licensee's sister 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's sister understands her capacity options and she understands that she cannot have more than eight children in the home at any time. Licensee's sister understands if she transports children via vehicle, children cannot be left in parked vehicles unattended at any time.



LPA discussed the safe sleep regulations with licensee's Adilene Rojas Mendez 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. LPA also informed licensee's Adilene Rojas Mendez 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.


LPA discussed Zero Tolerance related regulations with licensee's sister Adilene Rojas Mendez and was advised of the assessment of $500 immediate civil penalty and an ongoing $100 per day per violation continues until the violation(s) is corrected. 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
SUPERVISORS NAME: Mary Segura
LICENSING EVALUATOR NAME: Deanna Villagrana
LICENSING EVALUATOR SIGNATURE:

DATE: 08/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2023
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: ROJAS, ALBERTO
FACILITY NUMBER: 434416040
VISIT DATE: 08/18/2023
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Exit interview conducted and report was reviewed with the licensee's sister Adilene Rojas Mendez. During the exit interview, the LICENSEE'S sister, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS. A fire clearance was approved on 08/10/2023. LPA informed Adilene Rojas Mendez that a large family day care license is approved pending Manager's approval.

No deficiency was cited.

A notice of site visit was given and must remain posted for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISORS NAME: Mary Segura
LICENSING EVALUATOR NAME: Deanna Villagrana
LICENSING EVALUATOR SIGNATURE:

DATE: 08/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2023
LIC809 (FAS) - (06/04)
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