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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434416715
Report Date: 06/03/2022
Date Signed: 06/03/2022 12:57:38 PM

Document Has Been Signed on 06/03/2022 12:57 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:SANCHEZ, JUANITAFACILITY NUMBER:
434416715
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
06/03/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:40 AM
MET WITH:Juanita SanchezTIME COMPLETED:
01:07 PM
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Licensing Program Analyst (LPA), James Santos conducted an unannounced Required 1 Year Inspection visit today and met with Licensee, Juanita Sanchez. There were no children present in the home during today's inspection. Seven of the children are in school today and the other one child is at home sick. Per Licensee, she picks up the children from school in the afternoon.

LPA toured the home inside and out with Licensee. The child care home is an apartment unit located in an apartment complex on the first level. The License, Notification of Parents’ Rights, Emergency Disaster Plan, and Earthquake Preparedness Checklist were observed to be posted. The living room/play area, kitchen area and the two bedrooms were observed to be well maintained and in good order. The bathroom was observed to be clean and sanitary. There are sufficient amount of toys for children. LPA observed a fully charged fire extinguisher, smoke detector and carbon monoxide detectors and first aid kit. Licensee stated that there are no poisons, weapons or firearms in the home. Disinfectant, cleaning supplies, and other hazardous items are stored and inaccessible to children. There is a fenced front patio for outdoor activities. There are no bodies of water observed.

Licensee transports children and understands that children cannot be left alone and unattended in parked vehicles.

Eight (8) children's files were reviewed during today's inspection. The records reviewed include but not limited to Emergency and ID, Consent for Medical Treatment and parent's rights and Immunization record.

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SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: James G Santos
LICENSING EVALUATOR SIGNATURE: DATE: 06/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/03/2022
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: SANCHEZ, JUANITA
FACILITY NUMBER: 434416715
VISIT DATE: 06/03/2022
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Licensee's record was reviewed which includes CPR/1st Aid, clearance and immunization records. Licensee's Mandated Reporter Training certifications is valid through 3/2/2023 and First Aid/CPR is valid through 11/7/2022.

Per review of record, the Licensee conducts the fire and disaster drills monthly. Last drill was conducted in May 2022.

LPA reminded of the required "mandated reporter" training for Assembly Bill, AB 1207 requirement for Child Care Providers that all staff must complete and renew every two (2) years. The website for the online training is: http://www.mandatedreporterca.com.

LPA also reminded Licensee of the applicable civil penalties for those adults who have not received fingerprint clearance, are not associated to the license 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.

LPA discussed with Licensee with Safe Sleep Regulation. Licensee is encouraged to visit the Department’s website at www.cdss.ca.gov to access resources for Providers, Title 22 Regulations, Online Licensing Forms, Adoption of new Laws, etc.

There are no deficiencies cited during today's inspection. Exit interview conducted and this report was reviewed with Licensee and a copy was provided.


NOTICE OF SITE VISIT WAS ISSUED AND MUST REMAIN POSTED FOR 30 DAYS.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: James G Santos
LICENSING EVALUATOR SIGNATURE:

DATE: 06/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2022
LIC809 (FAS) - (06/04)
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