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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434416737
Report Date: 05/05/2023
Date Signed: 05/05/2023 03:32:31 PM

Document Has Been Signed on 05/05/2023 03:32 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:ROSIER, RACELFACILITY NUMBER:
434416737
ADMINISTRATOR:RACEL ROSIERFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(669) 208-9722
CITY:SAN JOSESTATE: CAZIP CODE:
95128
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
05/05/2023
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
02:50 PM
MET WITH:Racel RosierTIME COMPLETED:
03:40 PM
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Licensing Program Manager (LPM), Joel Segura, and Licensing Program Analyst (LPA), Marilou Monico, met with Licensee, Racel Rosier, and Licensee's husband, Randal Rosier, at the San Jose Regional Office today for a scheduled Informal Meeting. The purpose of today's meeting is to discuss the Licensee's compliance and ability to follow the Title 22 Regulations.

This Informal Meeting is a result of the following citations:
02/28/23 - Section 102417(a) - Operation of a Family Child Care Home - On 02/07/23, a day-care child wandered outside the facility and found by a parent who was picking up a child.
02/28/23 - Section 102416.2(b)(2) - Reporting Requirements - An incident occurred on 02/07/23 in which a child wandered outside of the facility was not reported to Licensing.

LPM explained to Licensee and her husband that if there are continued deficiencies cited for the issues noted on this report, the Facility may be referred to legal department for possible administrative action, which could include revocation of the Facility license. The facility will be monitored for the next 12 months to ensure that the facility is in compliance with the department regulations.

Licensee agreed to increase supervision, frequent headcounts, staff need to spread out in the backyard/playground to observe the children, and to check gates and doors to ensure they are closed. Licensee agreed to report unusual incidents to Licensing within the Department's next business day followed by a written report within seven days following the occurrence.



Assembly Bill 633 (Child Care Parent Notification Requirements) and Acknowledgement of Receipt of Licensing Report (LIC 9224) was also explained and provided to Licensee during today’s meeting.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Marilou Monico
LICENSING EVALUATOR SIGNATURE: DATE: 05/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/05/2023
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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