444409033-3-16-2023-07-CC-CNEN-CPYUU5-20230316155300

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 444409033
Report Date: 03/16/2023
Date Signed: 03/16/2023 03:53:08 PM

Document Has Been Signed on 03/16/2023 03:53 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:	VALERIO, JUDY		FACILITY NUMBER:	444409033
ADMINISTRATOR:	JUDY VALERIO		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(831) 763-0379
CITY:	WATSONVILLE	STATE: CA	ZIP CODE:	95076
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 13	CENSUS: 11	DATE:	03/16/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:17 PM
MET WITH:	Judy Valerio		TIME COMPLETED:	04:02 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analysts (LPAs), Cortney Nelson and Farida Raja, met with Licensee, Judy Valerio, for an unannounced Required- 1 Year Inspection. LPAs were granted access to the home by assistant, Rosa, and toured both indoors and outdoors during the inspection. Upon arrival, there were nine (9) children (6 preschool-age/3 infants) and two (2) additional school age children arrived during the inspection, for a total of eleven (11) children, the Licensee, and Assistant present, which is compliant with the home license capacity and ratio requirements. LPAs observed all required postings near the entrance to the home and the hours of operation are Monday – Friday, 6:00AM-6:00PM. The Licensee states that adults, over the age of 18, residing in the home are: herself, her daughter (Rosa), her son (Alexis), her son-in-law (Jesse) and a tenant (Jose). All adults residing in the home have Criminal Background Check Clearance and proof of negative tuberculosis (TB) test. The 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 reviewed facility roster (LIC9040) and fire/disaster drill log and observed the last drill was conducted 2/21/2023, which is compliant with the six-month requirement for homes. LPA observed a fully charged 3A40BC fire extinguisher (last serviced: 2/2023), functioning smoke detector and carbon monoxide detector. The Licensee states that she does not currently have any children in care who require Incidental Medical Services and does not administer medication at this time. There are no weapons or firearms in the home. 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 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: Joel Segura
LICENSING EVALUATOR NAME: Cortney Nelson
LICENSING EVALUATOR SIGNATURE:	DATE: 03/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2023

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: VALERIO, JUDY	FACILITY NUMBER: 444409033
	VISIT DATE: 03/16/2023

NARRATIVE

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Indoor areas of the home were inspected by the LPAs and observed to be clean, orderly, and safe for the day care children. Off-limits inside the home: three (3) bedrooms, kitchen, storage room, and one (1) bathroom. There are no open-faced heaters in the home. The Licensee states that she works with Community Bridges food program and serves the children lunch, PM snack and dinner. LPAs observed a baby bouncer and advised that they are not allowed in day care homes. LPAs additionally advised that food compost bins are stored out of reach of children or with lid to prevent access by children. The bathroom in the home is clean, sanitary, and operable. There is a working telephone in the home.

The backyard area of the home was inspected and observed to be fenced in. The Licensee states that due to rainy weather conditions, the outside area has not been used by children. LPAs advised that photos of the backyard are submitted prior to children's reuse of the area to ensure safe playing conditions. Off-limits outside of home: two storage units, renter unit, detached garage, laundry room, and all areas outside of the fenced area for children. No outdoor bodies of water were observed.

LPA discussed the safe sleep regulations with 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.

Five (5) children, the Licensee, and Home Resident files were reviewed and all required documents were present. LPAs reminded the Licensee that nap check documentation should be completed until infants turn two years of age. The Licensee has current CPR/First-Aid that expires 1/21/2025 and Mandated Reporter Training that expires on 3/22/2024. LPAs reminded that training must be renewed every 2 years.

Exit interview conducted and report was reviewed with the Licensee, Judy Valerio.

As a result of todays inspection, deficiencies were cited, see 809-D.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS.

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.

SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Cortney Nelson
LICENSING EVALUATOR SIGNATURE:	DATE: 03/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 03/16/2023 03:53 PM - It Cannot Be Edited

Created By: Cortney Nelson On 03/16/2023 at 03:11 PM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: VALERIO, JUDY	FACILITY NUMBER: 444409033
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/16/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102417(g)(10)

Operation of A Family Child Care Home

(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (10) A baby walker shall not be allowed on the premises of a family child care home in accordance with Health and Safety Code Sections 1596.846(b) and (c). This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and interview, the licensee did not comply with the section cited above as a baby bouncer was observed in the on-limits area of the home, accessible to children, which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 03/16/2023
	Plan of Correction
1 2 3 4	The Licensee removed the baby bouncer from the on-limits area of the home during today's inspection. LPAs advised that it should not be accessible to children in care. The Licensee states that it can be converted into a table and will be used that way moving forward.

Type B

Section Cited

CCR

102425(j)(2)(D)

Infant Safe Sleep

Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following: This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, interview, and record review, the licensee did not comply with the section cited above in for two out of three infants in care, which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 03/23/2023
	Plan of Correction
1 2 3 4	The Licensee shall start maintaining documented nap checks for infants until they turn two years old. Proof of nap check documentation for all three infants shall be submitted to Licensing on 3/23/2023.

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME:

Joel Segura

LICENSING EVALUATOR NAME:

Cortney Nelson

LICENSING EVALUATOR SIGNATURE:

DATE: 03/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2023

LIC809 (FAS) - (06/04)

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