444416012-8-5-2021-07-CC-EBEN-C5LVNH-20210805163507

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 444416012
Report Date: 08/05/2021
Date Signed: 08/05/2021 04:36:07 PM

Document Has Been Signed on 08/05/2021 04:36 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, YESICA		FACILITY NUMBER:	444416012
ADMINISTRATOR:	YESICA SANCHEZ		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(559) 300-5324
CITY:	WATSONVILLE	STATE: CA	ZIP CODE:	95076
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 0	CENSUS:	DATE:	08/05/2021
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Yesica Sanchez		TIME COMPLETED:	12:15 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 Analyst (LPA) Elizabeth Berumen conducted an announced pre-licensing visit to the home. LPA met with Applicant, Yesica Sanchez and explained the nature today's visit. The adults that reside in the home are the Applicant, and her Spouse, Aldo Contreras. Applicant has three children ages 15, 11, and 8 years old. Applicant understands that her 8 year old son will count in her capacity when present. Days and hours of operation will be Monday - Friday from 6:00 AM to 6:00 PM. Applicant has completed Preventative Health and Safety Child Care Training on 07/22/21 including the 1 hour nutrition training and Lead Poisoning Prevention and a copy of completion is on file. Applicant's CPR and First Aid certifications are current and expire on 05/2023. Mandated Reporter Training was completed on 06/21/21. Applicant rents the home. Applicant does not have liability insurance and will issue affidavit regarding liability insurance for FCCH. A listing of staff criminal record clearances associated to this facility in the CCL Licensing Information System (LIS) on 07/20/21 was reviewed; and it indicates that all Facility staff or other individuals who require caregiver background clearances have received criminal record and child abuse index clearances or exemptions. LPA reminded Applicant of the applicable civil penalties for those adults who have not received fingerprint clearances, 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 inspected the indoor and outdoor areas during today's visit. LPA observed no stairs in the home. Fireplace is covered. Off limit areas inside the home: three bedrooms, one bathroom. The home has doors to prevent children to access the off limit areas. Continues on report dated 08/05/2021

SUPERVISORS NAME: Mary Segura
LICENSING EVALUATOR NAME: Elizabeth Berumen
LICENSING EVALUATOR SIGNATURE:	DATE: 08/05/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2021

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, YESICA	FACILITY NUMBER: 444416012
	VISIT DATE: 08/05/2021

NARRATIVE

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Off limit areas outside the home: are fenced area (far backside) and storage shed. LPA observed a fully charged 2A10BC fire extinguisher, working smoke and carbon monoxide detector, and no bodies of water Applicant states there are no weapons in the home. Applicant has a pet dog and licensee showed proof of vaccinations. Cleaning Products, toxic agents, medications, and sharp objects were inaccessible to children. Applicant has a locked closet in laundry area were she keeps poisons, cleaning products etc. LPA reminded Applicant that smoking, baby walkers, bouncers, jumpers, and similar items are not allowed in Family Child Care Homes.

Forms of discipline used by Applicant: talking to children and redirection. Applicant understands that children's personal rights should not be violated; including no corporal punishment. A Family Child Care Home packet with updated Licensing forms was provided to and reviewed with the Applicant. Department website: www.ccld.ca.gov. provided to Applicant. Isolation of sick children, supervision of children, capacity options, transportation of children, requirements for reporting unusual incidents/injuries, suspected child abuse (Mandated Reporter training AB 1207), SB 792 (Immunization's for Measles Pertussis and Influenza) and healthy beverages in child care, heat related illnesses, and requirements for assistant/substitute were also discussed. LPA informed Applicant that fire/disaster drills must be practiced at least once every 6 months and documented.

Incident 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) 415-0301 (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.

LPA discussed the requirements of AB 633 with the Applicant and provided her the AB 633 fact sheet and a copy of Acknowledgement of Receipt of Licensing Reports (LIC 9224) and Applicant understands the requirements.

SUPERVISORS NAME: Mary Segura
LICENSING EVALUATOR NAME: Elizabeth Berumen
LICENSING EVALUATOR SIGNATURE:	DATE: 08/05/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2021

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, YESICA	FACILITY NUMBER: 444416012
	VISIT DATE: 08/05/2021

NARRATIVE

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Continuation of report dated 08/05/21 pg. 3/3

LPA also discussed "zero tolerance" related regulations with the Applicant and advised her of the assessment of an immediate $500 civil penalty, and an ongoing $100 per day per violation continues until the violation is corrected.

LPA reviewed safe sleep policies for the infants with the Licensee and provided Licensee "A Child Care Provider's Guide to Safe Sleep” document. More information can be founded at http://www.cdss.ca.gov/inforesources/Child-Care-Licensing.

LPA advised Applicant that beginning January 1, 2019, AB2370 requires licensed homes and centers to share information on the risks and effects of lead exposure with enrolling and re-enrolling families.

LPA reviewed safe sleep policies for the infants with the Applicant and provided "A Child Care Provider's Guide to Safe Sleep & Individual Infant Sleeping Plan (LIC 9227) and included the recent released PIN 20-24-CCP. More information can be founded at http://www.cdss.ca.gov/inforesources/Child-Care-Licensing.

LPA reviewed COVID-19 infection prevention guidance & self-assessment with licensee including her plans in place to protect and support staff, children, cleaning & hygiene implementation, health screening & social distancing practices, meal times and arrival & pickup procedures. LPA observed posters & visitor policy notice were posted at the front entrance.

A fire clearance approval from the Watsonville Fire Department was granted on 07/15/2021. No special conditions are listed on the STD 850.

LPA conducted an exit interview with the Applicant in Spanish.

LPA advised applicant that Licensure for a LARGE family child care home (capacity 14) is approved today.

SUPERVISORS NAME: Mary Segura
LICENSING EVALUATOR NAME: Elizabeth Berumen
LICENSING EVALUATOR SIGNATURE:	DATE: 08/05/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2021

LIC809 (FAS) - (06/04)

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