485407448-9-29-2023-01-CC-MAUN-CW5PKL-20230929112319

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 485407448
Report Date: 09/29/2023
Date Signed: 09/29/2023 11:23:26 AM

Document Has Been Signed on 09/29/2023 11:23 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, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME:	ROJAS, ANICIA FAMILY CHILD CARE HOME		FACILITY NUMBER:	485407448
ADMINISTRATOR:	ROJAS, ANICIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(707) 305-3334
CITY:	VACAVILLE	STATE: CA	ZIP CODE:	95687
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 0	CENSUS: 0	DATE:	09/29/2023
TYPE OF VISIT:	Required - 1 Year	ANNOUNCED	TIME BEGAN:	08:35 AM
MET WITH:	Anicia Rojas - Licensee		TIME COMPLETED:	11:40 AM

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	A Required-1 Year inspection was made to the facility by Licensing Program Analyst (LPA), Melchisedeck Augustin. The facility is currently on inactive status until 12/27/23 and on 09/25/23, the Licensee requested for the facility status to be changed to Licensed and the reactivation of her license. A review of staff records on 09/29/2023 indicates that all facility staff or other individuals who require caregiver background checks received a criminal record and child abuse index clearances or exemptions. Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated. During today’s inspection the home and grounds were toured. The Licensee (LS) did not have any daycare children in care. The facility was operating within the licensed capacity and ratio requirements. No children were observed left in any parked vehicle. The facility’s operating hours are 7:30AM to 5:30PM, Mon–Fri. The floor plan submitted by the licensee was reviewed and verified. The off-limits areas of the home are the two bedrooms, one bathroom, the storage closet and laundry room which housed the water heater in the garage, and a closet located in the hallway, were made inaccessible by means of plastic slip on doorknob covers, latches and children’s safety gates. The facility did not have staircase. The Licensee stated she did not utilize the fireplace during the facility’s hours of operation. The home was clean and orderly and was at a comfortable indoor temperature. There were safe toys and equipment available for children. There is a working telephone in the home. Licensee’s pediatric CPR/First Aid and AB 1207 Mandated Reporter Training certifications are expired. The items which could pose a danger to children (detergents, cleaning compounds, medications, etc.) were stored out of the reach of children. (Continue to LIC 809-C)

SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melchisedeck Augustin
LICENSING EVALUATOR SIGNATURE:	DATE: 09/29/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2023

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, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: ROJAS, ANICIA FAMILY CHILD CARE HOME	FACILITY NUMBER: 485407448
	VISIT DATE: 09/29/2023

NARRATIVE

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There is a functional smoke and carbon monoxide detectors; and a fully charged fire extinguisher rated at least 2A10BC. Licensee stated she did not store firearm(s) or other dangerous weapon(s) on the premise. Poison(s) were locked in a closet in the garage.

There is a swimming pool in backyard and the pool was surrounded by a combination of wooden and chain link fencing that was attached to the home, and the pool yard was accessible from an on limits bedroom window which contained an audible alarm and a latch; but did not have a locking mechanism to prevent the window from being opened. There is a waiver which indicates the facility is required to maintain chain link fence surrounding the pool and to ensure the fence remain non-climbable, and another waiver which allows for the use of window locks and alarm system to prevent entry into the pool yard.

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. LPA also informed licensee 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.

During the exit interview, the Licensee confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS. On this date, 09/29/2023, the California Attorney General - Megan’s Law website was searched for information on sex offenders required to register with local law enforcement under California's Megan's Law. No registered sex offenders were found at the facility addresses. Under state law, some registered sex offenders are not subject to public disclosure; therefore, they may not have been included in this search. However, the Department conducts a monthly cross reference of each address on record for all registered sex offenders against all CCLD facility addresses pursuant to information shared by California DOJ. (Continue to LIC 809-C)

SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melchisedeck Augustin
LICENSING EVALUATOR SIGNATURE:	DATE: 09/29/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2023

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, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: ROJAS, ANICIA FAMILY CHILD CARE HOME	FACILITY NUMBER: 485407448
	VISIT DATE: 09/29/2023

NARRATIVE

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Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process.

Exit interview conducted and report was reviewed with the Licensee, Anicia Rojas. The following items are required to be corrected before the facility status may be changed to “License” and reactivation of the license.

1. Complete and submit AB 1207 Mandated Reporter Training and General certifications (mandatedreporterca.com).

2. Submit Licensee’s current EMSA approved Pediatric CPR/First Aid certification.

3. Submit Licensee’s control of property (grant deed) with affidavit.

4. Submit LIC 9149.

5. Submit evidence to prove that a window lock was installed on the bedroom window.

SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melchisedeck Augustin
LICENSING EVALUATOR SIGNATURE:	DATE: 09/29/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2023

LIC809 (FAS) - (06/04)

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