485407994-10-21-2021-13-CC-LCHZ-C7ZQPZ-20211021122130

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 485407994
Report Date: 10/20/2021
Date Signed: 10/21/2021 12:21:41 PM

Document Has Been Signed on 10/21/2021 12:21 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, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME:	VALDEZ-SANCHEZ FAMILY CHILD CARE HOME		FACILITY NUMBER:	485407994
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 0	CENSUS: 2	DATE:	10/20/2021
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	02:05 PM
MET WITH:	Patricia Valdez & Rodolfo Sanchez		TIME COMPLETED:	03:50 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	On 10/20/2021 at 2:05pm, Licensing Program Analyst (LPA) Laura Chavez conducted a prelicensing inspection in response to an application for a capacity of 8. During today's inspection the applicants were caring for their two children. Applicant Rodolfo Sanchez is the property owner. Days and hours of operation will be Monday-Friday; 6:00am-6:00pm. The applicants understand that child care must be provided in their "primary" residence. The applicants understand that 24 hour care shall not be provided to one child at any one time. The home was toured inside and out. The floor and yard plan submitted were verified. The residence is a three bedroom/one and a half bath home. The master bedroom and garage will be off-limits to children. The master bedroom has been made off-limits by means of a lock. Currently two adults and two minors reside in the home. The home is clean and orderly at this time and will remain so during child care hours. There is a working telephone in the home. The sharp knives, cleaning supplies, medicines, are stored out of the reach of children. There are age appropriate toys available for the children. There is a working smoke detector, carbon monoxide detector and a fully charged fire extinguisher in the home. Notification of Parents Rights, Emergency Disaster Plan with the Earthquake Preparedness Checklist shall be posted. The applicants stated that there are no firearms and none were observed. The children will use the unfenced front yard and fenced in back yard as their outdoor play areas. The applicants understand that constant visual supervision will be required while children are in both outdoor play areas. Rose bushes, cactus, and small citrus trees are located in the backyard. Report continued: See LIC 809-C's Pg 1 of 3

SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Laura Chavez
LICENSING EVALUATOR SIGNATURE:	DATE: 10/20/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2021

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, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME: VALDEZ-SANCHEZ FAMILY CHILD CARE HOME	FACILITY NUMBER: 485407994
	VISIT DATE: 10/20/2021

NARRATIVE

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There is no trampoline, pool, spa, or ponds, nor any other source of water accessible to the children, and none of these items are to be added without prior notification and approval of the licensing agency. The applicants understands that all adults residing or working at the facility must have a criminal background clearance on file with CCLD. All minors residing in the home must be fingerprinted within 30 days of reaching their 18th birthday and obtain a TB clearance. The applicants are aware of the immediate $100 per day civil penalty for adults working or residing in the home without a criminal record clearance. The applicants understand that parents will be required to sign insurance affidavits should the applicant not does not carry liability insurance for her family child-care home. A sample of forms typically given during prelicensing inspection and COVID-19 handouts will be provided and reviewed. The applicants understand that the child care roster shall remain current at all times. Children's records are to be maintained and kept current at all times. The applicants were reminded of the responsibility of reporting unusual incidents to CCLD within 24 hours or the next business day. Megan's Law is available at www.meganslaw.ca.gov/. The following information regarding the American Disabilities Act (ADA) was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at https://www.ada.gov/childqanda.htm. The applicants clearly understand the limitations on the number of infants (birth to age 2) that may be cared for and when two of the children in care must be one child in kindergarten or elementary school and one child at least age 6. Smoking is prohibited during the hours of operation. The applicants understand the responsibility of securing copies of forms and regulations from the website (www.ccld.ca.gov).

Any proposed changes to the physical plant, telephone number, or change of address shall be immediately reported to the Department.

Report continued: Pg 2 of 3

SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Laura Chavez
LICENSING EVALUATOR SIGNATURE:	DATE: 10/20/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2021

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, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME: VALDEZ-SANCHEZ FAMILY CHILD CARE HOME	FACILITY NUMBER: 485407994
	VISIT DATE: 10/20/2021

NARRATIVE

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Prior to granting a regular license the following is required:

1. Proof of current CPR/First Aid certification for both applicants.
2. Proof of Preventative Health Practices for both applicants.
3. Proof of making electrical outlets not being used off-limits to children.
4. Proof of required immunization's (measles, pertussis, influenza) for both applicants.
5. Fingerprint clearances (DOJ, FBI, CAIC) for applicant Rodolfo Sanchez.
6. Proof of removing garden hose which could cause tripping hazard.
7. Proof of door and lock having been installed on shed containing poisons located
in backyard.
8. Proof of removing car battery and wood pallet in backyard.
9. Proof of making air conditioning unit inaccessible to children.
10. Proof of making garage and or hot water heater located in garage inaccessible
to children.
11. Proof of making plumbing pipe coming from ground in backyard inaccessible to
children.

Pg 3 of 3

SUPERVISORS NAME: Megan Aviles
LICENSING EVALUATOR NAME: Laura Chavez
LICENSING EVALUATOR SIGNATURE:	DATE: 10/20/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2021

LIC809 (FAS) - (06/04)

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