493008907-9-19-2024-01-CC-ASTR-D9A39F-20240919180305

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 493008907
Report Date: 09/19/2024
Date Signed: 09/19/2024 06:03:15 PM

Document Has Been Signed on 09/19/2024 06:03 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
SANTA ROSA CC RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME:	NOVOA, LORENA FCCH		FACILITY NUMBER:	493008907
ADMINISTRATOR/ DIRECTOR:	NOVOA, LORENA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(707) 322-1425
CITY:	SANTA ROSA	STATE: CA	ZIP CODE:	95407
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 14	DATE:	09/19/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	02:10 PM
MET WITH:	Lorena Novoa		TIME VISIT/ INSPECTION COMPLETED:	06:15 PM

NARRATIVE

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An annual/random inspection was made to the facility by Licensing Program Analyst (LPA), Amy Strother. LPA was greeted at the door by 2 assistants, A1 and A2. A1 and A2 stated that Licensee, Lorena Novoa (L1) was not home at the moment. A1 called L1 who stated she was on her way home and to let LPA inside. When LPA entered the home at 2:12pm LPA observed a young infant (C1) sleeping in an infant swing. The infant swing was positioned next to the couch the two assistants A1 and A2 sat on during nap time. L1 arrived minutes later. LPA requested that L1 set up a play yard to transfer sleeping C1 into. L1 complied with the request. L1 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 the inspection the areas used by children were toured inside and outside. During today’s visit A1 and A2 were supervising 13 children and 1 additional child arrived after L1, for a total of 14 children: 2 infants, 10 preschool age, and 2 school-age children. L1 was operating within the licensed capacity and ratio requirements. L1 provided a current roster of children in care as required. LPA verified that the children present were listed on the roster. The facility’s operating hours are Monday-Sunday 6:00am - 11:00pm. The floor plan was updated during today's inspection, and reviewed and verified by LPA. The off-limits areas of the home are, the master bedroom, two other bedrooms and the garage, and are made inaccessible by locks on the doors. The home was observed to be 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. Items which could pose a danger to children (such as detergents, cleaning compounds, medications, etc.) were observed to be stored out of the reach of children. The licensee stated poisons are stored in her key locked room, with plans of replacing one of the locks on the garage to have the key side inside and moving the storage to the garage.

Continued on LIC 809-C

SUPERVISORS NAME: Alexis Hollon
LICENSING EVALUATOR NAME: Amy Strother
LICENSING EVALUATOR SIGNATURE:	DATE: 09/19/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2024

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

FACILITY NAME: NOVOA, LORENA FCCH	FACILITY NUMBER: 493008907
	VISIT DATE: 09/19/2024

NARRATIVE

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The electric fireplace in the living room is barricaded by a screen. L1 stated she does not use the fireplace. LPA observed a working combination smoke detector/carbon monoxide detector and a fire extinguisher that appeared to charged and rated at least 2A10BC, in the home. The licensee has conducted an emergency drill within the past six months; last drill was documented on 08/23/24. The licensee stated there are no firearms and/or other dangerous weapons in the home and none were observed during today's inspection. The children use the backyard as the outdoor play area and it is fully fenced. Five children's records were reviewed, the two infants in care C1 and C8 did not have infant sleep longs on file. The infants all sleep in the main room where care is provided and the staff are stationed. L1 stated that although they do look over the children, sleep logs have not been kept for the two infants in care. Facility and personnel files were reviewed and contained required records.

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.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: https://www.ada.gov/resources/child-care-centers/.

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

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.

Continue LIC809-C

SUPERVISORS NAME: Alexis Hollon
LICENSING EVALUATOR NAME: Amy Strother
LICENSING EVALUATOR SIGNATURE:	DATE: 09/19/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2024

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

FACILITY NAME: NOVOA, LORENA FCCH	FACILITY NUMBER: 493008907
	VISIT DATE: 09/19/2024

NARRATIVE

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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.

The following violation(s) of the California Code of Regulations, Title 22; Division 12, were observed: see LIC 809D. Appeal Rights were provided.

A notice of site visit was given to licensee and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

Exit interview conducted and report was reviewed with the licensee Lorena Novoa.

SUPERVISORS NAME: Alexis Hollon
LICENSING EVALUATOR NAME: Amy Strother
LICENSING EVALUATOR SIGNATURE:	DATE: 09/19/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2024

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 09/19/2024 06:03 PM - It Cannot Be Edited

Created By: Amy Strother On 09/19/2024 at 05:35 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
, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: NOVOA, LORENA FCCH	FACILITY NUMBER: 493008907
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/19/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102425(i)

Infant Safe Sleep

If an infant falls asleep before being placed in a crib or play yard, the provider shall move the infant to a crib or play yard as soon as possible. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, the licensee did not comply with the section cited above in one out of two infants in care. LPA observed C1 sleeping in an infant swing at 2:12pm, which posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 09/26/2024
	Plan of Correction
1 2 3 4	Licensee stated that she will translate the infant safe sleep regulations into Spanish and review them with her assistants, have them sign and date that they understand and will comply with the regulations. Licensee will include in the email a statement that she has reviewed, understands and will follow the infant safe sleep regulations. Email to LPA Strother: amy.strother@dss.ca.gov by 09/26/24.

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 interview with L1 and record review of C1 and C8's files, the licensee did not comply with the section cited above. C1 and C8, both under 24 months, did not have Sleep Logs on file for review, with the infants names, dates and time of each check, which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 09/26/2024
	Plan of Correction
1 2 3 4	Licensee stated that she now understands that sleep logs must be maintained for children under 24 months. Licensee will send copies of C1 and C8's sleep logs for the week 09/20/24 - 09/25/24 to LPA Strother via email by 09/26/24.

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:

Alexis Hollon

LICENSING EVALUATOR NAME:

Amy Strother

LICENSING EVALUATOR SIGNATURE:

DATE: 09/19/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2024

LIC809 (FAS) - (06/04)

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