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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013417894
Report Date: 08/31/2022
Date Signed: 09/07/2022 01:33:17 PM

Document Has Been Signed on 09/07/2022 01:33 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, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:JONES, MELINDAFACILITY NUMBER:
013417894
ADMINISTRATOR:JONES, MELINDAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 569-2640
CITY:OAKLANDSTATE: CAZIP CODE:
94603
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 1DATE:
08/31/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:40 PM
MET WITH:Melinda JonesTIME COMPLETED:
05:37 PM
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An unannounced Required - 1 Year inspection was conducted by Licensing Program Analyst L. Dyer. LPA arrived at the facility at 1:40 p.m. The licensee was present with 1 preschool-age child and 1 fingerprint cleared assistant. Facility is in compliance with licensed capacity and facility ratios. Phone number and e-mail address are current.
At 2:30 p.m., the following was observed: the day care area of the home was inspected. Areas licensed for child care: bathroom, living room, and dining room. Off-limit areas will be made inaccessible to children by closed and/or locked doors; gates; and visual supervision. The home was clean and orderly, with adequate heating and ventilation. There were safe, healthful and comfortable accommodations, furnishings and equipment available to children at the time of this inspection. There were a variety of books and toys for children's use. There was a working smoke detector (tested); a fully charged 3-A:40-B:C fire extinguisher; a first aid kit, and a carbon monoxide detector.

There are no hazardous materials, medicines, or cleaning solutions accessible to children during this inspection. Hazardous items are kept on top of the refrigerator, inaccessible to children. Firearms at the facility anre locked and ammunition is stored separately. Licensee stated there were no bodies of water on the premises. Back yard area is securely fenced.

Licensee currently has infants in care over 12 months of age, in which a sleeping plan is not required. LPA, however, discussed the safe sleep regulations with the licensee and discussed the Child Care Licensing Safe

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SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Phyllis Dyer
LICENSING EVALUATOR SIGNATURE: DATE: 08/31/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/31/2022
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, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: JONES, MELINDA
FACILITY NUMBER: 013417894
VISIT DATE: 08/31/2022
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Sleep web page 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.
Safe Sleep Reminders - Infants under 24 months of age: Documentation must be maintained for each child under 24 months of age as they nap (15 minute increments). Infants under 12 months of age: An Individual Sleeping Plan is needed for each infant up to 12 months of age. These infants must sleep on their backs. Infants breathing, skin color, and body temperature must be monitored. Licensee must be able visually observe when a child awakens from a nap.
Cribs or play yards must not hinder the entrance or exit to and from the sleeping space. Mattresses must be firm, sized appropriately, and be covered with a tightly fitted sheet, with no objects hanging above or attached. Sheets must be replaced when soiled or wet.
LPA reviewed personnel, facility, and children's records at 3:51 p.m. Licensee's Mandated Reporter Training and CPR/First Aid classes are current. Last disaster drill completed July 2022. Facility roster was current. Required postings are visible for public review. Children's files are complete.
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 maximum per day/per person will be assessed if this regulation is violated. Licensee was also reminded of the Department's Inspection authority, and the need to comply when notified that termination of an employee is necessary.

Also discussed with the licensee: supervision of children at all times; children are not to be left in parked vehicles; car seats and high chairs; advertisements; changes in on-limit areas; construction work at facility; paying fees on-line; smoking; ill children in home, and the Guardian background check process. A qualified assistant must be physically present whenever 9 or more children are in care. When an assistant is not present, the home reverts back to small family child care ratios.
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SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Phyllis Dyer
LICENSING EVALUATOR SIGNATURE:

DATE: 08/31/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2022
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, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: JONES, MELINDA
FACILITY NUMBER: 013417894
VISIT DATE: 08/31/2022
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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/inspection-process.

Important E-mail Addresses:
Community Care Licensing General Information and Updates:www.ccld.ca.gov. For updates, click the "Receive Important Updates" box.
Mandated Reporter Training:www.mandatedreporterca.com (Child Care Providers Module - required every 2 years).
Alameda County Public Health Department Website: www.acphd.org
Guardian: background check process with self-service options: https://www.cdss.ca.gov/inforesources/ cdss-programs/community-care-licensing/caregiver-background-check/guardian

NO DEFICIENCIES CITED TODAY.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the licensee Melinda Jones.
SUPERVISORS NAME: Loretta Dyson
LICENSING EVALUATOR NAME: Phyllis Dyer
LICENSING EVALUATOR SIGNATURE:

DATE: 08/31/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2022
LIC809 (FAS) - (06/04)
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