013418936-5-6-2024-52-CC-MPRE-D4ZT2S-20240506142114

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013418936
Report Date: 05/06/2024
Date Signed: 05/06/2024 02:21:26 PM

Document Has Been Signed on 05/06/2024 02:21 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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME:	BERRIOS, CLAUDIA		FACILITY NUMBER:	013418936
ADMINISTRATOR/ DIRECTOR:	BERRIOS, CLAUDIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(925) 245-9893
CITY:	LIVERMORE	STATE: CA	ZIP CODE:	94550
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 11	DATE:	05/06/2024
TYPE OF VISIT:	Annual/Required	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:56 AM
MET WITH:	Claudia Berrios		TIME VISIT/ INSPECTION COMPLETED:	02:19 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 5/6/2024 at 9:56am Licensing Program Analyst (LPA) Morgan Pringle met with Licensee Claudia Berrios for an Annual/Random Inspection. Present during the inspection was the Licensee, her adult helper, three (3) infants and eight (8) preschool age children. Licensee lives in the home with her husband, and two (2) minor children. The facility operates from 7:00am – 7:00pm, Monday – Friday. ON LIMITS AREA: Living Room, Kitchen, Dining Room, Day Care Room (Converted Garage), Bathroom in Day Care Room and Backyard OFF LIMITS AREA: Primary Bedroom and Bathroom, Two (2) additional bedrooms, Hallway Bathroom and Laundry Room ISOLATION AREA: Living Room The facility is a single-story home owned by the Licensee. Licensee uses the side door of the childcare room as the entrance. The inside of the home is observed to be neat, clean with ample age-appropriate materials for the children. All toxins, cleaning products, and hazardous materials were observed to be in inaccessible areas. Licensee stated they provide all food for the children which was observed to be properly maintained and stored. All infants in care are required to provide all formula. All food that may be brought from the children’s home is properly labeled and stored. All bedding was clean and properly stored. All off limit areas are made inaccessible with closed doors, locks, and gates. Licensee stated she does not transport children. Licensee stated there is one (1) dog and no firearms in the home. Page 1 of 4

SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Morgan Pringle
LICENSING EVALUATOR SIGNATURE:	DATE: 05/06/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2024

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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: BERRIOS, CLAUDIA	FACILITY NUMBER: 013418936
	VISIT DATE: 05/06/2024

NARRATIVE

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There is one (1) fully charged 3A40BC fire extinguisher on the wall by the door leading to the childcare room. There is one (1) working smoke detector in the kitchen and one (1) working carbon monoxide detector in the childcare room. The home is equipped with central heat and air for proper ventilation. The fireplace in the dining room is screened and made inaccessible to the children in care.

Licensee has requested to place the back yard on-limits. The backyard is fully fenced and in good repair. There is a jacuzzi in the back yard that is locked with a tight-fitting lid that can withstand the weight of an adult. Licensee stated there is a key that is needed to unlock the lid as well. There are two storage sheds and a small structure that Licensee uses as an art studio. The studio remains locked making it inaccessible to the children in care. There is an outdoor kitchen as well. All cabinets are locked, and other hazards have been made inaccessible to the children. Backyard has been placed on limits.

The facility is operating within its licensed capacity and is in ratio. Licensee’s Health and Safety training has been completed and EMSA approved Pediatric CPR & First Aid has been complete and expires 2/3/2026. Licensee’s Mandated Reporter training has expired. Licensee stated she was unaware it needed to be renewed every two years. LPA provided the information to renew the training. Fire/disaster drills have been conducted and recorded with the last drill logged 3/12/2024. All required forms are posted and visible for public view on the wall in the child care room. LPA obtained a sample of the children’s files, the helpers file, and facility files. All files were complete.

No deficiencies were cited during LPAs inspection.

Licensee was reminded that California law requires Licensees to report unusual incidents and/or injuries to children in care, to the child's parents, and to Community Care Licensing Division (CCLD) within 24 hours by phone. Within seven (7) days from the incident, Licensees must submit the Unusual Incident/Injury form (LIC 624B) to CCLD. Licensee was reminded that any structural changes or additions to the home must be reported to CCLD as well.

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SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Morgan Pringle
LICENSING EVALUATOR SIGNATURE:	DATE: 05/06/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2024

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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: BERRIOS, CLAUDIA	FACILITY NUMBER: 013418936
	VISIT DATE: 05/06/2024

NARRATIVE

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Children’s Roster must be properly maintained, and fire/disaster drills must be conducted every six (6) months and documented. Licensee was reminded that EMSA approved Pediatric CPR & First Aid training must be completed every two (2) years. Licensee was also informed that Mandated Reporter Training ("Child Care Providers") is required for all staff and is to be renewed every two (2) years by visiting https://mandatedreporterca.com/. LPA informed Licensee that all forms can be downloaded at www.ccld.ca.gov.

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 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.

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

During the exit interview, Licensee Claudia Berrios, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

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SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Morgan Pringle
LICENSING EVALUATOR SIGNATURE:	DATE: 05/06/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2024

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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: BERRIOS, CLAUDIA	FACILITY NUMBER: 013418936
	VISIT DATE: 05/06/2024

NARRATIVE

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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.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

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.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Licensee Claudia Berrios.

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SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Morgan Pringle
LICENSING EVALUATOR SIGNATURE:	DATE: 05/06/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2024

LIC809 (FAS) - (06/04)

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