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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 013423472
Report Date: 02/08/2023
Date Signed: 02/08/2023 04:31:15 PM

Document Has Been Signed on 02/08/2023 04:31 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:GIORDANO, SANDRA & JOSEFACILITY NUMBER:
013423472
ADMINISTRATOR:GIORDANO, SANDRA & JOSEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 258-6673
CITY:CASTRO VALLEYSTATE: CAZIP CODE:
94546
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 5DATE:
02/08/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:57 PM
MET WITH:Sandra and Jose Giordano- LicenseesTIME COMPLETED:
05:00 PM
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On 02/08/23 at 2:57pm, Licensing Program Analyst Briana Plumboy, met with licensees Jose and Sandra Giordano for an UNANNOUNCED RANDOM INSPECTION. Present for this visit was 1 infant and 4 preschool age children. The home was toured to conduct a Health and Safety Inspection. The facility currently operates Monday through Friday from 7:00am until 6:00pm.

The home is single story. The home consists of a living room, family room, bedroom, master bedroom with bathroom, hallway bathroom, kitchen, and garage located in the back of the home. The home is neat and clean with heating and ventilation for safety and comfort. The OFF LIMIT AREAS are the master bedroom with bathroom, laundry room, and garage which will be inaccessible by closed and/or locked doors and visual supervision. The ON LIMIT AREAS are the living room, family room, hallway bathroom, and single bedroom located in the hallway. The ISOLATION AREA will be the living room. Outdoor play area will be located on the deck in the backyard, the cement area in the backyard, and in the garden area located down the two steps off the left of the deck. The outdoor play area is fenced. There are toys and learning materials. There are no pools, hot tubs or any other bodies of water present in the on limit areas during today's inspection. All hazardous materials and toxins are kept out of the reach of children and it was observed that there are no toxins or hazardous items accessible to children during today's inspection. The home has 3 fully charged fire extinguishers, working smoke detectors, working carbon monoxide detector, and working telephone. Both licensee's Pediatric CPR/First Aid certificates are current and expire 6/21/24. Licensee Sandra's mandated reporter training and licensee Jose's is expired. Licensees are in compliance with the immunization law. There is an electric fireplace which is screened and not hot to touch. Per licensee Sandra Giordano, there are no firearms in the home. The licensees conducts and documents fire and disaster drills twice a year with the last one conducted on 11/29/22.

(5) Children files were reviewed, facility roster reviewed and copy obtained. The licensee is using form Lic. 9227 and is documenting sleep checks for all children in her care. The licensee are in ratio today. All REQUIRED forms are posted and visible for public review.
See 809-C for continuance
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Briana Plumboy
LICENSING EVALUATOR SIGNATURE: DATE: 02/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/08/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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: GIORDANO, SANDRA & JOSE
FACILITY NUMBER: 013423472
VISIT DATE: 02/08/2023
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Incidental Medical Services (IMS) policy was discussed. 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: http://www.ada.gov/childqanda.htm

Licensee was encouraged to frequently visit our website at ccld.ca.gov for licensing regulations and updates.

Licensee is reminded that ALL assistants, volunteers, and staff, that are 18 years of age or older must be fingerprint cleared and associated to this facility prior to being in the presence of children in care or an immediate civil penalty will be assessed from $100 to $3000 per person, per incident. Licensee was reminded of the responsibility as a mandated reporter. All forms can be downloaded at www.ccld.ca.gov



LPA discussed the safe sleep regulations with licensee Sandra Giordano 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 Sandra Giordano 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.

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

See 809-D for citation cited during today's inspection. Appeal rights provided and discussed. Exit interview conducted and report was reviewed with licensee Sandra Giordano.

SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Briana Plumboy
LICENSING EVALUATOR SIGNATURE:

DATE: 02/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2023
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Document Has Been Signed on 02/08/2023 04:31 PM - It Cannot Be Edited


Created By: Briana Plumboy On 02/08/2023 at 03:46 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
, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: GIORDANO, SANDRA & JOSE
FACILITY NUMBER: 013423472

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/08/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensees did not comply with the section cited above by completing the mandated reporter training which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/08/2023
Plan of Correction
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Training can be found at mandatedreporterca.com.
The licensees must complete the mandated reporter training by 3/8/23 and submit to LPA by email or mail.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Wynn Norona
LICENSING EVALUATOR NAME:Briana Plumboy
LICENSING EVALUATOR SIGNATURE:
DATE: 02/08/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/08/2023


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