013423965-8-30-2024-02-CC-CWAS-D8MQGP-20240830120951

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 013423965
Report Date: 08/30/2024
Date Signed: 08/30/2024 12:10:03 PM

Document Has Been Signed on 08/30/2024 12:10 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:	FIERRO, LAURA		FACILITY NUMBER:	013423965
ADMINISTRATOR/ DIRECTOR:	LAURA FIERRO		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 599-3234
CITY:	BERKELEY	STATE: CA	ZIP CODE:	94702
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 0	CENSUS: 0	DATE:	08/30/2024
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:30 AM
MET WITH:	Laura Fierro		TIME VISIT/ INSPECTION COMPLETED:	12:20 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 08/30/2024 at 9:30 AM, Licensing Program Analysts (LPAs) Christina Watts and Kareeca Sykes conducted an announced Pre-licensing Inspection and met with Applicant, Laura Fierro who has applied for a Large Family Child Care Home with a capacity of fourteen (14). Living in the home are applicant ony. Applicant and applicant Attorney, Jane Trigero were present during today's inspection. Days and hours of operation will be Monday – Friday from 8:00 AM - 5:00 PM. Applicant completed 8 hour Preventative Health & Safety training, Nutrition and Lead Poisoning training, 8 hour Pediatric CPR & First Aid Certificate that expires 02/2025, has documentation for Measles, Pertussis, Influenza opt out statement for the current flu season. Applicant has Criminal Record and Child Abuse Index Clearance and documentation for Tuberculosis (TB) clearance. Applicant has completed and submitted certificate for Mandated Reporter training which expires 08/2026. The applicant provided proof of control of property. LPA reminded applicant that when care for more than twelve and up to fourteen is provided, Applicant must notify parents. Applicant will use the Affidavit Regarding Liability Insurance form to inform parents they do not carry a day care insurance. Applicant has a working telephone in the home. Fire Safety Clearance was given to this facility on 08/22/2024 by Inspector Corey Ross of the Berkeley Fire Department. Per the Fire Safety Inspection Form "Fire Clearance granted for downstairs unit A only, with the condition that the second exit remain clear and unobstructed during business hours. This includes furniture and anything considered mobile. It is a two story building and the second floor is off limits to children from the first floor daycare. This Addtional Dwelling Unit (ADU) is comprises of 2 bedrooms, 4 bathrooms, Living Room, Kitchen, Hallway Area, Second Kitchen Area with Storage, and Dining Area. Areas on limits: The entire ADU. Applicant will be utilizing the entire ADU as the main area for her day care. Isolation Area: Master Bedroom *CON'T ON PAGE 2*

SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Christina Watts
LICENSING EVALUATOR SIGNATURE:	DATE: 08/30/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2024

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, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: FIERRO, LAURA	FACILITY NUMBER: 013423965
	VISIT DATE: 08/30/2024

NARRATIVE

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*PAGE 2*

LPAs toured the indoor space of the ADU. The ADU is sanitary and orderly, with heating and ventilation for safety and comfort. There are no stairs in the unit. LPAs did not observe a fireplace in the unit. LPA observed fully charged 2A10BC fire extinguisher, working ingrated smoke and carbon monoxide detector. Medicines, cleaning products, sharp objects are stored inaccessible to children. Door access to off limit areas are made inaccessible to children. LPAs reminded applicant that smoking, baby walkers, bouncers, jumpers and similar items are not allowed in family child care homes. Applicant states there are no firearms and ammunition stored in the unit.

Outdoor Space: LPAs toured the outdoor area. LPAs observed a fenced and safe backyard for children in care. The outside area designated for this ADU is to right side that is gated. LPAs also observed a separate entrance and exit for facility. LPAs did not observe any toys in the outdoor area. LPAs did observe a vehicle that was covered in the outdoor area. LPAs informed applicant that vehicle cannot be in the the outdoor area during hours of operation. Applicant stated they will remove the vehicle during operation hours and will supply appropriate aged toys for children to play with. LPAs did not observe any bodies of water. Children will be using the side outdoor area and a park nearby for outdoor activity. LPA reminded applicant when outside of facility, 100% supervision of children in care is required.

Applicant understands that children's personal rights should not be violated and no corporal punishment. Isolation of sick children, supervision of children, capacity options, transportation of children, requirements for reporting suspected child abuse, unusual incidents/injuries and requirements for assistant/substitute were also discussed. Fire drills must be conducted once every six months and documented. LPA discussed and reminded applicant day care needs to be operated within the limitations and capacity of a Large Family Child Care Home with regards to ratios and that Licensee has to be present in the day care for 80% of the operation hours.

This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. 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) or (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 *CON'T ON PAGE 3*

SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Christina Watts
LICENSING EVALUATOR SIGNATURE:	DATE: 08/30/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2024

LIC809 (FAS) - (06/04)

Page: 2 of 4

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: FIERRO, LAURA	FACILITY NUMBER: 013423965
	VISIT DATE: 08/30/2024

NARRATIVE

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*PAGE 3*

LPA discussed the safe sleep regulations with applicant and discussed the Child Care Licensing Safe Sleep webpage at: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep, as an additional resource. LPA also informed applicant 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.

Applicant was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, 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.

On this date, 05/09/2024, the California Attorney General - Megan’s Law website was searched for information on sex offenders required to register with local law enforcement under California's Megan's Law. No registered sex offenders were found at the facility addresses. Under state law, some registered sex offenders are not subject to public disclosure; therefore, they may not have been included in this search. However, the Department conducts a monthly cross reference of each address on record for all registered sex offenders against all CCLD facility addresses pursuant to information shared by California DOJ.

Applicant was informed of the MyChildCarePlan.org site, 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.

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SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Christina Watts
LICENSING EVALUATOR SIGNATURE:	DATE: 08/30/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2024

LIC809 (FAS) - (06/04)

Page: 3 of 4

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: FIERRO, LAURA	FACILITY NUMBER: 013423965
	VISIT DATE: 08/30/2024

NARRATIVE

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Website links for provider resources:
Licensing forms, Title 22 regulations, can be obtained through the internet at www.cdss.ca.gov
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-carelicensing/subscribe and select the Child Care option to receive email communication.

*REMINDERS*
Applicant cannot co-mingle children with the upstairs facility. Daycare children are to stay within the on limit area for the indoor and outdoor area stated in the facility sketch. Applicant was also reminded that all fire exits are to be clear and unobstructed during daycare hours. Failure to stay in compliance with California code of Regulations, Title 22 can result in a citation.

Facility is recommended for licensure, subject to submitted plan of correction. License will be pending until applicant submit Plan of Correct to licensing. APPLICANT WILL HAVE UNTIL 09/30/2024 TO SUBMIT REQUIRED DOCUMENTS TO LICENSING. FAILURE TO SUBMIT DOCUMENTS MAY RESULT IN A DELAY OF LICENSURE.

The following items to be completed prior to licensure:
1) Make stove knobs inaccessible
2) Insert safety plugs
3) Storage Area in the far right area inaccessible

Exit interview was conducted with Applicant, Laura Fierro and she signed the report acknowledging receipts of documents.

SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Christina Watts
LICENSING EVALUATOR SIGNATURE:	DATE: 08/30/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2024

LIC809 (FAS) - (06/04)

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