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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073409231
Report Date: 02/02/2022
Date Signed: 02/02/2022 12:23:29 PM

Document Has Been Signed on 02/02/2022 12:23 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:BRAGGS JR., KOREFACILITY NUMBER:
073409231
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
02/02/2022
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Kore BraggsTIME COMPLETED:
12:30 PM
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On 2/2/22 Licensing Program Analyst (LPA) Michelle Sutton and LPM Sherelle Johnson conducted an announced Pre-licensing Inspection at Kore Braggs home and met with Applicant, Kore Braggs who has applied for a Small Family Child Care Home with a capacity of 8 children. The home was toured to conduct a Health and Safety Inspection. Present during today’s inspection is Kore Braggs and Yolanda Braggs. The Child Care home plans to operate Monday-Sunday from 7am-5pm. Living in the home is Kore Braggs.

Applicant 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 $500.00 maximum per day/per person will be assessed if this regulation is violated.

INDOOR SPACE: LPA toured the indoor space of the home. The home consists of living room, family room, 3 bedrooms and 3 bathrooms.
IN-USE AREAS: Living room, kitchen, bathroom and backyard. LPA discussed to have full supervision when children walk threw the kitchen to the back yard.
OFF-LIMIT AREAS: All bedrooms, 2 bathrooms and family room. LPA discussed with applicant there needs to be child proof doorknobs on all off-limit doors.
OUTDOOR SPACE: LPA toured the outdoor area (backyard). LPA observed a shed and discussed there needs to be lock for the shed to be inaccessible to children. There are no water body in play yard. LPA observed the play yard not fully fenced and discussed with applicant that there needs to be 100% supervision when children are playing in the backyard. LPA observed fence with screws/nails and an open gap within the back fence that can be a potential risk. LPA discussed with applicant to put away hazardous items such as the rakes, trash, wood and vacuum machine.
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Michelle Sutton
LICENSING EVALUATOR SIGNATURE: DATE: 02/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/02/2022
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: BRAGGS JR., KORE
FACILITY NUMBER: 073409231
VISIT DATE: 02/02/2022
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LPA observed: fully charged 3A40BC fire extinguisher, working smoke and carbon monoxide detector. Medicines, cleaning products, sharp objects are stored inaccessible to children. LPA reminded Applicant that smoking, baby walkers, bouncers, jumpers and similar items are not allowed in family childcare home. Applicant states that there are no pets or arms and ammunition stored in the home.

Applicant completed the 16-hour Preventative Health training which includes EMSA approved CPR and first aid, one hour of Child Care Nutrition and Lead Poisoning. Applicant has documentation maintained for Measles, Pertussis Immunizations, current opted out statement for the current flu season and Tuberculosis (TB) clearance. Applicant has Criminal Record statement and Child abuse Index Clearance. Applicant rents the home and has submitted a copy of the Rental Agreement to CCLD. LPA reminded Applicant that when care for more than six and up to eight is provided, Applicant must notify parents and obtain landlord consent. Applicant will use the Affidavit Regarding Liability Insurance form to inform parents that applicant does not carry a day care insurance. Applicant has a working telephone in the home.

Discipline policy was discussed, and Applicant stated the facility will talk to the children and use "quiet time" form of discipline. Applicant understands that children's personal rights should not be violated and no corporal punishment. Isolation of sick children in the kitchen, 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 practiced once every six months and documented.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Michelle Sutton
LICENSING EVALUATOR SIGNATURE:

DATE: 02/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/02/2022
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: BRAGGS JR., KORE
FACILITY NUMBER: 073409231
VISIT DATE: 02/02/2022
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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-and-resources/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.

The following improvements to be completed prior to licensure of a small family childcare home.
  1. In the backyard: Hazardous items such the rakes, trash, wood and vacuum machine.
  2. Nails/screws sticking out of the fence
  3. Gap in the fence
  4. Lock on shed
  5. Child proof door knobs for off-limit bedrooms
  6. Submit a new facility sketch (with off-limit rooms labeled)
  7. Required Postings

LPA provided a Family Child Care Home packet with copies of all required forms and documents needed for starting the day care. LPA also reviewed all the forms with the Applicant. AT 12:20PM Exit interview was conducted with Applicant and signed the report acknowledging receipts of documents.
END OF REPORT
SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Michelle Sutton
LICENSING EVALUATOR SIGNATURE:

DATE: 02/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/02/2022
LIC809 (FAS) - (06/04)
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