073409239-2-1-2022-02-CC-DCAS-CB8SRC-20220201130609

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 073409239
Report Date: 02/01/2022
Date Signed: 02/01/2022 01:06:34 PM

Document Has Been Signed on 02/01/2022 01:06 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:	BATBAYAR, SARANMANDAKH		FACILITY NUMBER:	073409239
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 8	CENSUS: 0	DATE:	02/01/2022
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Saranmandakh Batbayar		TIME COMPLETED:	01:10 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 02/01/2022 at 10:00am Licensing Program Analyst (LPA) Diana Campos arrived for an announced Pre-licensing Inspection. Applicant was previously licensed at a different location. Present for this inspection was applicant Saranmandakh Batbayar. The home was toured with the applicant to conduct a health and safety inspection. Applicant states the hours of operation for day care will be Monday through Friday, 7:30am to 5:30pm. The home is a one story apartment, which consists of a kitchen, living room/dining area, 3 bedrooms, 2 bathrooms and a back yard patio. The home is neat and clean with heating and ventilation for safety and comfort. ON LIMITS: Living room/dining area, bedroom immediately to the right of hallway, the hallway bathroom and the backyard patio. The isolation area will be the bedroom to the right of hallway. OFF LIMITS: Kitchen, the two bedrooms to the right of the hallway bathroom and bathroom inside the master bedroom. All off-limit areas will be inaccessible by closed and/or locked doors and visual supervision. The applicant was advised to contact Licensing, so that an inspection can be completed prior to changing an off-limits area to on-limits. The outdoor play area will be the backyard patio, which has a fence surrounding the perimeter. There are ample age appropriate toys which are observed to be safe, clean and in good repair. There are two residential pools within half a mile from the facility which are gated and locked. LPA did not observe any hazardous materials or toxins accessible to children today. Knives were stored in a locked kitchen drawer inaccessible by child proof latch. The home has a fully charged 3 A 40 BC fire extinguisher, working carbon monoxide and smoke detectors, telephone, and fully stocked first aid kit. Heater vents are located on the wall near the ceiling. Per applicant, there are no firearms in the home. ***Continued on LIC 809-C.

SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Diana Campos
LICENSING EVALUATOR SIGNATURE:	DATE: 02/01/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2022

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: BATBAYAR, SARANMANDAKH	FACILITY NUMBER: 073409239
	VISIT DATE: 02/01/2022

NARRATIVE

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The applicant’s health and safety training has been completed, and First Aid/CPR certificate is current, expiring on 11/28/2023 . A copy of the lease agreement has been reviewed and shows control of property. The applicant has provided proof of the required immunizations, and the required mandated reporter training was completed on 11/05/2021. Safe Sleep Regulations were discussed. Applicant has completed the Lead Exposure Prevention training on 01/03/2022. Applicant was reminded that children are never to be left in a parked vehicle.

Individual Medical Services (IMS) policy was discussed. Per licensee, no IMS is being provided at this time. The licensee was reminded that when any changes to the IMS plan is made, an updated 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.”

The applicant was reminded that ALL assistants, volunteers, frequent visitors, or adults living in the home, 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. The applicant was reminded of the responsibility as a mandated reporter.

Effective August 1, 2003 California Law requires Family Child Care Home licensees to report unusual incidents or injuries to children in care to child's parents and to the Department of Social Services using the Unusual Incident/Injury form (LIC 624B). Incidents must be reported within 24 hours by phone, fax, or electronic mail. LPA informed the licensee that all forms can be downloaded at www.ccld.ca.gov and encouraged the licensee to email childcareadvocatesprogram@dss.ca.gov to be included in the Child Care Quarterly Updates distribution list. The licensee/director was also reminded that Mandated Reporter Training ("General" and "Child Care Providers") is required for all staff and is to be renewed every 2 years by visiting www.mandatedreporterca.com.

SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Diana Campos
LICENSING EVALUATOR SIGNATURE:	DATE: 02/01/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2022

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: BATBAYAR, SARANMANDAKH	FACILITY NUMBER: 073409239
	VISIT DATE: 02/01/2022

NARRATIVE

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Applicant was encouraged to frequently visit our website at www.ccld.ca.gov for licensing regulations and updates, and to also email childcareadvocatesprogram@dss.ca.gov to be included in the Child Care Quarterly Updates distribution list.

Home is recommended for licensure as of today.

This report shall remain on file for 3 years.

Exit interview conducted with Saranmandakh Batbayar, and copy of report provided.

SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Diana Campos
LICENSING EVALUATOR SIGNATURE:	DATE: 02/01/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2022

LIC809 (FAS) - (06/04)

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