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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073409265
Report Date: 10/26/2022
Date Signed: 10/26/2022 04:06:41 PM

Document Has Been Signed on 10/26/2022 04:06 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
BAY AREA-CC OAKLAND, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:INTERIAN-OCHOA, MAGDAFACILITY NUMBER:
073409265
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
10/26/2022
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
01:50 PM
MET WITH:Magda Interian-OchoaTIME COMPLETED:
04:21 PM
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On Wednesday, October 26, 2022 at 1:50 PM, Licensing Program Analyst (LPA) Caroline Colson met with Madga Interian-Ochoa for an announced prelicensing and technical assistance inspection. There are no day care children present. The home was toured to conduct a health and safety inspection. All required forms were reviewed and given during the inspection. Operating Hours are Monday - Friday 6:00 AM - 6:00 PM

Indoor Space: The home is a one story home. The home consist of a living room, kitchen with dinning area, 2 bedrooms, master bedroom with master bathroom, main bathroom, living room closet, two hallway closets, an in-law apartment with a small fenced side yard, separate fenced side yard, fenced front yard and garage. There is a working combination smoke and carbon monoxide detector. There is also a stand alone carbon monoxide detector. There are two screened floor heaters which will provider heat for the home. There are two 3A40BC fire extinguishers located in the kitchen and dinning area. Mrs. Interian-Ochoa states that there are no firearms in the home. She sent a copy of her mortgage statement. There are toys and play equipment available for the children. Her CPR and First Aid certificates are current and expire on January 31, 2024. Her Mandated Reporter Training certificates are current and expire on January 23, 2024 and January 29, 2024 respectively. There is a First Aid Kit available. The isolation area will be an area in the dinning area. There are two cats. The fireplace is blocked by a book shelf.

Outdoor Space: The fenced side yard is the outdoor play space.

Off Limit Areas: The kitchen, two bedrooms, master bedroom with master bathroom, living room closet, 2 hallway closets, an in-law apartment with a small fenced side yard, fenced front yard and garage are inaccessible to children.

Please See LIC 809 C for Additional Information
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Caroline Colson
LICENSING EVALUATOR SIGNATURE: DATE: 10/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/26/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
BAY AREA-CC OAKLAND, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: INTERIAN-OCHOA, MAGDA
FACILITY NUMBER: 073409265
VISIT DATE: 10/26/2022
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The following items need to be corrected by November 26, 2022:
1. A gate is needed for the stairs leading to the fenced side yard for the children when they are playing in the outdoor play space.

REMINDERS/RESOURCES

· CCLD Complaint Hotline, 1-844-LET-US-NO (1-844-538-8766) email: LetUsNo@dss.ca.gov

CCLD website address for obtaining licensing forms, training videos and other provider resources can be obtained at www.ccld.ca.gov



· Licensees may register to receive child care updates: www.myccl.ca.gov

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 ADA, available at: http://www.ada.gov/childquanda.htm


Please See LIC 809 C for Additional Information
SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Caroline Colson
LICENSING EVALUATOR SIGNATURE:

DATE: 10/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/26/2022
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
BAY AREA-CC OAKLAND, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: INTERIAN-OCHOA, MAGDA
FACILITY NUMBER: 073409265
VISIT DATE: 10/26/2022
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Family Child Care Homes

Licensee 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.

Safe Sleep

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep web page at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee Magda Interian-Ochoa 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.

Notice of Site Visit

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

Exit Interview

Exit interview conducted and report was reviewed with the applicant, Magda Interian-Ochoa.

SUPERVISORS NAME: Mayla Mendoza
LICENSING EVALUATOR NAME: Caroline Colson
LICENSING EVALUATOR SIGNATURE:

DATE: 10/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/26/2022
LIC809 (FAS) - (06/04)
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