073409355-10-31-2024-02-CC-KSYS-DAKUQK-20241031154718

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 073409355
Report Date: 10/31/2024
Date Signed: 10/31/2024 03:47:31 PM

Document Has Been Signed on 10/31/2024 03:47 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
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME:	SALAS, FABRIZIO		FACILITY NUMBER:	073409355
ADMINISTRATOR/ DIRECTOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 5	CENSUS: 3	DATE:	10/31/2024
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	01:00 PM
MET WITH:	Fabrizio Salas		TIME VISIT/ INSPECTION COMPLETED:	04:00 PM

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On 10/31/2024 at 1:00PM, Licensing Program Analyst (LPA) Kareeca "Reeca" Sykes conducted an Unannounced Case Management – Licensee Initiated for Fabrizio Salas to increase the capacity of licensee's small family child care home. LPA met with licensee and guided analyst on a tour of the facility. During today's inspection, there were three (3) children in care (3 toddlers) and five (5) children enrolled. Residing in the home is just the licensee. Present during inspection was both the licensee and licensee's assistant Milagros Huchamaco Alanoca who is fingerprint cleared. Days and hours of operation will be Monday – Friday from 7:30 AM - 5:00 PM.
The facility is a one story home composed of four (4) Bedrooms, two (2) Bathrooms, Living Room, Family Room, Kitchen, Laundry Room, Patio and Backyard.

On-Limit Area: Bathroom (to the right of front door entrance) , Family Room, Patio, Kitchen, Hallway (from living room to bathroom) and Backyard
Off-Limit Areas: Garage, all bedrooms, Laundry area, and Living room
Isolation Area: The couch in the family room area away from other children in care.

OUTDOOR SPACE: LPA toured the outdoor area which has ample amount of age appropriate toys that are observed to be safe, clean, and in good repair. LPA reminded applicant when outside of facility, 100% supervision of children in care is required. LPA did not observe any bodies of water.

Licensee has completed Pediatric CPR/First Aid certificate which expires 01/04/2025 and Mandated Reporter certificate which expires 08/27/2026. Licensee has provided proof of all immunization's. Children's and Staff files were reviewed. Fire and Distater drills have been reviewed and are up to date. The Licensee provided a full rental agreement proof of control of property and has obtained a signed Property Owner/Landlord Consent form (LIC9149). There is a working telephone in the home.

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SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Kareeca Sykes
LICENSING EVALUATOR SIGNATURE:	DATE: 10/31/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/31/2024

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
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: SALAS, FABRIZIO	FACILITY NUMBER: 073409355
	VISIT DATE: 10/31/2024

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Fire clearance request was approved on 08/20/2024 by Inspector Will Pigozzo of the Contra Costa County Fire Protection District. Per Inspector Pigozzo stated that the garage is off limits to children.

Per licensee, there are three small dogs (3) in the home and there are no firearms in the home. There is an electric fireplace located in the family room which licensee stated is used for decoration purposes only and does not work nor does licensee turn it on to make it inaccessible to children in care as well as 100% supervision. LPA observed a fully charged 3A40BC fire extinguisher, working smoke and carbon monoxide detector. Medicines, cleaning products, sharp objects are stored inaccessible to children. LPA reminded that smoking, baby walkers, bouncers, jumpers and similar items are not allowed in family childcare homes.

LPA discussed and reminded licensee that 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. All documents have been reviewed for the increase of capacity application. The Licensee was reminded that an assistant is needed with a large family childcare home license, and whenever an assistant is not present, the licensee will comply with the capacity requirements for a small family childcare home.

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.

LPA provided the main office number for the Oakland Regional Child Care office (510) 622-2602. Licensees are to call and report injuries or unusual incidents within 24 hours of knowledge of occurrence. Licensees are to review the form (LIC 624B) to follow up in writing within 7 days of the injury/unusual incident.

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SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Kareeca Sykes
LICENSING EVALUATOR SIGNATURE:	DATE: 10/31/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/31/2024

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
OAKLAND CC RO, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: SALAS, FABRIZIO	FACILITY NUMBER: 073409355
	VISIT DATE: 10/31/2024

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Licensee was reminded that all adults 18 and over living or working in the home, 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.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Report will be submitted for managers final file review and approval.

During today's inspection, there were no violation observed.

Exit interview conducted and report was reviewed with the licensee, Fabrizio Salas . A notice of site visit was given and must remain posted for 30 consecutive days.

SUPERVISORS NAME: Sherelle Johnson
LICENSING EVALUATOR NAME: Kareeca Sykes
LICENSING EVALUATOR SIGNATURE:	DATE: 10/31/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/31/2024

LIC809 (FAS) - (06/04)

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