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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
393600988
Report Date:
05/10/2023
Date Signed:
05/10/2023 12:40:30 PM
Document Has Been Signed on
05/10/2023 12:40 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
,
2525 NATOMAS PARK DR. STE 250
SACRAMENTO
,
CA
95833
FACILITY NAME:
SCHMIDT-RIOS, NOREEN
FACILITY NUMBER:
393600988
ADMINISTRATOR:
SCHMIDT-RIOS, NOREEN
FACILITY TYPE:
810
ADDRESS:
TELEPHONE:
(209) 406-8677
CITY:
STOCKTON
STATE:
CA
ZIP CODE:
95207
CAPACITY:
14
TOTAL ENROLLED CHILDREN:
12
CENSUS:
7
DATE:
05/10/2023
TYPE OF VISIT:
Required - 1 Year
UNANNOUNCED
TIME BEGAN:
09:00 AM
MET WITH:
Noreen Schmidt-Rios
TIME COMPLETED:
01:00 PM
NARRATIVE
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On 05/10/23 Licensing Program Analyst (LPA) Elvira Sierra met with the Licensee,
Noreen Schmidt-Rios
,
for the purpose of an unannounced annual random inspection. Upon arrival there were 7 children being supervised by Licensee's son and mother. Licensee arrived later during the inspection. Licensee stated that no new residents moved into the home since licensure. Capacity specified on the license was met on today’s inspection.
A health and safety inspection was conducted in all areas accessible to children. Off limit areas are:
All bedrooms, backyard,
two storage sheds and garage
.
Upon entry, LPA observed the posting of the facility license, Emergency Disaster Plan, Earthquake Preparedness Checklist and Notification of Parent Rights. Facility is appropriately ventilated. Facility maintains a working phone,
2A10B
C
fire extinguisher, and functioning smoke/carbon monoxide detectors. Licensee
stated there are no weapons in the home. There are no bodies of water on the premises. Toxic and hazardous items are inaccessible to children.
Safety latches are in use on some kitchen cabinets and bathroom cabinets and drawers. Licensee understands that she must ensure the safety latches are not broken.
Home has a fireplace. Licensee stated that she takes the children for walks and to a nearby park for outdoor activities. Licensee provides meals. Licensee transports children.
LPA reviewed 4 children files. Current in person EMSA CPR and First Aid certification was verified for Licensee and expires 02/11/25.
LPA advised Licensee that fire drills must be conducted at least once every six months and must be properly documented. Licensee stated that facility carries liability insurance.
LPA verified the annual fees are current
.
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. ---------Report continues on subsequent page 809C--
SUPERVISORS NAME
:
Bettina Engelman
LICENSING EVALUATOR NAME
:
Elvira Sierra
LICENSING EVALUATOR SIGNATURE
:
DATE:
05/10/2023
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
05/10/2023
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
8
Document Has Been Signed on
05/10/2023 12:40 PM
- It Cannot Be Edited
Created By:
Elvira Sierra
On
05/10/2023
at
11:27 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
,
2525 NATOMAS PARK DR. STE 250
SACRAMENTO
,
CA
95833
FACILITY NAME:
SCHMIDT-RIOS, NOREEN
FACILITY NUMBER:
393600988
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
05/10/2023
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
102370(d)(1)
Criminal Record Clearance
(d) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department or
This requirement is not met as evidenced by:
Deficient Practice Statement
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2
3
4
Based on observation and record review the licensee did not comply with the section cited above by having adult # 1 caring for daycare children, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date:
05/11/2023
Plan of Correction
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2
3
4
Licensee will submit proof of fingerprint by POC due date.
Type A
Section Cited
CCR
102423(a)(2)
Personal Rights
(a) Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following: (2) To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.
This requirement is not met as evidenced by:
Deficient Practice Statement
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2
3
4
Based on observation, the licensee did not comply with the section cited above by; LPA observed an infant in a car seat for an extended period of time which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date:
05/11/2023
Plan of Correction
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2
3
4
Licensee moved the child from the car seat.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:
Bettina Engelman
LICENSING EVALUATOR NAME:
Elvira Sierra
LICENSING EVALUATOR SIGNATURE:
DATE:
05/10/2023
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
05/10/2023
LIC809
(FAS) - (06/04)
Page:
2
of
8
Document Has Been Signed on
05/10/2023 12:40 PM
- It Cannot Be Edited
Created By:
Elvira Sierra
On
05/10/2023
at
11:27 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
,
2525 NATOMAS PARK DR. STE 250
SACRAMENTO
,
CA
95833
FACILITY NAME:
SCHMIDT-RIOS, NOREEN
FACILITY NUMBER:
393600988
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
05/10/2023
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to:
This requirement is not met as evidenced by:
Deficient Practice Statement
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2
3
4
Based on observations, the licensee did not comply with the section cited above by having electrical cords exposed and accessible to daycare children which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date:
06/12/2023
Plan of Correction
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2
3
4
Licensee stated that she will secured and make sure electrical cords are not accessible to the children.
Type B
Section Cited
CCR
102417(g)(1)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (1) Fireplaces and open face heaters shall be screened to prevent access by children. The home shall contain a fire extinguisher and smoke detector device which meet standards established by the State Fire Marshall.
This requirement is not met as evidenced by:
Deficient Practice Statement
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2
3
4
Based on observations, the licensee did not comply with the section cited above by not having the fireplace screened which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date:
06/12/2023
Plan of Correction
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2
3
4
Licensee will barricade the fireplace by POC due date.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:
Bettina Engelman
LICENSING EVALUATOR NAME:
Elvira Sierra
LICENSING EVALUATOR SIGNATURE:
DATE:
05/10/2023
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
05/10/2023
LIC809
(FAS) - (06/04)
Page:
3
of
8
Document Has Been Signed on
05/10/2023 12:40 PM
- It Cannot Be Edited
Created By:
Elvira Sierra
On
05/10/2023
at
11:27 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
,
2525 NATOMAS PARK DR. STE 250
SACRAMENTO
,
CA
95833
FACILITY NAME:
SCHMIDT-RIOS, NOREEN
FACILITY NUMBER:
393600988
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
05/10/2023
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)(9)(A)1
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (9) Each family child care home shall have a written disaster plan of action prepared on a form approved by the Department. All children, age and ability permitting, and the provider, the assistant provider, and other members of the household, shall be instructed in their duties under the disaster plan. As their age and ability permit, newly enrolled children shall be informed promptly of their duties as required in the plan. (A) Each family child care home shall conduct fire drills and disaster drills at least once every six months. 1. The licensee shall document the drills, including the date and time of each drill. This documentation shall kept at the family child care home.
This requirement is not met as evidenced by:
Deficient Practice Statement
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4
Based on observations and record review, the licensee did not comply with the section cited above by not conducting fire drills at leas every six months and document the date of the drill which poses/posed a potential health, safety or personal rights to the children in care.
POC Due Date:
06/12/2023
Plan of Correction
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Licensee will conduct a fire drill and submit proof of practice by the POC due date.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:
Bettina Engelman
LICENSING EVALUATOR NAME:
Elvira Sierra
LICENSING EVALUATOR SIGNATURE:
DATE:
05/10/2023
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
05/10/2023
LIC809
(FAS) - (06/04)
Page:
4
of
8
Document Has Been Signed on
05/10/2023 12:40 PM
- It Cannot Be Edited
Created By:
Elvira Sierra
On
05/10/2023
at
11:27 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
,
2525 NATOMAS PARK DR. STE 250
SACRAMENTO
,
CA
95833
FACILITY NAME:
SCHMIDT-RIOS, NOREEN
FACILITY NUMBER:
393600988
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
05/10/2023
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102425(a)(6)
Infant Safe Sleep
(a) There shall be one crib or play yard for each infant who is unable to climb out of the crib or play yard. (6) Each infant's bedding shall be used for him/her only. Bedding that touches the infant’s skin shall be cleaned at least weekly or before use by another infant.
This requirement is not met as evidenced by:
Deficient Practice Statement
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2
3
4
Based on observation, the licensee did not comply with the section cited above, LPA observed one crib used for two different infants with the same bedding, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date:
05/26/2023
Plan of Correction
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Licensee will use individual bedding that will be assigned for him/her only.
Type B
Section Cited
CCR
102425(j)(1)
Infant Safe Sleep
The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall physically check on the infant every 15 minutes.
This requirement is not met as evidenced by:
Deficient Practice Statement
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2
3
4
Based on observation, the licensee did not comply with the section cited above in two infants. Licensee did not have proof of sleeping logs, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date:
06/12/2023
Plan of Correction
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2
3
4
Licensee will have proof of correction by the POC due date.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:
Bettina Engelman
LICENSING EVALUATOR NAME:
Elvira Sierra
LICENSING EVALUATOR SIGNATURE:
DATE:
05/10/2023
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
05/10/2023
LIC809
(FAS) - (06/04)
Page:
5
of
8
Document Has Been Signed on
05/10/2023 12:40 PM
- It Cannot Be Edited
Created By:
Elvira Sierra
On
05/10/2023
at
11:27 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
,
2525 NATOMAS PARK DR. STE 250
SACRAMENTO
,
CA
95833
FACILITY NAME:
SCHMIDT-RIOS, NOREEN
FACILITY NUMBER:
393600988
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
05/10/2023
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102416(c)
Personnel Requirements
(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation, interview and record review, the licensee did not comply with the section cited above by; LPA did not observed proof of CPR training for assistant, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date:
06/12/2023
Plan of Correction
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2
3
4
Licensee will submit proof of CPR training for assistant by POC due date.
Type B
Section Cited
CCR
102418(a)
Immunizations
(a) Prior to admission to a family day care home, children shall be immunized against diseases as required by the California Code of Regulations, Title 17, beginning with Section 6000.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation, interview and record review the licensee did not comply with the section for 7 children, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date:
06/12/2023
Plan of Correction
1
2
3
4
Licensee will have proof of IMM for daycare children by the POC due date.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:
Bettina Engelman
LICENSING EVALUATOR NAME:
Elvira Sierra
LICENSING EVALUATOR SIGNATURE:
DATE:
05/10/2023
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
05/10/2023
LIC809
(FAS) - (06/04)
Page:
6
of
8
Document Has Been Signed on
05/10/2023 12:40 PM
- It Cannot Be Edited
Created By:
Elvira Sierra
On
05/10/2023
at
11:27 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
,
2525 NATOMAS PARK DR. STE 250
SACRAMENTO
,
CA
95833
FACILITY NAME:
SCHMIDT-RIOS, NOREEN
FACILITY NUMBER:
393600988
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
05/10/2023
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102421(b)
Child's Records
(b) The licensee shall maintain, in each child's record, a copy of the emergency information card as required
in Section 102417(g)(7).
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation, interview and record review, the licensee did not comply with the section cited above in 5 children, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date:
06/12/2023
Plan of Correction
1
2
3
4
Licensee will provide proof of correction by the POC due date.
Type B
Section Cited
CCR
102417(g)(8)
Operation of A Family Child Care Home
(8) Each family child care home shall have a current roster of children as specified in Health and Safety Code Section 1596.841.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on record review, the licensee did not comply with the section cited above by not having an updated roster, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date:
06/12/2023
Plan of Correction
1
2
3
4
Licensee will have proof of correction by the POC due date.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:
Bettina Engelman
LICENSING EVALUATOR NAME:
Elvira Sierra
LICENSING EVALUATOR SIGNATURE:
DATE:
05/10/2023
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
05/10/2023
LIC809
(FAS) - (06/04)
Page:
7
of
8
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office
,
2525 NATOMAS PARK DR. STE 250
SACRAMENTO
,
CA
95833
FACILITY NAME:
SCHMIDT-RIOS, NOREEN
FACILITY NUMBER:
393600988
VISIT DATE:
05/10/2023
NARRATIVE
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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
LPA discussed the safe sleep regulations with Licensee 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 Licensee 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.
To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to
inspectionprocess@dss.ca.gov
. For additional information regarding the inspection and its tools and methods, please visit the
Program website
at
www.cdss.ca.gov/inforesources/community-care-licensing/process
.
Deficiencies are cited on subsequent page 809D. Licensee acknowledges, that FOR TYPE A DEFICIENCIES ONLY upon receipt, Licensee shall post LIC 809 D with Type A deficiencies for 30 days and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. LIC 9224 must be signed by parents/guardians and kept with the children's forms as a receipt whenever any Type A documents are provided by the licensee.
A notice of site visit was posted and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Licensee, Noreen Schmidt-Rios. This report and Appeal of Rights were provided.
SUPERVISORS NAME
:
Bettina Engelman
LICENSING EVALUATOR NAME
:
Elvira Sierra
LICENSING EVALUATOR SIGNATURE
:
DATE:
05/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
05/10/2023
LIC809
(FAS) - (06/04)
Page:
8
of
8