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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434417350
Report Date: 10/11/2024
Date Signed: 10/14/2024 11:59:04 AM

Document Has Been Signed on 10/14/2024 11:59 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:SALACUP, MARISSA & BADILLO, ROSIEFACILITY NUMBER:
434417350
ADMINISTRATOR/
DIRECTOR:		MARISSA S. & ROSIE B.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 307-0257
CITY:SAN JOSESTATE: CAZIP CODE:
95148
CAPACITY: 14TOTAL ENROLLED CHILDREN: 12CENSUS: 9DATE:
10/11/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:52 PM
MET WITH:Marissa SalacupTIME VISIT/
INSPECTION COMPLETED:
04:45 PM
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On 10/11/2024 at 1:52pm, Licensing Program Analyst (LPA), Farida Raja, conducted an unannounced annual/random inspection. LPA was granted access to the home by Licensee, Marissa Salacup and explained the nature of today’s inspection. Present in the home were licensee and four children including three preschool age and one infant. Licensee, Rosie Badillo and five school age children arrived at 3pm. Licensees are operating within the ratio and capacity requirements of the license. Days and hours of operation are Monday to Friday, 6:00 AM to 6:00 PM. LPA observed all required posted materials near the front entrance to the home. There are four adults that reside in the home. Licensees have minor children residing in the home.

Licensees have a working telephone in the home. LPA observed sufficient materials, toys, and play equipment for the day care children. LPA observed a baby bouncer in the on limit family room. LPA reminded Licensees that baby walkers, bouncers, exersaucers, johnny jumpers and similar items were not allowed in family childcare homes. The home has central heating/cooling and ventilation for comfort of children. LPA toured the indoor and outdoor areas of the home during today's inspection. In use areas include living room, one bedroom/sick room, dining area and one bathroom. LPA observed a screened fireplace in the on-limit living area. Off limit area outside the home: left side section, fenced and locked left area where pool equipment is stored and gated backyard portion which includes a gated in-ground swimming pool and the right side section of the home. LPA observed that the swimming pool is surrounded by two fences one metal and one mesh. LPA observed that the five foot mesh fence which completely surrounds the perimeter of the pool does not obscure the pool from view. Pool gate swings away from the pool, self-closes and has a self-latching device located no more than 6 inches from the top of the gate. The hooks that attach the fence together are properly secured. The metal fence is locked and also keeps the swimming pool area off-limits to children. The on-limits play area outdoors was observed to have age appropriate toys. Shade is provided by a canopy. Applicant understands that children must be supervised at all times while outdoors. Backyard is fenced and both sides of the home are gated. LPA observed that the bathroom used by children was in operating condition. Toilets and faucet are clean and operable. The shower area is free of any hazards.



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SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Farida Raja
LICENSING EVALUATOR SIGNATURE: DATE: 10/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/11/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: SALACUP, MARISSA & BADILLO, ROSIE
FACILITY NUMBER: 434417350
VISIT DATE: 10/11/2024
NARRATIVE
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LPA reminded Licensees that toothpaste, shampoos, air fresheners, razors, mouthwash, perfumes and similar items need to be placed inaccessible to children in care in high or child locked cabinets.

LPA observed a fully charged 2A10BC fire extinguisher in the hallway closet and working smoke/carbon monoxide detectors. The fire extinguisher was last serviced on 06/02/2023. Licensee states that she does not have any weapons. Licensees have two dogs and one reptile pet in the home. All cleaning compounds, medications, sharp objects and other similar items were observed to be stored inaccessible to children. Licensees understands that smoking is prohibited in the home.

Filtered drinking water is readily available for children in the home. Licensees states that they provides meals and snacks to the children in care. Licensees understands that any food brought from home shall be labeled with each child's name and properly stored or refrigerated. Licensee states that a child will be isolated in the on limit bedroom if necessary due to illness or communicable disease.

LPA reviewed a current facility roster and Fire/Disaster drill log during today's inspection. Fire/disaster drill was last conducted on 09/18/2024. LPA obtained copy of children's roster.

Children file review was completed. Seven (7) children’s files were reviewed during today's inspection. Two children (C1 and C2) are missing immunization records. Licensees do not have liability insurance for the day care and issues the Affidavit Regarding Liability Insurance for Family Child Care Home (LIC 282). Licensees are missing the Individual Infant Sleeping Plan (LIC 9227) for one infant (C1) in care. LPA observed a 15 minute nap log for one infant (C1) in care.

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.

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SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Farida Raja
LICENSING EVALUATOR SIGNATURE:

DATE: 10/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2024
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
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: SALACUP, MARISSA & BADILLO, ROSIE
FACILITY NUMBER: 434417350
VISIT DATE: 10/11/2024
NARRATIVE
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LPA reviewed Licensees files for the required forms. A review of staff records indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. Licensees have current CPR/First Aid Training which expires on 05/10/2025 and current Mandated Reporter Training's which expire on 07/06/2025. Licensees understands the training is mandatory to all licensees and adults in the home in contact will children and requires renewal every two years. Licensees have the required immunization's in file for measles, pertussis and influenza or statement declining the vaccine.

Licensees were 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.

Supervision of children was discussed with Licensees, and they understand that they or a qualified adult must be present in the home during day care hours and ensure that the children are supervised at all times. LPA discussed the requirement for both licensees to be present at the facility 80 percent of the hours the facility is in operation and that temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day. Licensees understands their capacity options and understand that they cannot have more than 14 children in the home at any time and a qualified assistant must be present. Licensees understands that in absence of a helper the license capacity is reduced to 8 and ratio (age of the children) must be observed.

Licensees are encouraged to frequently visit our website at www.ccld.ca.gov for licensing updates, provider information notices (PINs) and regulations.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. Licensee states the no children require medication or IMS at this time. 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: https://www.ada.gov/resources/child-care-centers/.


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SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Farida Raja
LICENSING EVALUATOR SIGNATURE:

DATE: 10/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2024
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
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: SALACUP, MARISSA & BADILLO, ROSIE
FACILITY NUMBER: 434417350
VISIT DATE: 10/11/2024
NARRATIVE
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Licensees stated that they transport children. LPA reminded Licensees that children cannot be left in parked vehicles unattended at any time, the motor vehicles used to transport children shall be maintained in safe operating conditions, and all vehicle occupants must be secured in an appropriate restraint system.

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

During the exit interview, Licensees confirmed that there are no Registered Sex Offenders living in the facility.

Three Type B deficiencies were cited as a result of today's inspection. Appeal rights were printed and provided to Licensee. LPA reminded Licensees that failure to correct deficiencies by Plan of Correction Due Date may result in civil penalties. Exit interview was conducted with licensees, Marissa Salacup and Rosie Badillo

A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process.

SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Farida Raja
LICENSING EVALUATOR SIGNATURE:

DATE: 10/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2024
LIC809 (FAS) - (06/04)
Page: 4 of 6
Document Has Been Signed on 10/14/2024 11:59 AM - It Cannot Be Edited


Created By: Farida Raja On 10/11/2024 at 04:00 PM
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
, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: SALACUP, MARISSA & BADILLO, ROSIE
FACILITY NUMBER: 434417350

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/11/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)(10)
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: (10) A baby walker shall not be allowed on the premises of a family child care home in accordance with Health and Safety Code Sections 1596.846(b) and (c).

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and interview, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care. LPA observed a baby bouncer in the on limit family room during today's inspection. LPA informed licensee that baby bouncers, walkers and similar items are not allowed in family childcare homes. LPA did not observe any infants or children in the baby bouncer. Licensee placed baby bouncer in an off-limit area during today's inspection.
POC Due Date: 10/25/2024
Plan of Correction
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Licensee placed the baby bouncer in an off limit area during today's inspection. Licensee to submit a written plan of correction by POC due date of 10/25/2024..
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
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Based on observation, interview and record review, the licensee did not comply with the section cited above for two children (C1 and C2) which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 10/25/2024
Plan of Correction
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Licensee to obtain missing records and submit proof to LPA by plan of correction due date of 10/25/2024.
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:Gladys Kuizon
LICENSING EVALUATOR NAME:Farida Raja
LICENSING EVALUATOR SIGNATURE:
DATE: 10/11/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/11/2024


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 10/14/2024 11:59 AM - It Cannot Be Edited


Created By: Farida Raja On 10/11/2024 at 04:00 PM
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
, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: SALACUP, MARISSA & BADILLO, ROSIE
FACILITY NUMBER: 434417350

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/11/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102425(c)
Infant Safe Sleep
An Individual Infant Sleeping Plan [LIC 9227 (3/20)] shall be completed for each infant up to 12 months of age the provider has in care and included in the infant's file at the facility.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview and record review, the licensee did not comply with the section cited above for one infant (C1) which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 10/25/2024
Plan of Correction
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Licensee to have authorized representative complete the required form and submit proof to LPA by plan of correction due date of 10/25/2024.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Gladys Kuizon
LICENSING EVALUATOR NAME:Farida Raja
LICENSING EVALUATOR SIGNATURE:
DATE: 10/11/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/11/2024


LIC809 (FAS) - (06/04)
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