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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 435700326
Report Date: 07/15/2022
Date Signed: 07/15/2022 09:39:16 AM

Document Has Been Signed on 07/15/2022 09:39 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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:CAMPERO, LUIS & LOPEZ KARLAFACILITY NUMBER:
435700326
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
07/15/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:03 AM
MET WITH:Luis Campero , Karla LopezTIME COMPLETED:
09:45 AM
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On Friday 7/15/2022 at approximately 9:00am Licensing Program Analyst (LPA) Sabina Dodoo met with Licensees Luis Campero and Karla Lopez to conduct an unannounced Case Management Inspection for Change in Capacity. At the time of the inspection Licensees Luis Campero and Karla Lopez who are all fingerprint cleared were present. The licensee’s 3 year old daughter and 7 year old daughter would be included in the ratio. The census at the time of visit is 0 children. The Large Family Child Care Home will be operating from 8am to 5pm.

The home is a single-family residential house with an attached garage. LPA Dodoo and the licensees toured the home inside and outside for a health and safety inspection. The home consists of a kitchen, dining room, a family room, a living room, 3 bedrooms, a master bedroom with a master bathroom, a hallway bathroom, and a garage. There is a fireplace located in the living room that is covered. There is a backyard that can be accessed through a gate by the patio area. The home is equipped with working carbon monoxide detector, smoke detectors and multiple fully charged 2A-10-BC fire extinguishers. The home has heating and ventilation for safety and comfort. Per the Licensee there are no firearms in the home. Licensee has a current copy of a lease which shows Luis Campero and Karla Lopez have control of the property. CPR/ First Aide is current for Karla Lopez with expiration date of 08/21/2023 and for Luis Campero the expiration date is 09/30/2022. After a review of the file the applicants have completed the Mandated Reporter Training which will expire on 10/9/2023(Karla Lopez) and 09/15/2022(Luis Campero). Licensee is adhering to the immunization laws as it is required for all day care providers.

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Sabina Dodoo
LICENSING EVALUATOR SIGNATURE: DATE: 07/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/15/2022
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 STE 1102
OAKLAND, CA 94612
FACILITY NAME: CAMPERO, LUIS & LOPEZ KARLA
FACILITY NUMBER: 435700326
VISIT DATE: 07/15/2022
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Licensees have requested for a change in facility capacity from a small (8) to a large (14). A fire clearance was granted by the Palo Alto Fire Department with a condition that the garage will be off limits.

Clarification and correction were made with licensee on what rooms and areas are on limits for Day Care Children: one bathroom, one bedroom for napping and the entire backyard.

The Off-Limit Areas: the master bedroom with bathroom, 2 additional bedrooms, the living room, the dining room, the kitchen and the garage.

Upon inspection of the home LPA Dodoo concluded that Licensees are complying today. There are no bodies of water on the premises.

Licensees Luis Campero and Karla Lopez, were 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

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Sabina Dodoo
LICENSING EVALUATOR SIGNATURE:

DATE: 07/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2022
LIC809 (FAS) - (06/04)
Page: 2 of 3
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 STE 1102
OAKLAND, CA 94612
FACILITY NAME: CAMPERO, LUIS & LOPEZ KARLA
FACILITY NUMBER: 435700326
VISIT DATE: 07/15/2022
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LPA Sabina Dodoo, discussed the safe sleep regulations with licensees Luis Campero and Karla Lopez, 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.

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

This home is being approved for an increase in capacity license. Exit interview conducted and report was reviewed with the licensees Luis Campero and Karla Lopez.

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Sabina Dodoo
LICENSING EVALUATOR SIGNATURE:

DATE: 07/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2022
LIC809 (FAS) - (06/04)
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