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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 444414388
Report Date: 08/15/2023
Date Signed: 01/04/2024 10:13:36 AM

Document Has Been Signed on 01/04/2024 10:13 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 CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:MENESES-ALCANTARA, MARIAFACILITY NUMBER:
444414388
ADMINISTRATOR:MENESES-ALCANTARA, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(831) 763-7792
CITY:WATSONVILLESTATE: CAZIP CODE:
95076
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 4DATE:
08/15/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Maria Meneses-AlcantaraTIME COMPLETED:
05:00 PM
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Licensing Program Analyst (LPA) Elizabeth Berumen met with Licensee, Maria Meneses-Alcantara. LPA also observed Licensee's daughter/assistant Lilibeth Meneses Alcantara and four day care children; two infants and two preschoolers. A review of staff records on 08/15/2023 indicates that all Facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. Licensee, Maria Meneses Alcantara 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.

Days and hours of operation are Monday - Friday from 6:00 AM to 6:00 PM. The adults that reside in the home are the Licensee, spouse (Benito Alcantara) , daughter (Lilibeth Meneses-Alcantara) two sons' (Pedro and Jesus Alcantara). The home is divided into two living quarters; Licensee's sister, Esmeralda Meneses Rojas lives in downstairs portion of the home with her two minor children (ages 7 and 9 yrs old).
CPR and First Aid are current and expire on 04/29/2025 . Licensee's daughter, Lilibeth also has current CPR & First Aid certifications expiring on 04/29/2025. Mandated Reporter Training is valid.
LPA reviewed a current Child Care Facility Roster and Fire/Disaster drill log during today's inspection. Last fire/disaster drill was completed on 07/10/23. LPA inspected the indoor and outdoor areas of the home. Off limit areas in the home are 3 bedrooms, laundry room and downstairs portion of the home.
REPORT CONTINUED ON THE FOLLOWING PAGE (PAGE #2 - REPORT DATED 08/15/23):
SUPERVISORS NAME: Mary Segura
LICENSING EVALUATOR NAME: Elizabeth Berumen
LICENSING EVALUATOR SIGNATURE: DATE: 08/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/15/2023
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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: MENESES-ALCANTARA, MARIA
FACILITY NUMBER: 444414388
VISIT DATE: 08/15/2023
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LPA observed that the home is clean and orderly, with heating and ventilation for safety and comfort of the children. The fire place in day care room is barricaded. LPA observed safe and sufficient materials, toys, and play equipment for the day care children. All sharp objects, detergents, cleaning compounds, medications, poisons, and other similar items inside the home are stored inaccessible to children. LPA observed a fully charged 3A40BC fire extinguisher, a working smoke detector and a working carbon monoxide detector. Licensee states there are no weapons/firearms in the home. There are no bodies of water. Backyard is fenced. There are 3 storage sheds on the property. The storage shed that leads to children play area is locked. Other two sheds are off limits in off limits fenced off area.

Licensee has one dog in the home and is vaccinated.

LPA observed a current roster of the children. LPA reviewed four children's files. Two infants are missing 15 minute sleep checks. Licensee has day care insurance.



Supervision of children was discussed with licensee and she understands that she must be present in the home during day care hours and ensure that the children are supervised at all times. Licensee understands her capacity options and she understands that she cannot have more than 14 children in the home at any time. Licensee understands if she transports children via vehicle, children cannot be left in parked vehicles unattended at any time.

LPA discussed the safe sleep regulations with licensee, Maria Meneses Alcantara 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, Maria Meneses-Alcantara 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.
SUPERVISORS NAME: Mary Segura
LICENSING EVALUATOR NAME: Elizabeth Berumen
LICENSING EVALUATOR SIGNATURE:

DATE: 08/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2023
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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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: MENESES-ALCANTARA, MARIA
FACILITY NUMBER: 444414388
VISIT DATE: 08/15/2023
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LPA discussed Zero Tolerance related regulations with licensee Maria Meneses Alcantara and was of the assessment of $500 immediate civil penalty and an ongoing $100 per day per violation continues until the violation(s) is corrected. 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

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.

The following type B deficiencies were cited on the attached page (809-D). Licensee was informed that failure to correct the deficiencies by the specified Plan of Correction (POC) Due Date may result in assessment of civil penalties in the amount of $100 per day per violation until the correction is made.

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

SUPERVISORS NAME: Mary Segura
LICENSING EVALUATOR NAME: Elizabeth Berumen
LICENSING EVALUATOR SIGNATURE:

DATE: 08/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2023
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 01/04/2024 10:13 AM - It Cannot Be Edited


Created By: Elizabeth Berumen On 08/15/2023 at 03:58 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: MENESES-ALCANTARA, MARIA
FACILITY NUMBER: 444414388

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/15/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102425(j)(2)(D)(c)


This requirement is not met as evidenced by: Infant #3 and #4 are missing 15 minute sleep checks.
Deficient Practice Statement
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Based on observation and record review the licensee did not comply with the section cited above; child #3 and #4 are missing the 15 minute sleep checks which poses a potential health, safety or personal rights.
POC Due Date: 08/22/2023
Plan of Correction
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Licensee agrees to comply with safe sleep regulations and agrees to submit copies of sleep checks for infant #3 and #4 and submit copies to LPA by plan of correction date of August 22, 2023.
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:Mary Segura
LICENSING EVALUATOR NAME:Elizabeth Berumen
LICENSING EVALUATOR SIGNATURE:
DATE: 08/15/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/15/2023


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